Mechanisms of autoantibody-mediated thrombosis

It is widely hypothesized that autoantibodies directly contribute to the prothrombotic state in the antiphospholipid syndrome (APS). The discovery that antiphospholipid autoantibodies are specific for phospholipid-binding plasma proteins (β2-glycoprotein I, prothrombin, etc.) has allowed a much more...

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Veröffentlicht in:Lupus 1998-01, Vol.7 (2_suppl), p.114-119
1. Verfasser: Roubey, R.A.S.
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description It is widely hypothesized that autoantibodies directly contribute to the prothrombotic state in the antiphospholipid syndrome (APS). The discovery that antiphospholipid autoantibodies are specific for phospholipid-binding plasma proteins (β2-glycoprotein I, prothrombin, etc.) has allowed a much more precise investigation of the interactions of autoantibodies and antigens, and the effects of these interaction on hemostastis. Recent studies suggest that two types of interactions may be important in the pathophysiology of APS: (1) antibody cross-linking of membrane bound antigens may alter the kinetics of phospholipid-dependent reactions; and (2) antibody cross-linking of antigens bound to cell surface receptors may trigger signal transduction and cellular activation. In light of these findings, previous reports implicating various mechanisms of autoantibody-mediated thrombosis are being re-evaluated.
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subjects Antibodies, Anticardiolipin - immunology
Antigen-Antibody Reactions
Antiphospholipid Syndrome - immunology
Autoantibodies - immunology
Autoantigens - immunology
Autoimmune Diseases - immunology
beta 2-Glycoprotein I
Cell Adhesion
Epitopes - immunology
Glycoproteins - immunology
Hemostasis
Humans
Lupus Coagulation Inhibitor - immunology
Membrane Lipids - immunology
Models, Immunological
Monocytes - metabolism
Phospholipids - immunology
Plasminogen Activator Inhibitor 1 - metabolism
Thrombophilia - immunology
Thromboplastin - physiology
Thrombosis - etiology
Thrombosis - immunology
title Mechanisms of autoantibody-mediated thrombosis
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