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...
Guardado en:
Autores principales: | , , |
---|---|
Formato: | article |
Lenguaje: | EN |
Publicado: |
Elsevier
2021
|
Materias: | |
Acceso en línea: | https://doaj.org/article/5d031b1addf445bbbd73a5f46d3bba76 |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:doaj.org-article:5d031b1addf445bbbd73a5f46d3bba76 |
---|---|
record_format |
dspace |
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 |
work_keys_str_mv |
AT katrienmjdevreese roleofantiphospholipidantibodiesinthediagnosisofantiphospholipidsyndrome AT stephanezuily roleofantiphospholipidantibodiesinthediagnosisofantiphospholipidsyndrome AT pierluigimeroni roleofantiphospholipidantibodiesinthediagnosisofantiphospholipidsyndrome |
_version_ |
1718431232538181632 |