Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome

The diagnosis of antiphospholipid syndrome (APS) relies on the detection of antiphospholipid antibodies (aPL). Currently, lupus anticoagulant (LA), anticardiolipin (aCL), and antibeta2-glycoprotein I antibodies (aβ2GPI) IgG or IgM are included as laboratory criteria, if persistently present. LAC mea...

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Autores principales: Katrien M.J. Devreese, Stéphane Zuily, Pier Luigi Meroni
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Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:5d031b1addf445bbbd73a5f46d3bba762021-11-12T04:46:20ZRole of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome2589-909010.1016/j.jtauto.2021.100134https://doaj.org/article/5d031b1addf445bbbd73a5f46d3bba762021-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S258990902100054Xhttps://doaj.org/toc/2589-9090The diagnosis of antiphospholipid syndrome (APS) relies on the detection of antiphospholipid antibodies (aPL). Currently, lupus anticoagulant (LA), anticardiolipin (aCL), and antibeta2-glycoprotein I antibodies (aβ2GPI) IgG or IgM are included as laboratory criteria, if persistently present. LAC measurement remains a complicated procedure with many pitfalls and interfered by anticoagulant therapy. Solid-phase assays for aCL and aβ2GPI show interassay differences. These methodological issues make the laboratory diagnosis of APS challenging. In the interpretation of aPL.results, antibody profiles help in identifying patients at risk. Other aPL, such as antibodies against the domain I of beta2-glycoprotein (aDI) and antiphosphatidylserine-prothrombin (aPS/PT) antibodies have been studied in the last years and may be useful in risk stratification of APS patients. Because of the methodological shortcomings of immunological and clotting assays, these non-criteria aPL may be useful in patients with incomplete antibody profiles to confirm or exclude the increased risk profile. This manuscript will focus on the laboratory aspects, the clinical relevance of assays and interpretation of aPL results in the diagnosis of APS.Katrien M.J. DevreeseStéphane ZuilyPier Luigi MeroniElsevierarticleAntiphospholipid syndromeAnticardiolipin antibodiesAnti-β2 glycoprotein I antibodiesLupus anticoagulantNon-criteria antiphospholipid antibodiesImmunologic diseases. AllergyRC581-607ENJournal of Translational Autoimmunity, Vol 4, Iss , Pp 100134- (2021)
institution DOAJ
collection DOAJ
language EN
topic Antiphospholipid syndrome
Anticardiolipin antibodies
Anti-β2 glycoprotein I antibodies
Lupus anticoagulant
Non-criteria antiphospholipid antibodies
Immunologic diseases. Allergy
RC581-607
spellingShingle Antiphospholipid syndrome
Anticardiolipin antibodies
Anti-β2 glycoprotein I antibodies
Lupus anticoagulant
Non-criteria antiphospholipid antibodies
Immunologic diseases. Allergy
RC581-607
Katrien M.J. Devreese
Stéphane Zuily
Pier Luigi Meroni
Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
description The diagnosis of antiphospholipid syndrome (APS) relies on the detection of antiphospholipid antibodies (aPL). Currently, lupus anticoagulant (LA), anticardiolipin (aCL), and antibeta2-glycoprotein I antibodies (aβ2GPI) IgG or IgM are included as laboratory criteria, if persistently present. LAC measurement remains a complicated procedure with many pitfalls and interfered by anticoagulant therapy. Solid-phase assays for aCL and aβ2GPI show interassay differences. These methodological issues make the laboratory diagnosis of APS challenging. In the interpretation of aPL.results, antibody profiles help in identifying patients at risk. Other aPL, such as antibodies against the domain I of beta2-glycoprotein (aDI) and antiphosphatidylserine-prothrombin (aPS/PT) antibodies have been studied in the last years and may be useful in risk stratification of APS patients. Because of the methodological shortcomings of immunological and clotting assays, these non-criteria aPL may be useful in patients with incomplete antibody profiles to confirm or exclude the increased risk profile. This manuscript will focus on the laboratory aspects, the clinical relevance of assays and interpretation of aPL results in the diagnosis of APS.
format article
author Katrien M.J. Devreese
Stéphane Zuily
Pier Luigi Meroni
author_facet Katrien M.J. Devreese
Stéphane Zuily
Pier Luigi Meroni
author_sort Katrien M.J. Devreese
title Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
title_short Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
title_full Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
title_fullStr Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
title_full_unstemmed Role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
title_sort role of antiphospholipid antibodies in the diagnosis of antiphospholipid syndrome
publisher Elsevier
publishDate 2021
url https://doaj.org/article/5d031b1addf445bbbd73a5f46d3bba76
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