Skip to main content

Advertisement

Log in

Primary biliary cirrhosis in female subjects with sicca-associated antibodies

  • ORIGINAL ARTICLE
  • Published:
Modern Rheumatology

Abstract

The aim of this study is to clarify the time course of primary biliary cirrhosis (PBC) in subjects possessing anticentromere antibodies (ACA), anti-Ro, and/or anti-La antibodies, and who used alkaline phosphatase (ALP) as a serological marker for PBC. Female subjects (n = 165), who had at least one of ACA, anti-Ro, and/or anti-La, were enrolled in this study. Groups A (ACA alone, n = 44), B (anti-Ro alone, n = 54), E (anti-Ro and anti-La, n = 52), and DFG (ACA with anti-Ro and/or anti-La, n = 14) were analyzed. Healthy females (n = 65) were used as a control. The frequencies of the PBC in groups A (13.6%) and DFG (14.3%) were higher than those in groups B (1.9%) and E (0.0%). The ALP levels increased with age in groups A and DFG and slightly increased with age in groups B and C, and the control group. After correcting for age by analysis of covariance, a comparison of ALP levels among the groups not having anti-M2 was as follows: group A ≒ group DFG > group B ≒ group E ≒ the control group. The subjects with ACA might thus have PBC more frequently than either those with anti-Ro and/or anti-La, or the control subjects.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. MM Kaplan ME Gershwin (2005) ArticleTitlePrimary biliary cirrhosis N Engl J Med 353 1261–73 Occurrence Handle16177252 Occurrence Handle10.1056/NEJMra043898 Occurrence Handle1:CAS:528:DC%2BD2MXhtVeltLbI

    Article  PubMed  CAS  Google Scholar 

  2. M Bell A Askari A Bookman S Frydrych J Lamont J McComb et al. (1999) ArticleTitleSjögren's syndrome: a critical review of clinical management J Rheumatol 26 2051–61 Occurrence Handle10493692 Occurrence Handle1:STN:280:DyaK1MvitFCgtw%3D%3D

    PubMed  CAS  Google Scholar 

  3. P Muratori L Muratori R Ferrari F Cassani G Bianchi M Lenzi et al. (2003) ArticleTitleCharacterization and clinical impact of antinuclear antibodies in primary biliary cirrhosis Am J Gastroenterol 98 431–7 Occurrence Handle12591064 Occurrence Handle10.1111/j.1572-0241.2003.07257.x

    Article  PubMed  Google Scholar 

  4. MJ Chou SL Lee TY Chen GJ Tsay (1995) ArticleTitleSpecificity of antinuclear antibodies in primary biliary cirrhosis Ann Rheum Dis 54 148–51 Occurrence Handle7702406 Occurrence Handle1:STN:280:DyaK2M3hs12rsg%3D%3D Occurrence Handle10.1136/ard.54.2.148

    Article  PubMed  CAS  Google Scholar 

  5. GA McCarty JR Rice ML Bembe FA Barada SuffixJr (1983) ArticleTitleAnticentromere antibody: Clinical correlations and association with favorable prognosis in subjects with scleroderma variants Arthritis Rheum 26 1–7 Occurrence Handle6337593 Occurrence Handle10.1002/art.1780260101 Occurrence Handle1:STN:280:DyaL3s7is1Kqsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  6. J Avouac C Sordet C Depinay M Ardizonne MC Vacher-Lavenu J Sibilia et al. (2006) ArticleTitleSystemic sclerosis-associated Sjögren's syndrome and relationship to the limited cutaneous subtype: results of a prospective study of sicca syndrome in 133 consecutive patients Arthritis Rheum 54 2243–9 Occurrence Handle16802363 Occurrence Handle10.1002/art.21922 Occurrence Handle1:STN:280:DC%2BD28vptF2jtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  7. S Miyawaki H Asanuma S Nishiyama Y Yoshinaga (2005) ArticleTitleClinical and serological heterogeneity in patients with anticentromere antibodies J Rheumatol 32 1488–94 Occurrence Handle16078324

