Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/8631
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Evaluation of antibodies to Beta2-glycoprotein 1 in the causation of coronary atherosclerosis as part of the antiphospholipid syndrome
Author: Limaye, V.
Beltrame, J.
Cook, R.
Gillis, D.
Pile, K.
Citation: Australian and New Zealand journal of medicine, 1999; 29(6):789-793
Publisher: ADIS PRESS AUSTRALASIA P/L
Issue Date: 1999
ISSN: 0004-8291
Statement of
Responsibility: 
V. Limaye, J. Beltrame, R. Cook, D. Gillis and K. Pile
Abstract: Background: Anticardiolipin antibodies (aCL) are associated with accelerated coronary atherosclerosis. β2-glycoprotein 1 is a cofactor necessary for the binding of aCL. Aim: The aim of this study was to determine whether antibodies to β2-glycoprotein 1 (anti-β2GP1) predispose to coronary artery disease (CAD), and whether the measurement of anti-β2GP1 will be more useful than aCL alone in the evaluation of coronary risk. Methods: Persons who had undergone coronary angiography were invited to participate, and risk factors for coronary atherosclerosis recorded. IgG aCL and anti-β2GP1 were measured and fasting triglyceride (TG) and total cholesterol (TC) levels were determined. Angiographic score (AS) was defined as the number of diseased vessels (0, 1, 2, 3), (>50% stenosis). Ethics Committee approval was obtained. Statistical comparison used the Student's t test and Chi-squared test. Results: Ninety-seven subjects (63 male) with age range 38–81 years (mean 66.0) participated. There were 31 subjects with AS=0, 27 with AS=1, 22 with AS=2, and 17 with AS=3. The three subjects with positive aCL all had CAD, as did three of the four subjects with positive anti-β2GP1. Among patients with CAD, there was an equal incidence (4.5%, three/66) of aCL and anti-β2GP1, and an incidence of either aCL or anti-β2GP1 of 7.6% (five/66). Compared to the group with AS=0, those with AS=1, 2 or 3 comprised a higher mean age (p=0.001) however, there was no significant difference in the prevalence of other coronary risk factors between the two groups. There was no difference in the proportions of patients with either aCL or anti-β2GP1 in the group with AS=1, 2, or 3, compared to the group with AS=0 (5/66 c.f. 1/31, χ2=0.146, p>0.5). Conclusions: Our study has not supported an association between anti-β2GP1 and CAD. The measurement of anti-β2GP1 (or aCL) in the investigation of premature CAD is not justified on the basis of our results.
Keywords: Anticardiolipin antibodies
β2-glycoprotein 1
coronary artery disease
antiphospholipid syndrome
Description: Article first published online: 25 MAR 2008
DOI: 10.1111/j.1445-5994.1999.tb00781.x
Appears in Collections:Aurora harvest 4
Medicine publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.