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Link between anti-CD36 antibodies and thrombosis in the antiphospholipid syndrome.

AbstractOBJECTIVE:
Some studies have previously suggested the involvement of antibodies directed against CD36 (anti-CD36) in the pathogenesis of thrombosis. The aim of this study was to evaluate the prevalence of anti-CD36 in patients with antiphospholipid antibodies (aPL) and its relationship with thrombosis.
METHODS:
Anti-CD36 were tested using an indirect MAIPA assay in 62 patients with autoimmune aPL but without SLE; there were 38 with and 24 without thrombosis. Nineteen patients with thrombosis served as an aPL(-) control group and 58 healthy subjects as the normal control group.
RESULTS:
15 of 62 aPL patients (24.2%) but only 1 of 58 (1.7%) normal controls had anti-CD36 (p < 0.0005). As compared to normal controls, the prevalence of anti-CD36 was significantly higher in aPL patients with (26.3%, p < 0.0005) or without thrombosis (20.8%, p < 0.01). Anti-CD36 were significantly more frequent in aPL patients with thrombosis than in thrombosis aPL(-) subjects (26.3% vs 0%, p = 0.02). The presence of anti-CD36 seems to be more frequent in aPL patients with recurrent thrombosis than in those with a single episode (36.8% vs 15.8%).
CONCLUSION:
The presence of anti-CD36 is highly prevalent in patients with autoimmune aPL with a trend to being more frequent in patients with recurrent episodes of thrombosis.
AuthorsY Pelegri, G Cerrato, M E Martinuzzo, L O Carreras, R R Forastiero
JournalClinical and experimental rheumatology (Clin Exp Rheumatol) 2003 Mar-Apr Vol. 21 Issue 2 Pg. 221-4 ISSN: 0392-856X [Print] Italy
PMID12747279 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Autoantibodies
  • CD36 Antigens
Topics
  • Adult
  • Antiphospholipid Syndrome (complications, immunology)
  • Autoantibodies (immunology)
  • CD36 Antigens (immunology)
  • Female
  • Humans
  • Male
  • Prevalence
  • Recurrence
  • Thrombosis (complications, immunology)

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