Diagnostic and pathogenetic role of antineutrophil cytoplasmic autoantibodies

Anti-neutrophil cytoplasmic antibodies (ANCA) are mostly known as a useful diagnostic tool in patients with small-vessel vasculitides. With the accumulating knowledge of these autoantibodies, however, it becomes clear that the role of ANCA may not be only limited to a diagnosis of such disorders. Th...

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Veröffentlicht in:Clinical immunology (Orlando, Fla.) Fla.), 2003-02, Vol.106 (2), p.73-82
Hauptverfasser: BARTUONKOVA, Jirina, TESAR, Vladimir, SEDIVA, Anna
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TESAR, Vladimir
SEDIVA, Anna
description Anti-neutrophil cytoplasmic antibodies (ANCA) are mostly known as a useful diagnostic tool in patients with small-vessel vasculitides. With the accumulating knowledge of these autoantibodies, however, it becomes clear that the role of ANCA may not be only limited to a diagnosis of such disorders. The current review addresses, in addition to classical diagnostic associations, other diseases connected with ANCA positivity, both in adults and in children. The etiology of ANCA remains unknown, but still, the importance of both genetic and environmental factors is undoubted. The role of infection and chemicals in the etiology of ANCA-associated diseases is stressed in particular. A pathogenetic role of ANCA is suggested because of clinical observations based on the correlation of the vasculitis activity and the titer of ANCA. Many experiments show the effects of ANCA in various steps of an inflammatory process, particularly on leukocyte microbicidal activity and oxidative burst. Recent findings are analyzed in the experimental field and they are correlated with clinical significance.
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subjects Adult
Adults
Aged
Animals
Antibodies, Antineutrophil Cytoplasmic - analysis
Antibodies, Antineutrophil Cytoplasmic - immunology
Antimicrobial Cationic Peptides
Antineutrophil cytoplasmic antibodies
Arthritis, Rheumatoid - immunology
Autoantigens - immunology
Autoimmune Diseases - chemically induced
Autoimmune Diseases - diagnosis
Autoimmune Diseases - genetics
Autoimmune Diseases - immunology
Biological and medical sciences
Blood Proteins - immunology
Cell Adhesion Molecules - physiology
Child
Children
Colitis, Ulcerative - immunology
Cystic Fibrosis - genetics
Cystic Fibrosis - immunology
Cytokines - physiology
Diagnostic association
Etiopathogenesis
General aspects
Humans
Immunopathology
Infection - complications
Medical sciences
Membrane Proteins
Mice
Middle Aged
Myeloblastin
Neutrophils - enzymology
Neutrophils - immunology
Neutrophils - pathology
Peroxidase - immunology
Respiratory Burst
Serine Endopeptidases - immunology
Silicosis - complications
Vasculitis - chemically induced
Vasculitis - diagnosis
Vasculitis - genetics
Vasculitis - immunology
title Diagnostic and pathogenetic role of antineutrophil cytoplasmic autoantibodies
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