Infant stroke and beta-2-glycoprotein 1 antibodies: six cases

The binding of autoimmune anticardiolipin antibodies to phospholipid has been shown to require a plasma cofactor, beta-2-glycoprotein 1 (beta2-GPI). Antibodies against beta2-GPI are associated with both venous and arterial thrombosis in adults and have been suggested as a new antiphospholipid syndro...

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Veröffentlicht in:European journal of pediatrics 2003-10, Vol.162 (10), p.678-681
Hauptverfasser: EBELING, Freja, PETÄJÄ, Jari, ALANKO, Soile, HIRVASNIEMI, Aune, HOLM, Tarja, LÄHDE, Marja, NUUTILA, Auli, PESONEN, Helena, VAHTERA, Elina, RASI, Vesa
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container_end_page 681
container_issue 10
container_start_page 678
container_title European journal of pediatrics
container_volume 162
creator EBELING, Freja
PETÄJÄ, Jari
ALANKO, Soile
HIRVASNIEMI, Aune
HOLM, Tarja
LÄHDE, Marja
NUUTILA, Auli
PESONEN, Helena
VAHTERA, Elina
RASI, Vesa
description The binding of autoimmune anticardiolipin antibodies to phospholipid has been shown to require a plasma cofactor, beta-2-glycoprotein 1 (beta2-GPI). Antibodies against beta2-GPI are associated with both venous and arterial thrombosis in adults and have been suggested as a new antiphospholipid syndrome marker. We present six children with cerebral thrombosis at the age of 0-12 months, who had IgG antibodies to beta2-GPI (titers 26, 29, 31, 39, 101 and 109 SGU, when 20 SGU was the cut-off). In at least four patients, the conventional antiphospholipid markers (lupus anticoagulant and IgG and IgM anticardiolipin) were negative. All six children had normal results in the other routine thrombophilia assays (thrombin time, antithrombin, protein C, protein S, factor V Leiden mutation, prothrombin mutation). the anti-beta-2 glycoprotein 1 assay, requiring only 5 microl serum, may be a useful addition to antiphospholipid-antibody diagnostics in cases of paediatric stroke.
doi_str_mv 10.1007/s00431-003-1285-9
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subjects Antibodies, Anticardiolipin - immunology
beta 2-Glycoprotein I
Biological and medical sciences
Female
Fundamental and applied biological sciences. Psychology
General aspects
Genetics of eukaryotes. Biological and molecular evolution
Glycoproteins - immunology
Humans
Infant
Intracranial Thrombosis - immunology
Male
Medical sciences
Membrane Glycoproteins - immunology
Molecular and cellular biology
Stroke - immunology
title Infant stroke and beta-2-glycoprotein 1 antibodies: six cases
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