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040 _cH12O
041 _aeng
100 _92598
_aSerrano, Manuel
_eInstituto de Investigación i+12
100 _92597
_aMartinez-Flores, Jose A.
_eInstituto de Investigación i+12
100 _92010
_aCastro Panete, María José
_eInmunología
100 _91504
_aGarcía Martín, Florencio
_eNefrología
100 _9821
_aLora Pablos, David
_eInstituto Investigación I+12
100 _92937
_aPérez Méndez, Dolores
_eInmunología
100 _91487
_aGonzález Monte, Esther
_eNefrología
100 _91510
_aPaz Artal, Estela
_eInmunología
100 _9576
_aMorales Cerdán, José María
_eNefrología
100 _9661
_aSerrano Hernández, Antonio
_eInmunología
245 0 0 _aRenal transplantation dramatically reduces IgA anti-beta-2-glycoprotein I antibodies in patients with endstage renal disease.
_h[artículo]
260 _bJournal of immunology research,
_c2014
300 _a2014:641962.
500 _aFormato Vancouver: Serrano M, Martínez Flores JA, Castro MJ, García F, Lora D, Pérez D et al. Renal transplantation dramatically reduces IgA anti-beta-2-glycoprotein I antibodies in patients with endstage renal disease. J Immunol Res. 2014;2014:641962.
501 _aPMID: 24818167 PMC4003762
504 _aContiene 57 referencias
520 _aIgA anti-beta-2-glycoprotein I (aB2GPI) antibodies have been related to vascular pathology in the general population and mainly in hemodialyzed patients (prevalence 33%) in whom an elevated incidence of thrombosis and mortality is found. In this paper we have studied the presence of IgA aB2GPI antibodies at pretransplant and their evolution after transplantation with a cross-sectional-based follow-up study of a cohort of 288 endstage renal disease (ESRD) patients treated with kidney transplantation. Pretransplant IgA aB2GPI levels were elevated 31.7 ± 4.2 U/mL without differences in age or type of dialysis. Patients with different etiologies of ESRD showed higher levels of IgA aB2GPI than blood donors, except the groups of non-IgA glomerular disease and systemic erythematosus lupus, whose nonsignificant differences were observed. IgA aB2GPI antibodies dropped immediately after transplantation (10.7 ± 1.0 U/mL, P < 0.0001), coinciding with a high degree of immunosuppression, and remained significantly lower than that observed in pretransplant status. Prevalence of patients with elevated antibodies was also less in transplanted patients (8.9% versus 30.4%, P < 0.0001). Among, positivity for IgA aB2GPI was higher than in patients who had received their first transplant that those were retransplanted. This finding could have important clinical implications and can suggest new therapeutic strategies in patients with IgA aB2GPI antibodies.
710 _986
_aServicio de Nefrología
710 _9395
_aServicio de Inmunología
710 _9625
_aInstituto de Investigación imas12
856 _uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4003762/
_yAcceso libre
942 _2ddc
_cART
_n0