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Lymphocyte subpopulations and intima media thickness in primary antiphospholipd syndromeAcademic Department of Rheumatology, Leeds General Infirmary, Leeds, UK, paxmes{at}aol.com
Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy
Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy
Department of Biochemistry, Okyama University, Okayama, Japan
Angiology and Coagulation Units, Cardarelli Hospital, Naples, Italy
Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy
Corgenix, Westminster, USA
Corgenix, Westminster, USA
Angiology and Coagulation Units, Cardarelli Hospital, Naples, Italy The aim of this study was to evaluate a possible association between lymphocyte subsets and intima media thickness (IMT) of carotid arteries in primary antiphospholipid syndrome (PAPS). We used a cross-sectional study on PAPS patients (n = 18) and healthy controls (n = 16). IgG anti-cardiolipin antibody (aCL), IgG anti-ß2glycoprotein-I (anti-ß2GPI), IgG anti-ß2glycoprotein-I complexed to oxidized low-density lipoprotein (oxLDL) and to a specific oxidized moiety of LDL (oxLig1), and ß2GPI-oxLDL were measured by ELISA. Lymphocyte immunophenotyping was performed using pairs of monoclonal antibodies directly labelled with fluorescein isothiocyanate, or phycoerythrin or phycoerythrin-Texas-red-X. Intima media thickness (IMT) of carotid arteries was determined by high-resolution sonography. Total peripheral blood lymphocytes did not differ between PAPS and controls. Memory CD4+/CD45RO + T cells were lower in PAPS than controls (P = 0.0007) as well as CD16+56+ natural killer cells (P = 0.02). In PAPS memory T CD45RO + cells positively correlated with IgG anti-ß2GPI-oxLig1 (P = 0.002) and to IMT of carotid arteries (common carotid P = 0.02, bifurcation P = 0.007). Naïve CD4+/CD45RA+ T cells inversely correlated with ß2GPI-oxLDL (P = 0.009). The relation between IgG anti-ß2GPI-oxLig1 and IMT of carotid arteries with memory CD45RO + T lymphocytes suggests a role for the latter in PAPS related atherogenesis.
Key Words: antiphospholipid antibodies atherosclerosis IgG anti-ß2GPI-oxLig1 lymphocytes
Lupus, Vol. 14, No. 10,
809-813 (2005) This article has been cited by other articles:
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