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- Advances in the Understanding of Etiology (I)
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1. Infection and autoimmunity: a two-way relationship
- Dr. Ricard Cervera
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2. Autoimmunity and atherosclerosis
- Prof. Johan Frostegard
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3. Endothelium and autoimmunity
- Prof. Pier Luigi Meroni
- Advances in the Understanding of Etiology (II)
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4. Prolactin has a pathogenic role in systemic lupus erythematosus
- Prof. Luis Jara-Quezada
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5. Sjögren's syndrome: current knowledge and future prospects
- Prof. Athanasios G. Tzioufas
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6. Genetic and environmental triggers of autoimmune thyroid diseases
- Prof. Yaron Tomer
- Advances in Pathogenesis and Clinical Manifestation
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8. Pathogenic mechanisms of autoantibodies: circulating and local antibodies that form immune complexes
- Dr. Luís Eduardo Coelho Andrade
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9. Pathogenic mechanisms of autoantibodies: antibodies to intracellular and membrane-bound antigens
- Dr. Luís Eduardo Coelho Andrade
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10. What causes primary biliary cholangitis?
- Dr. M. Eric Gershwin
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11. Capillaroscopy in autoimmune rheumatic diseases
- Prof. Maurizio Cutolo
- Advances in Diagnostic Methodologies (I)
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12. The past, present & future of ANA testing: history and challenges of ANA
- Prof. Marvin J. Fritzler
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13. The past, present & future of ANA testing: changing bandwidth and future of ANA
- Prof. Marvin J. Fritzler
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14. Diagnostic methods in autoimmunity
- Mr. Steven Binder
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15. Systemic lupus erythematosus: novel aspects of pathogenesis and treatment 1
- Prof. Chaim Putterman
- Dr. Noa Schwartz
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16. Systemic lupus erythematosus: novel aspects of pathogenesis and treatment 2
- Prof. Chaim Putterman
- Dr. Noa Schwartz
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17. Novel aspects of systemic sclerosis
- Prof. Gabriele Valentini
- Advances in Diagnostic Methodologies (II)
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18. An update on the multiple faces of celiac disease
- Prof. Aaron Lerner
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19. Protective autoantibodies
- Prof. Elias Toubi
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21. Rheumatic fever: a model of a post-infectious autoimmune disease
- Prof. Jorge Kalil
- Treatments of autoimmune diseases
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22. Intravenous immunoglobulins: clinical evidence
- Prof. Shaye Kivity
- Latest Developments in the Field
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23. Adjuvants and autoimmunity
- Dr. Eitan Israeli
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24. Antiphospholipid syndrome (APS): from pathogenesis to treatment
- Prof. Roger Levy
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25. Vitamin D and autoimmunity
- Dr. Shir Azrielant
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26. Pregnancy in rheumatic diseases
- Prof. Pier Luigi Meroni
- Archived Lectures *These may not cover the latest advances in the field
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27. Pathogenic mechanisms of autoantibodies
- Prof. Cees Kallenberg
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28. B lymphocytes on the frontline of autoimmunity
- Prof. Pierre Youinou
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29. Apoptotic cell clearance deficiency
- Prof. Martin Herrmann
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30. Auto-antibodies as predictors of autoimmune disease
- Dr. Nicola Bizzaro
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31. Innate immunity and natural autoantibodies
- Prof. Luc Mouthon
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32. Accelerated atherosclerosis in autoimmune rheumatic disease
- Dr. Andrea Doria
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33. Pregnancy in autoimmune rheumatic diseases
- Prof. Angela Tincani
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36. Immunologic mechanisms in systemic lupus erythematosus
- Prof. Kok-Yong Fong
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37. Osteoimmunology
- Prof. João Eurico Fonseca
- Ms. Joana Caetano-Lopes
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38. ANCA-associated systemic vasculitides
- Prof. Loic Guillevin
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39. The common origin for diverse autoimmune diseases
- Prof. Juan-Manuel Anaya
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40. Anti-cytokine therapy in rheumatoid arthritis
- Prof. Piercarlo Sarzi-Puttini
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41. Sjogren's syndrome: autoimmune epithelitis
