Yıl: 2023 Cilt: 53 Sayı: 1 Sayfa Aralığı: 199 - 205 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5573 İndeks Tarihi: 28-03-2023

The impact of antiphospholipid antibodies in Takayasu arteritis

Öz:
Background/aim: The significance of antiphospholipid antibodies (aPL) is controversial in Takayasu arteritis (TA). This study was conducted to explore the frequency of aPL and their association with disease-related complications in TA. Materials and methods: This cross-sectional study was conducted to investigate the presence of anti-cardiolipin (aCL), anti-beta 2 glycoprotein- 1(aβ2G1) antibodies, and lupus anticoagulant (LA) in TA patients. TA patients admitted to the Department of Rheumatology of Hacettepe University Faculty of Medicine between December 2015 and September 2016 who fulfilled the American College of Rheumatology (ACR) classification criteria for TA were consecutively enrolled in the study. Patients were grouped according to aPL positivity and compared in terms of disease manifestations, type of vascular involvement at diagnosis, and vascular complications/interventions attributable to TA. Results: Fifty-three TA (49 female) patients were enrolled in the study. We detected 9 (16.9%) patients with IgM and/or IgG aβ2G1 and/or LA positivity. There were no patients with positive aCL. All aβ2G1 titers were low. There were no differences in terms of symptoms, signs, type of vascular involvement, the number of patients with disease-related complications or vascular interventions/surgery between aPL (+) and aPL(-) groups (p > 0.05 for all). The number of patients with thrombotic lesions was similar between the groups (p > 0.05). There were no patients with a history of venous thrombosis or on anticoagulant treatment in the aPL(+) group. Only 1 patient with IgM aβ2G1 (+) had a history of pregnancy loss. Conclusion: Our results indicate that aPL positivity is not rare in TA. On the other hand, all aPL titers were low and no differences were found in the frequency of disease-related complications between aPL(+) and aPL(-) patient groups. Only TA patients with atypical manifestations with high suspicion of aPL-related complications should be considered to be investigated for aPL.
Anahtar Kelime: Takayasu arteritis anti-beta 2 glycoprotein-1 antibodies anti-cardiolipin antibody lupus anticoagulant antiphospholipid antibody syndrome

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  • 1. De Souza AWS, De Carvalho JF. Diagnostic and classification criteria of Takayasu arteritis. Journal of Autoimmunity 2014; 48: 79-83. https://doi.org/10.1016/j.jaut.2014.01.012
  • 2. Cervera R, Asherson RA. Clinical and epidemiological aspects in the antiphospholipid syndrome. Immunobiology 2003; 207 (1): 5-11. https://doi.org/10.1078/0171-2985-00213
  • 3. Wang H, Ma J, Wu Q, Luo X, Chen Z et al. Circulating B lymphocytes producing autoantibodies to endothelial cells play a role in the pathogenesis of Takayasu arteritis. Journal of Vascular Surgery. 2011; 53 (1):174-180. https://doi.org/10.1016/j.jvs.2010.06.173
  • 4. Jordan NP, Bezanahary H, D’Cruz DP. Increased risk of vascular complications in Takayasu’s arteritis patients with positive lupus anticoagulant. Scandinavian Journal of Rheumatology 2015; 44 (3): 211-214. https://doi.org/10.3109/03009742.2014 .964305
  • 5. Gerede DM, Yüksel B, Tutar E, Küçükşahin O, Uzun C et al. Spontaneous Coronary Artery Dissection in a Male Patient with Takayasu’s Arteritis and Antiphospholipid Antibody Syndrome. Case Reports in Rheumatology 2013; 2013. https:// doi.org/10.1155/2013/272963