    PubMed  Google Scholar 

  8. K Takada K Suzuki M Okada M Nakashima F Ohsuzu (2006) ArticleTitleSalivary production rates fall with age in subjects having anticentromere, anti-Ro, and/or anti-La antibodies Scand J Rheumatol 35 23–8 Occurrence Handle16467037 Occurrence Handle10.1080/03009740500311788 Occurrence Handle1:CAS:528:DC%2BD28XktFart7c%3D

    Article  PubMed  CAS  Google Scholar 

  9. M Nakamura H Kondo T Mori A Komori M Matsuyama M Ito et al. (2007) ArticleTitleAnti-gp210 and anticentromere antibodies are different risk factors for the progression of primary biliary cirrhosis Hepatology 45 118–27 Occurrence Handle17187436 Occurrence Handle10.1002/hep.21472 Occurrence Handle1:CAS:528:DC%2BD2sXht1arsbc%3D

    Article  PubMed  CAS  Google Scholar 

  10. FC Powell AL Schroeter ER Dickson (1987) ArticleTitlePrimary biliary cirrhosis and the CREST syndrome: a report of 22 cases Q J Med 62 75–82 Occurrence Handle3423208 Occurrence Handle1:STN:280:DyaL1c%2FpvVSjsQ%3D%3D

    PubMed  CAS  Google Scholar 

  11. T Nakano K Inoue J Hirohara S Arita K Higuchi M Omata et al. (2002) ArticleTitleLong-term prognosis of primary biliary cirrhosis (PBC) in Japan and analysis of the factors of stage progression in asymptomatic PBC (a-PBC) Hepatol Res 22 250–60 Occurrence Handle11929710 Occurrence Handle10.1016/S1386-6346(01)00148-6

    Article  PubMed  Google Scholar 

  12. F Alvarez PA Berg FB Bianchi L Bianchi AK Burroughs EL Cancado et al. (1999) ArticleTitleInternational Autoimmune Hepatitis Group report: review of criteria for diagnosis of autoimmune hepatitis J Hepatol 31 929–38 Occurrence Handle10580593 Occurrence Handle10.1016/S0168-8278(99)80297-9 Occurrence Handle1:STN:280:DC%2BD3c%2Fks1Ggug%3D%3D

    Article  PubMed  CAS  Google Scholar 

  13. C Vitali S Bombardieri R Jonsson HM Moutsopoulos EL Alexander SE Carsons InstitutionalAuthorNameEuropean Study Group on classification criteria for Sjögren's syndrome et al. (2002) ArticleTitleClassification criteria for Sjögren's syndrome: a revised version of the European criteria proposed by the American–European Consensus Group Ann Rheum Dis 61 554–8 Occurrence Handle12006334 Occurrence Handle10.1136/ard.61.6.554 Occurrence Handle1:STN:280:DC%2BD383pvFyhtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  14. EC LeRoy M Trojanowska EA Smith (1991) ArticleTitleThe pathogenesis of scleroderma (systemic sclerosis, SSc) Clin Exp Rheumatol 9 173–7 Occurrence Handle2060163 Occurrence Handle1:STN:280:DyaK3M3osVChtQ%3D%3D

    PubMed  CAS  Google Scholar 

  15. EM Tan AS Cohen JF Fries AT Masi DJ McShane NF Rothfield et al. (1982) ArticleTitleThe 1982 revised criteria for the classification of systemic lupus erythematosus Arthritis Rheum 25 1271–7 Occurrence Handle7138600 Occurrence Handle10.1002/art.1780251101 Occurrence Handle1:STN:280:DyaL3s%2FkvVCmtA%3D%3D

    Article  PubMed  CAS  Google Scholar 

  16. FC Arnett SM Edworthy DA Bloch DJ McShane JF Fries NS Cooper et al. (1988) ArticleTitleThe American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis Arthritis Rheum 31 315–24 Occurrence Handle3358796 Occurrence Handle10.1002/art.1780310302 Occurrence Handle1:STN:280:DyaL1c7pt1Ohsg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  17. R Poupon RE Poupon (1996) Primary biliary cirrhosis D Zakim TD Boyer (Eds) Hepatology a textbook of liver disease EditionNumber3rd ed WB Saunders Philadelphia 1329–65

