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血栓形成性白塞病中的抗膜联蛋白V自身抗体。

Antiannexin V autoantibody in thrombophilic Behçet's disease.

作者信息

Aslan H, Pay S, Gok F, Baykal Y, Yilmaz M I, Sengul A, Aydin H I

机构信息

Department of Rheumatology, Gulhane School of Medicine, Etlik-Ankara, Turkey.

出版信息

Rheumatol Int. 2004 Mar;24(2):77-9. doi: 10.1007/s00296-002-0274-z. Epub 2003 Dec 5.

Abstract

We propose that thrombosis in Behçet's syndrome may be due to disruption of the annexin V shield by antiphospholipid antibodies. Measurement of antiannexin V antibodies may be of value in confirming diagnosis and evaluating the risk of venous and arterial thrombosis in patients with Behçet's syndrome. To evaluate the efficiency of antiannexin V antibody in the formation of thrombosis, 53 male patients with Behçet's disease according to international study group criteria were involved in this study. The age range was 20-28 years (mean 23+/-3.4). All of these patients had been taking colchicum. Those taking medications that interfere with antiannexin V autoantibody levels were excluded, and serum samples were taken during the active period. Group I included 26 Behçet's patients with well-documented thrombosis, group II included 27 Behçet's patients without thrombosis, and group III was comprised of 27 healthy controls. There were no statistical differences between the mean concentrations of IgG and IgM antiannexin V autoantibodies in the three groups. The results indicate that these antibodies may not be associated with the pathogenesis of thrombotic events in patients with Behçet's syndrome.

摘要

我们提出,白塞病中的血栓形成可能是由于抗磷脂抗体破坏了膜联蛋白V屏障所致。检测抗膜联蛋白V抗体对于确诊白塞病以及评估患者发生静脉和动脉血栓形成的风险可能具有重要价值。为了评估抗膜联蛋白V抗体在血栓形成中的作用,本研究纳入了53例根据国际研究组标准确诊的男性白塞病患者。年龄范围为20 - 28岁(平均23±3.4岁)。所有这些患者均一直在服用秋水仙碱。排除正在服用会干扰抗膜联蛋白V自身抗体水平药物的患者,并在疾病活动期采集血清样本。第一组包括26例有明确血栓形成记录的白塞病患者,第二组包括27例无血栓形成的白塞病患者,第三组由27名健康对照组成。三组中IgG和IgM抗膜联蛋白V自身抗体的平均浓度无统计学差异。结果表明,这些抗体可能与白塞病患者血栓形成事件的发病机制无关。

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