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
[21]  
Exner T., Rickard K.A., Kronenberg H., Studies on phospholipids in the action of a lupus coagulation inhibitor, Pathology, 7, pp. 319-328, (1975)
[22]  
Meroni P.L., Harris E.N., Brucato A., Et al., Anti-mitochondrial type M5 and anti-cardiolipin antibodies in autoimmune disorders: studies on their association and cross-reactivity, Clin Exp Immunol, 67, pp. 484-491, (1987)
[23]  
Petty R.G., Pearson J.D., Endothelium-the axis of vascular health and disease, J Roy Coll Phys London, 23, pp. 92-102, (1989)
[24]  
Cines D.B., Lyss A.P., Reeber M., Bina M., Dehoratus R.J., Presence of complement fixing antiendothelial cell antibodies in systemic lupus erythematosus, J Clin Invest, 73, pp. 611-625, (1984)
[25]  
Ferraro G., Meroni P.L., Tincani A., Et al., Anti-endothelial cell antibodies in patients with Wegener's granulomatosis and mic-ropolyarterilis, Clin Exp Immunol, 79, pp. 47-53, (1990)
[26]  
Leung D.Y.M., Moake J.L., Havens P.L., Kim M., Pober J.S., Lytic anti-endothelial cell antibodies in haemolytic-uraemic syndrome, Lancet, 2, pp. 183-186, (1988)
[27]  
Leung D.Y.M., Collins T., Lapierrc L.A., Geha R.S., Pober J.S., Immunoglobulin M antibodies present in the acute phase of Kawasaki syndrome lyse cultured vascular endothelial cells stimulated by gamma interferon, J Clin Invest, 77, pp. 1428-1432, (1986)