  • 6. Caso V, Paciaroni M, Parnetti L, Cardaioli G, Biscarini L et al. Stroke related to carotid artery dissection in a young patient with Takayasu arteritis, systemic lupus erythematosus and antiphospholipid antibody syndrome. Cerebrovascular Diseases 2002; 13 (1): 67-69. https://doi.org/10.1159/000047749
  • 7. Nava A, Senecal JL, Banales JL, Raymond I, Reyes PA. Absence of antiphospholipid/co-factor antibodies in Takayasu arteritis. International Journal of Cardiology 2000; 75: S99-S104. https:// doi.org/10.1016/s0167-5273(00)00177-7
  • 8. Arend WP, Michel BA, Bloch DA, Hunder GG, Calabrese LH et al. The American College of Rheumatology 1990 criteria for the classification of Takayasu arteritis. Arthritis & Rheumatism. 1990; 33 (8): 1129-1134. https://doi.org/10.1186/s13075-021- 02675-9
  • 9. Hata A, Noda M, Moriwaki R, Numano F. Angiographic findings of Takayasu arteritis: a new classification. International Journal of Cardiology. 1996; 54: S155-S163. https://doi.org/10.1016/ s0167-5273(96)02813-6
  • 10. Ishikawa K. Natural history and classification of occlusive thromboaortopathy (Takayasu’s disease). Circulation 1978; 57 (1): 27-35. https://doi.org/10.1161/01.cir.57.1.27
  • 11. Keser G, Direskeneli H, Aksu K. Management of Takayasu arteritis: a systematic review. Rheumatology (Oxford) 2014; 53 (5): 793-801. https://doi.org/10.1093/rheumatology/ket320
  • 12. Ohigashi H, Tamura N, Ebana Y, Harigai M, Maejima Y et al. Effects of immunosuppressive and biological agents on refractory Takayasu arteritis patients unresponsive to glucocorticoid treatment. Journal of Cardiology. 2017; 69 (5): 774-778. https://doi.org/10.1016/j.jjcc.2016.07.009
  • 13. Girona E, Amigo MC, Izaguirre R, Bañales JL, Reyes PA. Arteritis deTakayasu; IV. Ausencia de autoanticuerpos y anomalías de la coagulación/fibrinolisis. Revista de Investigacion Clinica 1993; 45 (3): 241-246 (in Spanish).
  • 14. Eichhorn J, Sima D, Thiele B, Lindschau C, Turowski A et al. Anti- endothelial cell antibodies in Takayasu arteritis. Circulation 1996; 94 (10): 2396-2401. https://doi.org/10.1161/01.cir.94.10.2396
  • 15. Park MC, Park YB, Jung SY, Lee KH, Lee SK. Anti-endothelial cell antibodies and antiphospholipid antibodies in Takayasu’s arteritis: correlations of their titers and isotype distributions with disease activity. Clinical and Experimental Rheumatology 2006; 24 (2): S10-S16.
  • 16. Couture P, Chazal T, Rosso C, Haroche J, Léger A et al. Cerebrovascular events in Takayasu arteritis: a multicenter case- controlled study. Journal of Neurology 2018; 265 (4): 757-763. https://doi.org/10.1007/s00415-018-8744-8
  • 17. Santacruz JC, Londoño JD, Panqueva U, Cuervo F. Aortitis: An Unusual Inflammatory Complication of Systemic Lupus Erythematosus. Cureus 2021; 13 (9). https://doi.org/10.7759/ cureus.18028
  • 18. Yang A, Nayeemuddin M, Prasad B. Takayasu’s arteritis and primary antiphospholipid syndrome presenting as hypertensive urgency. Case Reports 2016; 2016: bcr2015211752. https://doi. org/10.1136/bcr-2015-211752
  • 19. Fukui S, Hirota S, Iwamoto N, Karata H, Kawakami A. Takayasu Arteritis With Antiphosphatidylserine /Prothrombin Antibody- Positive Antiphospholipid Syndrome: Case Report and Literature Review. Medicine (Baltimore) 2015; 94 (51): e2345. https://doi. org/10.1097/MD.0000000000002345
  • 20. Laczik R, Galajda Z, Dér H, Végh J, Kerekes G et al. Cardiac manifestations in a young man with Takayasu arteritis associated with antiphospholipid syndrome. The Israel Medical Association Journal: IMAJ. 2012; 14 (12): 768-770.