- Prof. Haralampos Moutsopoulos
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42. Vitamin D and autoimmunity
- Dr. Howard Amital
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43. Intravenous immunoglobulins: myth and reality
- Prof. Zera Tellier
Printable Handouts
Navigable Slide Index
- Introduction
- Dramatic new developments in past few years
- Pulmonary hypertension response
- Pulmonary hypertension (PHT)
- Epidemiology and pathophysiology
- Diagnostic and treatment challenges
- WHO classification of pulmonary hypertension
- New York Heart Association classification
- WHO organization functional classification 1973
- Main difference between the two classifications
- Pathogenesis of pulmonary hypertension
- Imbalance of vascular effectors
- Roles of vascular effectors
- Production of fibromuscular changes
- PHT genetic and immunological factors
- PHT characteristics: summary
- The various factors involved in PHT pathogenesis
- Role of anti-phospholipid antibodies in PHT
- Clue for anti-phospholipid antibodies role in PHT
- Pulmonary hypertension and systemic sclerosis
- PHT and anti-phospholipid antibodies: conclusions
- Role of T cells in PHT pathogenesis
- Conditions with CD4 cell defects and PAH
- Depletion of CD4 cells and autoimmune disease
- Autoimmune aspects of PHT
- PHT may precede the connective tissue disease
- Some idiopathic HPT patients are ANF positive
- Anticentromere antibody
- Pulmonary arterial hypertension (PAH) and HIV
- Relationship to AIRE gene
- APECED is a condition of AIRE loss of function
- PAH reported following splenectomy
- Clinical manifestations
- Signs of pulmonary hypertensions
- Regular routine examinations and PHT signs
- X-ray finding of PHT
- Electrocardiography might alert of PAH presence
- Laboratory tests
- Predisposing factors in thromboembolic PAH (1)
- Predisposing factors in thromboembolic PAH (2)
- Diagnosis and severity assessment of PAH
- Chronic thromboembolic pulmonary hypertension
- Embolism travels up to heart and lungs
- Histology seen in the lungs
- Histological lesions
- Examples of vascular pathology
- Intimal proliferation in pulmonary hypertension
- Medial hypertrophy of the pulmonary arterial
- Pulmonary artery lumen and lymphocyte infiltration
- Poor prognostic factors
- Causes of death
- Prognosis of PAH
- Survival of pulmonary hypertension patients
- PHT in connective tissue disorders
- Form of PHT in connective tissue disorders
- PHT type variation in connective tissue diseases
- PAH in the different connective tissue disorders
- Pulmonary hypertension in SLE
- Types of pulmonary hypertension in SLE
- PHT in SLE and it's associations
- PHT and systemic sclerosis characteristics
- Frequency of PAH and fibrosis in SSc patients
- PAH from heart involvement
- Echocardiogram and diastolic dysfunction
- Onset of PAH is often delayed
- Screening of patients with SSc for PAH
- Use of DLCO
- DLCO in patients who developed PAH vs. controls
- The ratio FVC% / DLCO% is very helpful
- FVC/DLCO ratio between 1.6 - 1.8
- Cardiopulmonary findings in limited SSc with PAH
- Autoantibodies in PAH cases and controls
- Frequency of auto-antibodies in all SSc patients
- Echocardiography
- Echo may indicate PAH but does not diagnose it
- Risk factors for PAH in systemic sclerosis
- Making diagnosis of PAH
- Right heart catheterization as PAH measurement
- Dyspnoea/significant mortality and PAH in SSc
- Natural history of elevated PASP in SSc
- Incidence of HLA DRw52 gene/DR3/DR6 antigens
- Anti-phospholipid antibodies
- Rheumatoid arthritis and PHT
- Elevations of pulmonary arterial pressures
- Sjogren's syndrome and PHT
- Treatment
- Improved survival for patients with IPAH
- Approved therapy for SSc PHT
- Treprostinal or inhaled iloprost treatment
- Continuous i.v. therapy for SSc PHT
- Other therapies for SSc PHT
- Comments on PAH therapy
- New compounds being currently tested
- Supportive therapy
- Treatment is dependent on type of lung disease
- PHT in diffuse SSc
- Summary of PAH in SSc
- Acknowledgments
Topics Covered
- Diagnosis of pulmonary arterial hypertension (PAH)
- Classification of the types of PAH
- Pathogenesis
- Role of endothelin 1
- Role of prostacyclin/thromboxane
- Role of antiphospholipid antibodies
- CD4 cells and PAH in HIV infection and autoimmune diseases
- PAH in SLE, systemic sclerosis and CREST syndrome
- Rheumatoid arthritis, Sjogren's syndrome
- Autoimmune aspects of "primary" idiopathic PAH
- Clinical manifestations of PAH
- Thromboembolic PAH
- New therapies with endothelin 1 antagonists (non-selective and selective), prostacyclin analogues (inhaled and IV) and phosphodiesterase inhibitors (e.g. sildenafil)
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
Asherson, R. (2007, October 1). Pulmonary hypertension in the connective tissue disease pathogenesis, clinical features and therapeutic options in 2006 [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 22, 2024, from https://doi.org/10.69645/ULWT7738.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Ronald Asherson has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Pulmonary hypertension in the connective tissue disease pathogenesis, clinical features and therapeutic options in 2006
A selection of talks on Immunology & Inflammation
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