What causes the antiphospholipid syndrome?

被引:8
作者
Merrill J.T. [1 ]
机构
[1] Division of Rheumatology, St. Luke's-Roosevelt Hospital Center, Antenucci Building, 432 West 58th Street, New York, 10019, NY
关键词
Systemic Lupus Erythematosus; Factor Versus Leiden Mutation; Systemic Lupus Erythe; Lupus Anticoagulant; Mature High Density Lipoprotein;
D O I
10.1007/s11926-001-0033-2
中图分类号
学科分类号
摘要
The antiphospholipid syndrome (APS) is characterized by unpredictable, sporadic, thrombotic events. The cause of the thrombosis is probably multifactorial and may involve disparate effects of the autoantibodies associated with the syndrome, which are known to interfere with various protein regulators of hemostasis. An integrated theory of pathogenesis that accounts for the diversity of autoantibodies and their effects suggests that cellular inflammation or apoptosis within the vasculature may lead to oxidation or turnover in phospholipid membranes. Thus, normally cryptic, functionally important epitopes of phospholipid-binding proteins are subjected to increased exposure to immune surveillance.
引用
收藏
页码:293 / 300
页数:7
相关论文
共 331 条
[51]  
Kurata Y(1991)Differential effects of lecithin and cholesterol on the immunoreactivity and conformation of apolipoprotein A1 in HDL J Biol Chem 266 9145-9152
[52]  
Kosugi S(1998)High prevalence of antibodies to apolipoprotein A1 in a lupus population Lupus 7 355-360
[53]  
Sorice M(1996)Immunization with short peptides from the sequence of the systemic lupus erythematosus-associated 60-kDa Ro autoantigen results in anti-Ro ribonucleoprotein autoimmunity J Immunol 156 4059-4066
[54]  
Arcieri P(1995)Immunoglobulin epitope spreading and autoimmune disease after peptide immunization: Sm B/B’-derived PPPGMRPP and PPPGIRGP induce spliceosome autoimmunity J Exp Med 181 453-461
[55]  
Griggi T(1998)Localization of two epitopes of apolipoprotein A1 that are exposed on human HDL using monoclonal antibodies and synthetic peptides J Biol Chem 263 13779-13800
[56]  
Merrill JT(1991)Localization of an apolipoprotein A1 epitope critical for activation of LCAT J Biol Chem 266 23866-23892
[57]  
Rivkin E(1996)Antiphospholipid antibodies and atherosclerosis Lupus 5 456-457
[58]  
Shen C(1989)Acquired functional protein S deficiency, cerebral venous thrombosis and coumarin skin necrosis in association with antiphospholipid syndrome: report of two cases Am J Med 87 207-210
[59]  
Lahita RG(1991)Transient anticardiolipin antibodies, functional protein S deficiency, and deep vein thrombosis Am J Hematol 36 206-207
[60]  
McCrae KR(1991)Natural anticoagulants in systemic lupus erythematosus. Deficiency of protein S bound to C4bp associates with recent history of venous thromboses, antiphospholipid antibodies and the antiphospholipid syndrome J Rheumatol 10 552-558