Antiphospholipid antibody profile, immunochemical properties, and diagnostic value in women with early recurrent spontaneous miscarriage

Menzhinskaya I.V., Van'ko L.V., Krechetova L.V., Tetruashvili N.K., Sukhikh G.T.

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology of Minzdrav of Russia, Moscow, Russia
Antiphospholipid antibodies (aPL), a heterogeneous group of autoantibodies, have a pathogenetic and diagnostic value for obstetric APS.
Aim.0h RSM were 3.4–8.5 times more likely to be positive for antibodies against β2-glycoprotein-I (β2-GP-I), cardiolipin (CL), annexin A5 (An A5), phosphatidylserine/prothrombin complex (PS/PT), and phosphatidylethanolamine (PE) than healthy women. Serum level of IgG antibodies to β2-GP-I >17.6 U/ml was associated with a high probability of the presence of antibodies to domain I. IgG2 subclass of aPL with moderate and high levels of avidity were predominant. The panel of antibodies to β2-GP-I, An A5, PS/PT, and PE showed a high diagnostic value for RSM.
Conclusion. In patients with early RSM, the aPL profile testing including antibodies to CL, β2-GP-I, domain I, antibodies to An A5, PE, and PS/PT improves the accuracy of diagnosis in APS.

Keywords

early recurrent spontaneous miscarriage
antiphospholipid antibody profile
diagnostic value
avidity
IgG subclasses

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Received 14.04.2020

Accepted 12.05.2020

About the Authors

Irina V. Menzhinskaya, Dr.Med.Sci., Leading Researcher at the Laboratory of Clinical Immunology, V.I. Kulakov NMRC for OG&P of Minzdrav of Russia.
Tel.: +7(495)438-11-83. E-mail: i_menzinskaya@oparina4.ru. 4, Oparina str., Moscow, 117997, Russian Federation.
Ludmila V. Van’ko, Dr.Med.Sci., Professor, Leading Researcher at the Laboratory of Clinical Immunology, V.I. Kulakov NMRC for OG&P of Minzdrav of Russia.
Tel.: +7(495)438-11-83. E-mail: LVanko@oparina4.ru. 4, Oparina str., Moscow, 117997, Russian Federation.
Lubov V. Krechetova, Dr.Med.Sci., Head of the Laboratory of Clinical Immunology, V.I. Kulakov NMRC for OG&P of Minzdrav of Russia.
Tel.: +7(495)438-11-83. E-mail: l_krechetova@oparina4.ru. 4, Oparina str., Moscow, 117997, Russian Federation.
Nana K. Tetruashvili, Dr.Med.Sci., Head of the 2nd Obstetrics Department of Pathology of Pregnancy, V.I. Kulakov NMRC for OG&P of Minzdrav of Russia.
Tel.: +7(495)438-14-88. E-mail: n_tetruashvili@oparina4.ru. 4, Oparina str., Moscow, 117997, Russian Federation.
Gennady T. Sukhikh, Dr.Med.Sci., Professor, Academician of the RAS, Director of the V.I. Kulakov NMRC for OG&P of Minzdrav of Russia.
Tel.: +7(495)438-18-00. E-mail: g_sukhikh@oparina4.ru. 4, Oparina str., Moscow, 117997, Russian Federation.

For citation: Menzhinskaya I.V., Van'ko L.V., Krechetova L.V., Tetruashvili N.K., Sukhikh G.T. Antiphospholipid antibody profile, immunochemical properties, and diagnostic value in women with early recurrent spontaneous miscarriage.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 8: 39-46 (in Russian)
https://dx.doi.org/10.18565/aig.2020.8.39-46

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