Advances in understanding what we measure when detecting anticardiolipin autoantibodies

被引:4
作者
Iverson, GM [1 ]
Victoria, EJ [1 ]
Cockerill, KA [1 ]
Linnik, MD [1 ]
机构
[1] La Jolla Pharmaceut Co, San Diego, CA 92121 USA
关键词
antiphospholipid; beta2-glycoprotein; 1; antigen; epitope; autoantibody;
D O I
10.1016/j.cccn.2004.01.008
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Understanding so-called anticardiolipin autoantibodies has been the focus of significant interest due to their accepted role in the pathology of antiphospholipid syndrome (APS). Flow these antibodies contribute to thrombosis, stroke and recurrent fetal loss is not clearly understood. A precise determination of the antigenic epitope(s) recognized by anticardiolipin autoantibodies will contribute to an understanding of their role in this complex disease; however, there have been many conflicting reports regarding these epitope(s), and many of the apparent contradictions arise from the assay systems that have been used. In this review, we attempt to highlight what we believe are the salient points on this issue. We present further evidence supporting our hypothesis that most of these autoantibodies recognize epitope(s) located on domain 1 (D1) of beta2-glycoprotein 1 (beta(2)GPI). (C) 2004 Elsevier B.V. All rights reserved.
引用
收藏
页码:37 / 44
页数:8
相关论文
共 41 条
[11]   ANTICARDIOLIPIN ANTIBODIES (ACA) DIRECTED NOT TO CARDIOLIPIN BUT TO A PLASMA-PROTEIN COFACTOR [J].
GALLI, M ;
COMFURIUS, P ;
MAASSEN, C ;
HEMKER, HC ;
DEBAETS, MH ;
VANBREDAVRIESMAN, PJC ;
BARBUI, T ;
ZWAAL, RFA ;
BEVERS, EM .
LANCET, 1990, 335 (8705) :1544-1547
[12]  
George J, 1998, J IMMUNOL, V160, P3917
[13]   ANTICARDIOLIPIN ANTIBODIES - ISOTYPE DISTRIBUTION AND PHOSPHOLIPID SPECIFICITY [J].
GHARAVI, AE ;
HARRIS, EN ;
ASHERSON, RA ;
HUGHES, GRV .
ANNALS OF THE RHEUMATIC DISEASES, 1987, 46 (01) :1-6
[14]  
HARRIS EN, 1983, LANCET, V2, P1211
[15]  
HUNT J, 1994, J IMMUNOL, V152, P653
[16]   IDENTIFICATION OF A REGION OF BETA-2-GLYCOPROTEIN-I CRITICAL FOR LIPID-BINDING AND ANTICARDIOLIPIN ANTIBODY COFACTOR ACTIVITY [J].
HUNT, JE ;
SIMPSON, RJ ;
KRILIS, SA .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1993, 90 (06) :2141-2145
[17]   BETA(2)-GLYCOPROTEIN-I REACTIVITY OF MONOCLONAL ANTICARDIOLIPIN ANTIBODIES FROM PATIENTS WITH THE ANTIPHOSPHOLIPID-SYNDROME [J].
ICHIKAWA, K ;
KHAMASHTA, MA ;
KOIKE, T ;
MATSUURA, E ;
HUGHES, GRV .
ARTHRITIS AND RHEUMATISM, 1994, 37 (10) :1453-1461
[18]   Human beta(2) glycoprotein I as an anticardiolipin cofactor determined using deleted mutants expressed by a baculovirus system [J].
Igarashi, M ;
Matsuura, E ;
Igarashi, Y ;
Nagae, H ;
Ichikawa, K ;
Triplett, DA ;
Koike, T .
BLOOD, 1996, 87 (08) :3262-3270
[19]   Use of single point mutations in domain I of β2-glycoprotein I to determine fine antigenic specificity of antiphospholipid autoantibodies [J].
Iverson, GM ;
Reddel, S ;
Victoria, EJ ;
Cockerill, KA ;
Wang, YX ;
Marti-Renom, MA ;
Sali, A ;
Marquis, DM ;
Krilis, SA ;
Linnik, MD .
JOURNAL OF IMMUNOLOGY, 2002, 169 (12) :7097-7103
[20]   The orientation of β2GPI on the plate is important for the binding of anti-β2GPI autoantibodies by ELISA [J].
Iverson, GM ;
Matsuura, E ;
Victoria, EJ ;
Cockerill, KA ;
Linnik, MD .
JOURNAL OF AUTOIMMUNITY, 2002, 18 (04) :289-297