Rheumatic heart disease: A review of the current status of global research activity

Article


Dooley, Leanne M., Ahmad, Tarek B., Pandey, Manisha, Good, Micheal F. and Kotiw, Michael. 2021. "Rheumatic heart disease: A review of the current status of global research activity." Autoimmunity Reviews. 20 (2), pp. 1-23. https://doi.org/10.1016/j.autrev.2020.102740
Article Title

Rheumatic heart disease: A review of the current status of global research activity

ERA Journal ID40469
Article CategoryArticle
AuthorsDooley, Leanne M. (Author), Ahmad, Tarek B. (Author), Pandey, Manisha (Author), Good, Micheal F. (Author) and Kotiw, Michael (Author)
Journal TitleAutoimmunity Reviews
Journal Citation20 (2), pp. 1-23
Article Number102740
Number of Pages23
Year2021
Place of PublicationUnited States
ISSN1568-9972
1873-0183
Digital Object Identifier (DOI)https://doi.org/10.1016/j.autrev.2020.102740
Web Address (URL)http://www.sciencedirect.com/science/article/pii/S1568997220303219
Abstract

Rheumatic heart disease (RHD) is a serious and long-term consequence of acute rheumatic fever (ARF), an autoimmune sequela of a mucosal infection by Streptococcus pyogenes (Group A Streptococcus, Strep A). The pathogenesis of ARF and RHD is complex and not fully understood but involves host and bacterial factors, molecular mimicry, and aberrant host innate and adaptive immune responses that result in loss of self-tolerance and subsequent cross-reactivity with host tissues. RHD is entirely preventable yet claims an estimated 320 000 lives annually. The major burden of disease is carried by developing nations and Indigenous populations within developed nations, including Australia. This review will focus on the epidemiology, pathogenesis and treatment of ARF and RHD in Australia, where: streptococcal pyoderma, rather than streptococcal pharyngitis, and Group C and Group G Streptococcus, have been implicated as antecedents to ARF; the rates of RHD in remote Indigenous communities are persistently among the highest in the world; government register-based programs coordinate disease screening and delivery of prophylaxis with variable success; and researchers are making significant progress in the development of a broad-spectrum vaccine against Strep A.

KeywordsRheumatic fever; Rheumatic heart disease; Group A Streptococcus; M protein; Australian Aboriginal Vaccine
Related Output
Is part ofThe immunology of a putative recombinant vaccine against Streptococcus pyogenes utilising hepatitis B virus-like particles as an antigen delivery platform
ANZSRC Field of Research 2020320403. Autoimmunity
450403. Aboriginal and Torres Strait Islander child health and wellbeing
320211. Infectious diseases
Public Notes

File reproduced in accordance with the copyright policy of the publisher/author.

This article is part of a UniSQ Thesis by publication. See Related Output.

Byline AffiliationsSchool of Health and Wellbeing
Institute for Life Sciences and the Environment
Griffith University
Institution of OriginUniversity of Southern Queensland
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