Anti-C1q autoantibodies in lupus nephritis

Autor: Beniamina Gallelli, Laura Rimoldi, Antonella Radice, Laura Bianchi, Renato Alberto Sinico, Gabriella Moroni
Přispěvatelé: Sinico, R, Rimoldi, L, Radice, A, Bianchi, L, Gallelli, B, Moroni, G
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Popis: Anti-C1q antibodies are found in a variety of diseases, in addition to systemic lupus erythematosus (SLE), and in 3-5% of normal individuals. In particular, anti-C1q antibodies are detected at a high titer in 100% of patients with hypocomplementemic urticarial vasculitis and in 30-48% of SLE patients. Their titer correlates with active renal disease with a sensitivity of 44-100% and a specificity of 70-92%. An increase in anti-C1q antibody titer has been suggested to be able to predict renal flares in lupus nephritis so that monitoring anti-C1q might be valuable for the clinical management of SLE patients as a noninvasive biological marker. Recently our group studied 228 patients affected by lupus nephritis and found that the association of anti-C1q, C3, and C4, in a multivariate analysis, provided the best prediction of renal flares, particularly in patients with focal and diffuse proliferative lupus nephritis and in the absence of antiphospholipid antibodies. © 2009 New York Academy of Sciences.
Databáze: OpenAIRE