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Electrochemiluminescence Assays for Human Islet Autoantibodies
Published on: March 23, 2018
Prevalence of antiphospholipid antibodies is not different in Chilean diabetic patients and normal individuals
Iván G Palomo1, Verónica E Mujica, Marcelo L Alarcón
1Department of Clinical Biochemistry and Immunohematology, Faculty of Health Sciences, Universidad de Talca, Casilla N 747, Talca, Chile.
Insights
This study found that 14% of diabetic patients had antiphospholipid (aPL) antibodies, including anticardiolipin and antiprothrombin types. No significant link was found between these antibodies and vascular complications in diabetes.
Area of Science:
- Immunology
- Endocrinology
- Vascular Medicine
Background:
- Diabetes mellitus (DM) is linked to vascular and neurological issues.
- Antiphospholipid (aPL) antibodies are associated with thrombosis and pregnancy loss.
- The connection between aPL antibodies and DM requires further investigation.
Purpose of the Study:
- To determine the prevalence of aPL antibodies in diabetic patients.
- To explore potential associations between aPL antibodies and DM complications.
Main Methods:
- Analyzed 100 Chilean diabetic patients and 100 healthy controls.
- Tested for IgG, IgM, and IgA anticardiolipin (aCL), anti-beta(2) glycoprotein I (anti-beta(2)GPI), and antiprothrombin (aPT) antibodies.
- Assessed for lupus anticoagulant (LA) activity.
Main Results:
- 14% of diabetic patients tested positive for aPL antibodies.
- Prevalence included aCL (4%), anti-beta(2)GPI (2%), and aPT (9%) antibodies.
- All patients were LA negative, and antibody activity levels were low.
- No significant correlation was found between aPL antibodies and vascular complications.
Conclusions:
- A notable prevalence of aPL antibodies exists in diabetic patients.
- The detected aPL antibodies did not correlate with vascular complications in this cohort.
- Further research is needed to clarify the role of aPL antibodies in diabetes.
Abstract:
Diabetes mellitus (DM) is complicated by vascular and neurological events. Antiphospholipid (aPL) antibodies have already been associated with many clinical conditions, including venous and arterial thrombosis, as well as recurrent fetal loss. However, a significant association between aPL antibodies and DM has not been widely reported yet. In the present study, we investigated the prevalence of aPL antibodies in diabetic patients. This study included 100 Chilean diabetic patients (67 of them with some complications and 33 without complications; 28 with Type 1 and 72 with Type 2 DM) and 100 healthy blood donor controls. Each sample was analyzed for IgG, IgM and IgA anticardiolipin (aCL), anti-beta(2) glycoprotein I (anti-beta(2)GPI), antiprothrombin (aPT) antibodies, and lupus anticoagulant (LA). Fourteen out of 100 (14%) diabetic patients presented some type of aPL antibodies. Four patients were positive for aCL antibodies, two for anti-beta(2)GPI antibodies, and nine for aPT antibodies. All patients were LA negative. The incidence of different isotypes was similar in each of the aPL antibodies studied, and their activities were low. No significant correlation was observed between aPL antibodies and vascular complications.
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