ANTIENDOTHELIAL CELL ANTIBODIES IN PATIENTS WITH THE ANTIPHOSPHOLIPID SYNDROME

被引:73
作者
CERVERA, R [1 ]
KHAMASHTA, MA [1 ]
FONT, J [1 ]
RAMIREZ, G [1 ]
DCRUZ, D [1 ]
MONTALBAN, J [1 ]
LOPEZSOTO, A [1 ]
ASHERSON, RA [1 ]
INGELMO, M [1 ]
HUGHES, GRV [1 ]
机构
[1] HOSP CLIN BARCELONA,SERV MED INTERNA GEN,VILLARROEL 170,E-08036 BARCELONA,SPAIN
关键词
ENDOTHELIAL CELLS; ANTICARDIOLIPIN ANTIBODIES; THROMBOSIS;
D O I
10.3109/08916939108994701
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Antiendothelial cell antibodies (AECA) have been detected in 20 out of 30 patients (67% with thrombosis associated with antiphospholipid antibodies. Seven patients had systemic lupus erythematosus and 13 had the "primary" antiphospholipid syndrome. Seven patients had both lgG and IgM AECA, 9 had lgG AECA only, and 4 had only IgM AECA. None of 30 control patients with thrombotic events not related to antiphospholipid antibodies had a positive titre of AECA (P<0.001). No correlation between AECA, antinuclear antibodies, anti-dsDNA antibodies, anti-neutrophil cytoplasm antibodies, precipitating antibodies to soluble nuclear and cytoplasmic antigens or complement components was found. The possible role of these AECA in the pathogenesis of thrombotic events is discussed. © 1991 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
引用
收藏
页码:1 / 6
页数:6
相关论文
共 27 条
[1]  
Hughes G.R.V., Thrombosis, abortion, cerebral disease and the lupus anticoagulant, Br Med J, 287, pp. 1088-1089, (1983)
[2]  
Harris E.N., Gharavi A.E., Boey M.L., Et al., Anticardiolipin antibodies: detection by radioimmunoassay and association with thrombosis in systemic lupus erythematosus, Lancet, 2, pp. 1211-1214, (1983)
[3]  
Cervera R., Font J., Lopez-Soto A., Et al., Isotype distribution of anticardiolipin antibodies in systemic lupus erythematosus. Prospective analysis of a series of 100 patients, Ann Rheum Dis, 49, pp. 109-113, (1990)
[4]  
Hughes G.R.V., Asherson R.A., Khamashta M.A., Antiphospholipid syndrome: linking many specialities, Ann Rheum Dis, 48, pp. 355-356, (1989)
[5]  
Font J., Cervera R., Lopez-Soto A., Et al., Anticardiolipin antibodies in patients with autoimmune diseases: isotype distribution and clinical associations, Clin Rheumatol, 8, pp. 475-483, (1989)
[6]  
Asherson R.A., Khamashta M.A., Ordi-Ros J., Et al., The primary antiphospholipid syndrome: Major clinical and serological features, Medicine (Baltimore), 68, pp. 366-374, (1989)
[7]  
Alarcon-Segovia D., Sanchez-Guerrero J., Primary antiphospholipid syndrome, J Rheumatol, 16, pp. 482-488, (1989)
[8]  
Mackworth-Young C.G., Loizou S., Walport M.J., Primary antiphospholipid syndrome: features of patients with raised anticardiolipin antibodies and no other disorder, Ann Rheum Dis, 48, pp. 362-367, (1989)
[9]  
Font J., Lopez-Soto A., Cervera R., Et al., The primary antiphospholipid syndrome: antiphospholipid antibody pattern and clinical features of a series of 23 patients, Autoimmunity, 9, pp. 69-75, (1991)
[10]  
Leroux G., Wautier M.P., Guillevin L., Wauter J.L., IgG binding to endothelial cells in systemic lupus erythematosus, Thromb Haemostas, 56, pp. 144-149, (1986)