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Disease Associations with Anti-Neutrophil Cytoplasmic Antibodies

  • Charles D. Pusey
  • Gillian Gaskin
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 336)

Abstract

The discovery of autoantibodies to components of neutrophil cytoplasm, widely known as anti-neutrophil cytoplasmic antibodies (ANCA), has led to great advances in the diagnosis and monitoring of patients with primary systemic vasculitis. The antigenic targets of ANCA have been identified as neutrophil granule constituents, and it appears that the specificity of the antibodies is associated with particular clinical characteristics. The presence of ANCA is associated with active disease, and rising concentrations may herald a relapse. There is evidence from in vitro studies that ANCA can activate neutrophils and lead to endothelial cell damage, suggesting that they may have a pathogenic role in vasculitis. More recently, ANCA have been described in a limited range of other diseases. The specificity of these autoantibodies is less well defined, but includes targets other than those recognised in systemic vasculitis. Data on their prevalence and their relationship to disease activity is conflicting, and there is no experimental evidence for pathogenicity.

Keywords

Infective Endocarditis Giant Cell Arteritis Systemic Vasculitis Antineutrophil Cytoplasmic Antibody Relapse Polychondritis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1993

Authors and Affiliations

  • Charles D. Pusey
    • 1
  • Gillian Gaskin
    • 1
  1. 1.Renal Unit Department of Medicine Royal Postgraduate Medical SchoolHammersmith HospitalLondonUK

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