Origin and pathogenesis of antiphospholipid antibodies

被引:7
作者
Celli, CM
Gharavi, AE
机构
[1] Univ Sao Paulo, Inst Quim, Dept Bioquim, BR-05508900 Sao Paulo, Brazil
[2] Louisiana State Univ, Med Ctr, Dept Med, Rheumatol Sect, New Orleans, LA 70112 USA
关键词
antiphospholipid antibodies; antiphospholipid syndrome; systemic lupus erythematosus; syphilis; cardiolipin; beta-2-glycoprotein I;
D O I
10.1590/S0100-879X1998000600002
中图分类号
Q [生物科学];
学科分类号
07 ; 0710 ; 09 ;
摘要
Antiphospholipid antibodies (aPL) are a heterogeneous group of antibodies that are detected in the serum of patients with a variety of conditions, including autoimmune (systemic lupus erythematosus), infectious (syphilis, AIDS) and lymphoproliferative disorders (paraproteinemia, myeloma, lymphocytic leukemias). Thrombosis, thrombocytopenia, recurrent fetal loss and other clinical complications are currently associated with a subgroup of aPL designating the antiphospholipid syndrome. In contrast, aPL from patients with infectious disorders are not associated with any clinical manifestation. These findings led to increased interest in the origin and pathogenesis of aPL. Here we present the clinical features of the antiphospholipid syndrome and review the origin of aPL, the characteristics of experimentally induced aPL and their historical background. Within this context, we discuss the most probable pathogenic mechanisms induced by these antibodies.
引用
收藏
页码:723 / 732
页数:10
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