    Google Scholar 

  18. R Poupon O Chazouilleres RE Poupon (2000) ArticleTitleChronic cholestatic disease J Hepatol 32 129–40 Occurrence Handle10728800 Occurrence Handle10.1016/S0168-8278(00)80421-3 Occurrence Handle1:STN:280:DC%2BD3c7ptFWntg%3D%3D

    Article  PubMed  CAS  Google Scholar 

  19. K Ohba K Omagari H Kinoshita H Soda J Masuda H Hazama et al. (2001) ArticleTitlePrimary biliary cirrhosis among atomic bomb survivors in Nagasaki, Japan J Clin Epidemiol 54 845–50 Occurrence Handle11470395 Occurrence Handle10.1016/S0895-4356(00)00370-X Occurrence Handle1:STN:280:DC%2BD3MvitVOhsQ%3D%3D

    Article  PubMed  CAS  Google Scholar 

  20. DS Pratt MM Kaplan (2003) Evaluation of the liver: laboratory test ER Schiff MF Sorrell WC Maddrey (Eds) Schiff's disease of the liver EditionNumber9th ed Lippincott Williams & Wilkins Philadelphia 221–55

    Google Scholar 

  21. VO Van Hoof MF Hoylaerts H Geryl M Van Mullem LG Lepoutre ME De Broe (1990) ArticleTitleAge and sex distribution of alkaline phosphatase isoenzymes by agarose electrophoresis Clin Chem 36 875–8 Occurrence Handle2357825 Occurrence Handle1:CAS:528:DyaK3cXksFKguro%3D

    PubMed  CAS  Google Scholar 

  22. M Iki A Morita Y Ikeda Y Sato T Akiba T Matsumoto et al. (2006) ArticleTitleBiochemical markers of bone turnover predict bone loss in perimenopausal women but not in postmenopausal women: the Japanese population-based osteoporosis (JPOS) Cohort Study Osteoporos Int 17 1086–95 Occurrence Handle16758145 Occurrence Handle10.1007/s00198-005-0052-3 Occurrence Handle1:CAS:528:DC%2BD28XltlOju7s%3D

    Article  PubMed  CAS  Google Scholar 

  23. S Minisola MT Pacitti E Ombricolo G Costa A Scarda E Palombo et al. (1998) ArticleTitleBone turnover and its relationship with bone mineral density in pre- and postmenopausal women with or without fractures Maturitas 29 265–70 Occurrence Handle9699199 Occurrence Handle10.1016/S0378-5122(98)00008-5 Occurrence Handle1:STN:280:DyaK1czmsVemtw%3D%3D

    Article  PubMed  CAS  Google Scholar 

  24. Y Kadokawa K Omagari H Hazama K Ohba J Masuda H Kinoshita et al. (2003) ArticleTitleEvaluation of newly developed ELISA using “MESACUP-2 test mitochondrial M2” kit for the diagnosis of primary biliary cirrhosis Clin Biochem 36 203–10 Occurrence Handle12726929 Occurrence Handle10.1016/S0009-9120(02)00439-3 Occurrence Handle1:CAS:528:DC%2BD3sXjt1Kgs70%3D

    Article  PubMed  CAS  Google Scholar 

  25. Y Nakanuma K Harada K Kaji S Terasaki K Tsuneyama S Moteki et al. (1997) ArticleTitleClinicopathological study of primary biliary cirrhosis negative for antimitochondrial antibodies Liver 17 281–7 Occurrence Handle9455733 Occurrence Handle1:STN:280:DyaK1c7hs12isw%3D%3D

    PubMed  CAS  Google Scholar 

  26. PC Fox (2007) ArticleTitleAutoimmune diseases and Sjogren's syndrome: an autoimmune exocrinopathy Ann N Y Acad Sci 1098 15–21 Occurrence Handle17332090 Occurrence Handle10.1196/annals.1384.003 Occurrence Handle1:CAS:528:DC%2BD2sXltVKksL8%3D

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kunio Takada.

About this article

Cite this article

Takada, K., Suzuki, K., Matsumoto, M. et al. Primary biliary cirrhosis in female subjects with sicca-associated antibodies. Mod Rheumatol 17, 486–491 (2007). https://doi.org/10.1007/s10165-007-0631-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10165-007-0631-6

Key words

Navigation