The presence of anti-phosphatidylserine/prothrombin antibodies as risk factor for both arterial and venous thrombosis in patients with systemic lupus erythematosus.

The presence of anti-phosphatidylserine/prothrombin antibodies as risk factor for both arterial and venous thrombosis in patients with systemic lupus erythematosus.
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发表时间:
2006
期刊:
影响因子:
10.1
通讯作者:
J. Nojima;Y. Iwatani;E. Suehisa;H. Kuratsune;Y. Kanakura
J. Nojima;Y. Iwatani;E. Suehisa;H. Kuratsune;Y. Kanakura
中科院分区:
医学1区
文献类型:
--
作者:
J. Nojima;Y. Iwatani;E. Suehisa;H. Kuratsune;Y. Kanakura

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为了阐明酶联免疫吸附试验(ELISA)检测抗磷脂抗体(aPL)的临床意义,我们检测了抗心磷脂抗体(aCL)、抗β 2-糖蛋白I抗体和抗β 2-糖蛋白I抗体的患病率。(抗β 2-GPI),抗凝血酶原抗体(抗PT),检测175例系统性红斑狼疮(SLE)患者(包括67例血栓性并发症)的抗磷脂酰丝氨酸/凝血酶原抗体(抗PS/PT)。本研究表明,抗β 2-GPI-ELISA和抗PS/PT-ELISA阳性结果可作为SLE患者血栓性并发症的标志物,而aCL和抗PT作为这些并发症的标志物的可靠性较低。此外,抗PS/PT-ELISA的结果与SLE患者动脉和静脉血栓形成的发生最相关。
In an effort to clarify the clinical significance of anti-phospholipid antibodies (aPL) detected by enzyme-linked immunosorbent assay (ELISA), we examined the prevalence of anti-cardiolipin antibodies (aCL), anti-beta2-glycoprotein I antibodies (anti-beta2-GPI), antiprothrombin antibodies (anti-PT), and anti-phosphatidylserine/prothrombin antibodies (anti-PS/PT) in 175 patients with systemic lupus erythematosus (SLE) comprising 67 patients with thrombotic complications. The present study showed that positive results of anti-beta2-GPI-ELISA and anti-PS/PT-ELISA could serve as markers of thrombotic complications in patients with SLE, whereas aCL and anti-PT are less reliable as markers of these complications. Furthermore, results of the anti-PS/PT-ELISA correlate best with the occurrence of both arterial and venous thrombosis in patients with SLE.