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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1991-11-8
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pubmed:abstractText |
Autoantibodies against the cardiac beta-adrenoceptor are present in 30-40% of patients with idiopathic dilated cardiomyopathy and can be detected using ligand binding inhibition, immunoprecipitation or immunoblotting. The functional consequences of the antibody-receptor interactions are two-fold: (a) in isolated cardiac myocytes, diluted sera from cardiomyopathy patients induce internalization of the beta-receptors which are subsequently degraded intracellularly; (b) in membrane preparations, anti-receptor antibodies inhibit selectively the activity of isoproterenol-sensitive adenylate cyclase. The presence of anti-receptor antibodies is strongly linked to the HLA-DR4 phenotype: 72% of the HLA-DR4 patients in our series had anti-beta-receptor antibodies compared with 22% of the HLA-DR4-negative patients (most of which typed as HLA-DR1). Conversely, 67% of the antibody-positive patients typed as HLA-DR4, compared with only 10% of the antibody-negative patients. These results indicate the presence, in a subset of cardiomyopathy patients, of immunogenetical factors which may modulate myocardial beta-adrenoceptor function.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0195-668X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
12 Suppl D
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
175-7
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pubmed:dateRevised |
2010-11-18
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pubmed:meshHeading |
pubmed-meshheading:1655446-Autoantibodies,
pubmed-meshheading:1655446-Cardiomyopathy, Dilated,
pubmed-meshheading:1655446-Genetic Linkage,
pubmed-meshheading:1655446-HLA-DR4 Antigen,
pubmed-meshheading:1655446-Humans,
pubmed-meshheading:1655446-Myocardium,
pubmed-meshheading:1655446-Receptors, Adrenergic, beta
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pubmed:year |
1991
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pubmed:articleTitle |
Beta-adrenoceptor antibodies and genetics in dilated cardiomyopathy--an overview and review.
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pubmed:affiliation |
Department of Medicine (Cardiovascular Division), University of Minnesota School of Medicine, Minneapolis 55455.
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pubmed:publicationType |
Journal Article,
Review
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