A comprehensive evaluation of serum autoantibodies in primary biliary cirrhosis

作者：Agmon Levin Nancy; Shapira Yinon; Selmi Carlo; Barzilai Ori; Ram Maya; Szyper Kravitz Martine; Sella Sara; Katz Bat sheva Porat; Youinou Pierre; Renaudineau Yves; Larida Bruno; Invernizzi Pietro; Gershwin M Eric; Shoenfeld Yehuda^*

来源：Journal of Autoimmunity, 2010, 34(1): 55-58.

DOI：10.1016/j.jaut.2009.08.009

• Primary biliary cirrhosis
• Anti-prothrombin antibodies
• Autoimmune cholangitis
• Anti-phospholipid antibodies
• Anti-nuclear antibodies

In primary biliary cirrhosis (PBC) serum markers other than anti-mitochondrial antibodies (AMA) are promising in terms of disease severity and comorbidities, as well represented by anti-nuclear antibodies (ANA). The aim of the present study was thus to evaluate the prevalence and clinical significance of a large profile of serum autoantibodies in PBC sera. We utilized 69 sera from European patients with PBC (including 20 AMA-negative) and 297 sera from geographically and sex-matched healthy controls. All sera were tested for the presence of ANA and autoantibodies associated with thrombophilia, vasculitis, and gastrointestinal disease. Autoantibodies other than AMA were detected in 53/69 (76%) PBC sera vs. 105/297 (35%) among controls. The prevalence of ANA (targeting dsDNA, Sm, chromatin, ribosomal-P, RNP, SmRNP, SSA, SSB, and centromere) and thrombophilia-associated autoantibodies (i.e. anti-beta 2GPI, phosphatydilserine, prothrombin) was common among patients with PBC When clinical features were compared, the presence of anti-prothrombin IgM was associated with a worse prognosis as represented by a higher Mayo score. We demonstrate an increased prevalence of ANA and thrombophilia-associated autoantibodies in PBC sera and an association between the latter autoantibodies and PBC stage. The role of thrombophilia-associated antibodies will warrant further studies, based in particular on the incidence of portal hypertension at early stages of PBC.

• 出版日期2010-2