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Lupus
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Lymphocyte subpopulations and intima media thickness in primary antiphospholipd syndrome

P RJ Ames

Academic Department of Rheumatology, Leeds General Infirmary, Leeds, UK, paxmes{at}aol.com

C Tommasino

Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy

G Fossati

Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy

E Matsuura

Department of Biochemistry, Okyama University, Okayama, Japan

A Margarita

Angiology and Coagulation Units, Cardarelli Hospital, Naples, Italy

A Saulino

Chemical Pathology and Immunology San Gennaro Hospital, Naples, Italy

L Lopez

Corgenix, Westminster, USA

G Scenna

Corgenix, Westminster, USA

V Brancaccio

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)
DOI: 10.1191/0961203305lu2181oa


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[Abstract] [Full Text] [PDF]



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