Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
2005-2-28
pubmed:abstractText
There is a clear propensity of individuals with lupus anticoagulant (LA) for thromboembolic disease (TE). Yet, it is not clear how individuals at risk for TE can be differentiated from those who are not. The Fc gammaRIIa receptor is the only Fc receptor expressed by platelets. As platelets can be activated via this receptor, we have compared gene frequencies of the Fc gammaRIIa polymorphism R/H131 in 46 and 27 patients with (LA/TE+) and without TE (LA/TE-), respectively, in an exploratory study. Furthermore, we investigated the presence of autoantibodies against Fc gammaRIIa and/or GPIb alpha, which is in close proximity to the Fc gammaRIIa and interacts with it functionally, and a possible linkage of antibody formation to HLA class II alleles. The Fc gammaRIIa-R/R131 genotype was significantly less frequent in patients with LA compared to controls (p<0.025). These findings were due to an increased frequency of heterozygous patients in the LA/TE+ cohort (odds ratio 6.76, 95% confidence interval 1.55-62.03, p<0.008). For the first time, heterozygosity, rather than homozygosity, can be linked to disease, which may be explained by the dual function of the Fc gammaRIIa, namely binding of antibodies to platelets and thereby their activation, and, on the other hand, clearance of antibody coated platelets by the phagocyte system. There was no correlation between the presence of anti-Fc gammaRIIa or anti-GPIb alpha autoantibodies and the Fc gammaRIIa-R/H131 polymorphism, nor the incidence of TE, nor HLA class II alleles.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0340-6245
pubmed:author
pubmed:issnType
Print
pubmed:volume
93
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
544-8
pubmed:dateRevised
2009-11-19
pubmed:meshHeading
pubmed-meshheading:15735807-Adolescent, pubmed-meshheading:15735807-Adult, pubmed-meshheading:15735807-Aged, pubmed-meshheading:15735807-Aged, 80 and over, pubmed-meshheading:15735807-Autoantibodies, pubmed-meshheading:15735807-Case-Control Studies, pubmed-meshheading:15735807-Child, pubmed-meshheading:15735807-Gene Frequency, pubmed-meshheading:15735807-Heterozygote, pubmed-meshheading:15735807-Homozygote, pubmed-meshheading:15735807-Humans, pubmed-meshheading:15735807-Lupus Coagulation Inhibitor, pubmed-meshheading:15735807-Membrane Glycoproteins, pubmed-meshheading:15735807-Membrane Proteins, pubmed-meshheading:15735807-Middle Aged, pubmed-meshheading:15735807-Mutation, Missense, pubmed-meshheading:15735807-Odds Ratio, pubmed-meshheading:15735807-Polymorphism, Genetic, pubmed-meshheading:15735807-Receptors, Fc, pubmed-meshheading:15735807-Receptors, IgG, pubmed-meshheading:15735807-Risk, pubmed-meshheading:15735807-Thromboembolism
pubmed:year
2005
pubmed:articleTitle
The Fc gammaRIIa polymorphism R/H131, autoantibodies against the platelet receptors GPIb alpha and Fc gammaRIIa and a risk for thromboembolism in lupus anticoagulant patients.
pubmed:affiliation
Clinic for Blood Group Serology, Medical University Vienna, Austria.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't