Anti-CII antibody as a novel indicator to assess disease activity in systemic lupus erythematosus

Anti-CII antibody as a novel indicator to assess disease activity in systemic lupus erythematosus
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抗 CII 抗体作为评估系统性红斑狼疮疾病活动性的新指标

DOI:
10.1177/0961203315588970
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发表时间:
2015-11
期刊:
影响因子:
2.6
通讯作者:
Feng, P.
Feng, P.
中科院分区:
医学4区
文献类型:
--
作者:
Song, T.;Qin, C.;Yan, R.;Feng, P.

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系统性红斑狼疮(SLE)是一种影响多种器官系统的慢性自身免疫性疾病。50多年来,抗dsDNA抗体和补体因子一直被用作狼疮活动度的指标。本文报道了一种新的系统性红斑狼疮激活指标。与强直性脊柱炎(AS)和健康对照组(HCS)相比,SLE患者抗II型胶原(CII)抗体明显升高。抗CII抗体阳性的SLE患者血清免疫球蛋白水平明显高于对照组,ANA滴度明显高于对照组,而补体C3、C4水平明显低于对照组。系统性红斑狼疮患者抗CII抗体与血清免疫球蛋白呈正相关(r = 为0.0001.5 0,p < 为0.0 5)。系统性红斑狼疮患者抗CII抗体与补体C3、C4呈负相关(r = -0.36,p = 0.0013;r = -0.37,p = 0.0006)。抗-CII抗体水平下降伴随着常规治疗后血清免疫球蛋白水平下降和补体C3、C4水平升高。因此,抗CII抗体可作为监测SLE活动性的新指标。
Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder that affects a variety of organ systems. Anti-dsDNA Abs and complement factors have been used as indicators of lupus activity for more than 50 years. A novel indicator of activation in SLE is reported in this paper. Anti-collagen type II (CII) Ab was obviously elevated in patients with SLE compared to those patients with ankylosing spondylitis (AS) and healthy controls (HCs). Anti-CII-Ab-positive patients with SLE showed significantly higher levels of serum IgG and higher titers of ANA but lower levels of C3 and C4 than controls. A positive correlation was demonstrated between anti-CII Ab and serum IgG in SLE patients (r = 0.50, p < 0.0001). The negative correlations of anti-CII Ab with C3 and C4 were observed in SLE patients (r = –0.36, p = 0.0013; r = –0.37, p = 0.0006, respectively). The reduced anti-CII Ab level was accompanied by decreased level of serum IgG and increased levels of C3 and C4 after regular treatment. Therefore, anti-CII Ab could be a novel indicator for monitoring activity of SLE.
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