  • 21. Dhaon P, Das SK, Saran RK, Parihar A. Is aorto-arteritis a manifestation of primary antiphospholipid antibody syndrome? Lupus 2011; 20 (14): 1554-1556. https://doi. org/10.1177/0961203311412414
  • 22. Gupta S, Chhabra P, Gupta N, Aggarwal P. Recurrent first-trimester abortion in a young female: Rare presentation of Takayasu arteritis. Journal of Family Medicine and Primary Care 2016; 5 (3): 719-721. https://doi.org/10.4103/2249-4863.197291
  • 23. Lee HJ, Hwang JP, Kim HS. Takayasu arteritis and antiphospholipid antibody syndrome in an elderly woman. The Korean Journal of Internal Medicine 2015; 30 (6): 934-937. https://doi.org/10.3904/ kjim.2015.30.6.934
  • 24. Chakrabarti N, Chattopadhyay C. Aortoarteritis with systemic lupus erythematosus and secondary antiphopholipid syndrome. Indian Dermatology Online Journal 2012; 3 (1): 66-68. https:// doi.org/10.4103/2229-5178.93483
  • 25. Kaku B, Higuchi T, Kanaya H, Horita Y, Yamazaki T et al. Usefulness of fluorine-18-fluorodeoxyglucose positron emission tomography in a patient with Takayasu’s arteritis associated with antiphospholipid syndrome. International Heart Journal 2006; 47 (2): 311-317. https://doi.org/10.1536/ihj.47.311
  • 26. Santiago MB, Paz O. Rare association of antiphospholipid syndrome and Takayasu arteritis. Clinical Rheumatology 2007; 26 (5): 821-822. https://doi.org/10.1007/s10067-006-0277-3
  • 27. Morović-Vergles J. Takayasu’s arteritis associated with antiphospholipid antibodies. Rheumatology International 2006; 26 (8): 773-774. https://doi.org/10.1007/s00296-005-0065-4
  • 28. Jishi AA, Krishnan PR, Almawi WY. Takayasu arteritis with high titre of antiphospholipid antibodies and MTHFR Polymorphism. Journal of Thrombosis and Thrombolysis 2005; 20 (1): 47-50. https://doi.org/10.1007/s11239-005-2459-2
  • 29. Jean-jaquet RS. Takayasu’s arteritis and antiphospholipid antibody syndrome in pregnancy. Philippine Obstetrical and Gynecological Society 1998; 22 (3): 99-106.
  • 30. Korzets Z, Barenboim E, Bernheim J, Mekori Y, Bernheim J. Mesangioproliferative glomerulonephritis, antiphospholipid antibodies, and Takayasu’s arteritis--is there a link? Nephrology, dialysis, transplantation: official publication of the European Dialysis and Transplant Association-European Renal Association 1998; 13 (4): 991-993. https://doi.org/10.1093/ ndt/13.4.991
  • 31. Yokoi K, Hosoi E, Akaike M, Shigekiyo T, Saito S. Takayasu’s arteritis associated with antiphospholipid antibodies. Report of two cases. Angiology 1996; 47 (3): 315-319. https://doi. org/10.1177/000331979604700317
  • 32. El-Reshaid K, Varro J, al-Duwairi Q, Anim JT. Takayasu’s arteritis in Kuwait. The Journal of Tropical Medicine and Hygiene 1995; 98 (5): 299-305.
  • 33. Yokoi K, Akaike M, Shigekiyo T, Saito S. (An elderly patient with Takayasu’s arteritis associated with antiphospholipid antibodies). Nihon Ronen Igakkai Zasshi 1994; 31 (9) :716-719 (In Japanese). https://doi.org/10.3143/geriatrics.31.716
  • 34. Saxe PA, Altman RD. Takayasu’s arteritis syndrome associated with systemic lupus erythematosus. Seminars in Arthritis and Rheumatism 1992; 21 (5): 295-305. https://doi. org/10.1016/0049-0172(92)90023-7
  • 35. Wilson WA, Gharavi AE, Koike T, Lockshin MD, Branch DW et al. International consensus statement on preliminary classification criteria for definite antiphospholipid syndrome: report of an international workshop. Arthritis and Rheumatism 1999; 42 (7) :1309-1311. https://doi.org/10.1002/1529- 0131(199907)42:7<1309::Aid-anr1>3.0.Co;2-f
  • 36. Amin NM. Antiphospholipid syndromes in infectious diseases. Hematology/Oncology Clinics of North America 2008; 22 (1): 131-143. https://doi.org/10.1016/j.hoc.2007.10.001
  • 37. Akazawa H, Ikeda U, Yamamoto K, Kuroda T, Shimada K. Hypercoagulable state in patients with Takayasu’s arteritis. Thrombosis and Haemostasis 1996; 75 (05): 712-716. https:// doi.org/10.1055/s-0038-1650353
  • 38. Springer J, Villa-Forte A. Thrombosis in vasculitis. Current Opinion in Rheumatology. 2013; 25 (1):19-25. https://doi. org/10.1097/BOR.0b013e32835ad3ca
  • 39. Narechania S, Renapurkar R, Heresi GA. Mimickers of chronic thromboembolic pulmonary hypertension on imaging tests: a review. Pulmonary Circulation 2020; 10 (1): 2045894019882620.
