Autoimmunity

Anti–β2-Glycoprotein I IgM Antibodies

Dettagli esame

Antiphospholipid syndrome (APS), also known as Hughes syndrome, is an autoimmune disease characterised by thrombophilia. Cumulative haematologic/clinical manifestations include venous thrombosis (37%) or arterial thrombosis (27–49%), cytopenia (30–38%), complications during pregnancy (55–74%), neurological (66%) and cardiac (27%) involvement, as well as pulmonary (20–30%) or cutaneous (40%) tissue damage due to the underlying circulatory disorders.

 

APS is classified as primary (pAPS) or secondary (sAPS). Both forms present the same type of immune and haematologic response; however, in sAPS this response is a secondary manifestation to another autoimmune disorder or a specific pathological condition.

 

A final diagnosis of APS requires at least one clinical criterion (thrombosis or complications during pregnancy) and one laboratory criterion (medium-to-high antibody titres in serum/plasma at an interval of at least 12 weeks).

Antibodies against β2-GP1 are specific markers for both pAPS and sAPS. The ACR/EULAR classification criteria for the diagnosis of APS include the serological determination of anti-β2-GP1 as a laboratory criterion. Anti-β2-GP1 testing is crucial to confirm suspected APS cases that are negative for anticardiolipin antibodies or lupus anticoagulant.

 

IgG and/or IgM antibodies against β2-GP1 are present in 30–80% of APS patients.

Tipo campione

Siero, plasma EDTA, plasma eparinato, plasma citrato

Metodica

ELISA

Preparazione

A digiuno per circa 8-12 ore prima del prelievo

Condizioni di conservazione

Per la conservazione del campione consultare la Carta Servizi

Condizioni di trasporto

+2/+8°C

Bibliografia

Amengual O, Atsumi T, Khamashta MA, Koike T, Hughes GR. Specificity of ELISA for antibody to beta 2-glycoprotein I in patients with antiphospholipid syndrome. Br J Rheumatol. 1996 Dec;35(12):1239-43. doi: 10.1093/rheumatology/35.12.1239. PMID: 9010050.

Bizzaro N, Tonutti E, Villalta D, Tampoia M, Tozzoli R. Prevalence and clinical correlation of anti-phospholipid-binding protein antibodies in anticardiolipin-negative patients with systemic lupus erythematosus and women with unexplained recurrent miscarriages. Arch Pathol Lab Med. 2005 Jan;129(1):61-8. doi: 10.5858/2005-129-61-PACCOA. PMID: 15628909.

Espinosa G, Cervera R. Antiphospholipid syndrome. Arthritis Res Ther. 2008;10(6):230. doi: 10.1186/ar2536. Epub 2008 Dec 15. PMID: 19090981; PMCID: PMC2656223.

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