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Origin of antiphospholipid antibodies
A E Gharavi1, S S Pierangeli, E N Harris
1Department of Medicine, Morehouse School of Medicine, Atlanta, Georgia, USA. aghara@pol.net
Rheumatic Diseases Clinics of North America
|September 6, 2001
Summary
Autoimmune antiphospholipid antibodies (aPL) may arise from infections. Pathogenic aPL are linked to specific microbial triggers in genetically susceptible individuals, suggesting targeted prevention strategies.
Area of Science:
- Immunology
- Microbiology
- Genetics
Background:
- Autoantibodies, specifically antiphospholipid antibodies (aPL), are implicated in autoimmune diseases.
- The origins of autoimmune aPL, particularly in relation to infections, are not fully understood.
- Antiphospholipid syndrome (APS) is characterized by aPL and an increased risk of thrombosis and pregnancy complications.
Purpose of the Study:
- To investigate the hypothesis that autoimmune aPL can be generated by immunization with bacterial or viral products.
- To explore the role of genetic predisposition in the development of APS.
- To differentiate between pathogenic and non-pathogenic aPL induced by microbial agents.
Main Methods:
- Immunization of mice with bacterial and viral products to assess aPL generation.
- Induction of an APS-like syndrome in a genetically susceptible mouse strain.
- Analysis of aPL pathogenicity in relation to specific microbial triggers and host genetics.
Main Results:
- Observations support the hypothesis that infections can trigger autoimmune aPL production.
- An APS-like syndrome was successfully induced in a susceptible mouse strain, highlighting genetic factors.
- Not all aPL generated by immunization with microbial products were found to be pathogenic.
- Evidence suggests that only a subset of aPL induced by specific microbial products are pathogenic in predisposed individuals.
Conclusions:
- Infections and microbial products are potential triggers for autoimmune aPL.
- Genetic factors play a significant role in the development of APS.
- Identifying specific pathogenic microbial triggers is crucial for developing targeted prevention strategies for APS.
- Developing methods to induce tolerance against pathogenic aPL may offer therapeutic benefits.