[Antineutrophil cytoplasmic antibodies and associated diseases].
Antineutrophil cytoplasmic antibodies are classical serological markers of small-vessels vasculitis. However, they have been described in many other pathological situations. The aim of this study was to determine through our experience, the main antineutrophil cytoplasmic antibodies-associated diseases and to investigate antigen targets of these antibodies. Forty complete observations of antineutrophil cytoplasmic antibodies (ANCA) positive patients either by indirect immunofluorescence or by enzyme immunoassay were analysed. Only five (12.5%) patients have small-vessels vasculitis. Among these, antineutrophil cytoplasmic antibodies were detected only by Elisa in one patient and they were exclusively directed against bactericidal permeability increasing protein in another one. Our study confirms the presence of antineutrophil cytoplasmic antibodies in different diseases. It demonstrates that antineutrophil cytoplasmic antibodies should be investigated by Elisa when indirect immunofluorescence is negative. In small-vessels vasculitis, Proteinase 3 and myeloperoxidase are mainly but not exclusively the antigenic targets of antineutrophil cytoplasmic antibodies.
Sghiri
R
R
Laboratoire d'immunologie, hôpital Farhat-Hached, rue Ibn-El-Jazzar, 4000 Sousse, Tunisie. sghiririm@yahoo.com
Meddeb
H
H
Bouguila
J
J
Jarray
M
M
Bahri
F
F
Nouira
R
R
Zellama
D
D
Achour
A
A
Essoussi
A S
AS
Harbi
A
A
Ghedira
I
I
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019268:Antibodies, Antineutrophil Cytoplasmic / Q000097:blood / Q000276:immunology*; D001324:Autoantigens / Q000276:immunology; D001327:Autoimmune Diseases / Q000097:blood / Q000276:immunology*; D002648:Child; D003240:Connective Tissue Diseases / Q000097:blood / Q000276:immunology; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D019084:Fluorescent Antibody Technique, Indirect; D006801:Humans; D007239:Infections / Q000097:blood / Q000276:immunology; D007249:Inflammation / Q000097:blood / Q000276:immunology; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D053146:Myeloblastin / Q000276:immunology; D009195:Peroxidase / Q000276:immunology; D013889:Thiouracil / Q000009:adverse effects / Q000031:analogs & derivatives; D014657:Vasculitis / Q000097:blood / Q000276:immunology*; D055815:Young Adult
D019268:Antibodies, Antineutrophil Cytoplasmic; D001324:Autoantigens; D013889:Thiouracil; D009195:Peroxidase; D053146:Myeloblastin; C019269:benzylthiouracil
Anticorps anticytoplasme des polynucléaires neutrophiles et pathologies associées.