APA fırat şentürk e, erden a, Sari A, Armagan B, Kılıç L, Kalyoncu U, Karadag O, Apras Bilgen S, KİRAZ S, Ertenli I, akdogan a (2023). The impact of antiphospholipid antibodies in Takayasu arteritis. , 199 - 205. 10.55730/1300-0144.5573
Chicago fırat şentürk esra,erden abdulsamet,Sari Alper,Armagan Berkan,Kılıç Levent,Kalyoncu Umut,Karadag Omer,Apras Bilgen Sule,KİRAZ SEDAT,Ertenli Ihsan,akdogan ali The impact of antiphospholipid antibodies in Takayasu arteritis. (2023): 199 - 205. 10.55730/1300-0144.5573
MLA fırat şentürk esra,erden abdulsamet,Sari Alper,Armagan Berkan,Kılıç Levent,Kalyoncu Umut,Karadag Omer,Apras Bilgen Sule,KİRAZ SEDAT,Ertenli Ihsan,akdogan ali The impact of antiphospholipid antibodies in Takayasu arteritis. , 2023, ss.199 - 205. 10.55730/1300-0144.5573
AMA fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a The impact of antiphospholipid antibodies in Takayasu arteritis. . 2023; 199 - 205. 10.55730/1300-0144.5573
Vancouver fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a The impact of antiphospholipid antibodies in Takayasu arteritis. . 2023; 199 - 205. 10.55730/1300-0144.5573
IEEE fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a "The impact of antiphospholipid antibodies in Takayasu arteritis." , ss.199 - 205, 2023. 10.55730/1300-0144.5573
ISNAD fırat şentürk, esra vd. "The impact of antiphospholipid antibodies in Takayasu arteritis". (2023), 199-205. https://doi.org/10.55730/1300-0144.5573
APA fırat şentürk e, erden a, Sari A, Armagan B, Kılıç L, Kalyoncu U, Karadag O, Apras Bilgen S, KİRAZ S, Ertenli I, akdogan a (2023). The impact of antiphospholipid antibodies in Takayasu arteritis. Turkish Journal of Medical Sciences, 53(1), 199 - 205. 10.55730/1300-0144.5573
Chicago fırat şentürk esra,erden abdulsamet,Sari Alper,Armagan Berkan,Kılıç Levent,Kalyoncu Umut,Karadag Omer,Apras Bilgen Sule,KİRAZ SEDAT,Ertenli Ihsan,akdogan ali The impact of antiphospholipid antibodies in Takayasu arteritis. Turkish Journal of Medical Sciences 53, no.1 (2023): 199 - 205. 10.55730/1300-0144.5573
MLA fırat şentürk esra,erden abdulsamet,Sari Alper,Armagan Berkan,Kılıç Levent,Kalyoncu Umut,Karadag Omer,Apras Bilgen Sule,KİRAZ SEDAT,Ertenli Ihsan,akdogan ali The impact of antiphospholipid antibodies in Takayasu arteritis. Turkish Journal of Medical Sciences, vol.53, no.1, 2023, ss.199 - 205. 10.55730/1300-0144.5573
AMA fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a The impact of antiphospholipid antibodies in Takayasu arteritis. Turkish Journal of Medical Sciences. 2023; 53(1): 199 - 205. 10.55730/1300-0144.5573
Vancouver fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a The impact of antiphospholipid antibodies in Takayasu arteritis. Turkish Journal of Medical Sciences. 2023; 53(1): 199 - 205. 10.55730/1300-0144.5573
IEEE fırat şentürk e,erden a,Sari A,Armagan B,Kılıç L,Kalyoncu U,Karadag O,Apras Bilgen S,KİRAZ S,Ertenli I,akdogan a "The impact of antiphospholipid antibodies in Takayasu arteritis." Turkish Journal of Medical Sciences, 53, ss.199 - 205, 2023. 10.55730/1300-0144.5573
ISNAD fırat şentürk, esra vd. "The impact of antiphospholipid antibodies in Takayasu arteritis". Turkish Journal of Medical Sciences 53/1 (2023), 199-205. https://doi.org/10.55730/1300-0144.5573