Antinuclear antibodies directed to a 200-kilodalton polypeptide of the nuclear envelope in primary biliary cirrhosis
Open accessAbstract
Antinuclear antibodies giving a perinuclear fluorescence and directed to a 200-kilodalton polypeptide of the nuclear envelope have been described in primary biliary cirrhosis. The purpose of this study, based on a series of 150 patients with primary biliary cirrhosis, was to ascertain the prevalence of these antibodies and to compare patients with and without these antibodies. Antinuclear antibodies giving a perinuclear fluorescence were demonstrated in 43 of the 150 patients (29%); antibodies directed to the 200-kilodalton polypeptide of the nuclear envelope were found in 40 of these 43 patients. Asthenia, arthralgia, associated extrahepatic diseases, Raynaud's phenomenon, and other antinuclear specificities were significantly less common, and titers of antimitochondrial antibodies were significantly lower in patients with antibodies directed to the 200-kilodalton polypeptide of the nuclear envelope than in patients without these antibodies. Clinical outcome, liver tests, and histological lesions did not significantly differ in patients with and without these antibodies.
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PBC is characterised serologically by autoantibodies specific for mitochondrial, nuclear and centromere antigens, some of which are unique to PBC.
“PBC is characterised serologically by autoantibodies specific for mitochondrial, nuclear and centromere antigens, some of which are unique to PBC.66–78”
From The British Society of Gastroenterology/UK-PBC primary biliary cholangitis treatment and management guidelines (2018) · cites this paper as [72]
Unlike in many other autoimmune diseases, these autoantibodies are, as a result of their sensitivity and specificity, extremely useful in diagnosis and have contributed significantly to the decline in the need for liver biopsy, at least for the purposes of diagnosis.
“Unlike in many other autoimmune diseases, these autoantibodies are, as a result of their sensitivity and specificity, extremely useful in diagnosis and have contributed significantly to the decline in the need for liver biopsy, at least for the purposes of diagnosis.”
From The British Society of Gastroenterology/UK-PBC primary biliary cholangitis treatment and management guidelines (2018) · cites this paper as [72]
They are present in ~95% (mitochondrial) and ~30% (nuclear) of patients.
“They are present in ~95% (mitochondrial) and ~30% (nuclear) of patients.”
From The British Society of Gastroenterology/UK-PBC primary biliary cholangitis treatment and management guidelines (2018) · cites this paper as [72]
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- Authors
- Lassoued, K., Brenard, R., Degos, F., Courvalin, J.-C., Andre, C., Danon, F., Brouet, J.-C., Zine-El-Abidine, Y., Degott, C., Zafrani, S., Dhumeaux, D., & Benhamou, J.-P.
- Affiliations
- Centre National de la Recherche Scientifique (FR)
- Venue
- Gastroenterology
- Publisher
- Elsevier BV
- Published
- 1990-07
- Volume
- 99
- Issue
- 1
- Pages
- 181-186
- ISSN
- 0016-5085 (ISSN-L)
- OpenAlex
- W2596643750
- Cited by
- 83
- References
- 35
- Citations by year
- 2023: 1 · 2021: 1 · 2020: 1 · 2018: 1 · 2013: 1 · 2012: 5
- FWCI
- 2.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Gastroenterology
- Topics
- Health Sciences › Medicine › Hepatology › Liver Diseases and Immunity
- Health Sciences › Medicine › Surgery › Pediatric Hepatobiliary Diseases and Treatments
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Keywords
- primary biliary cirrhosis, antinuclear antibodies, antimitochondrial antibodies, seroprevalence, extrahepatic manifestations, Raynaud's phenomenon, joint pain, asthenia
- MeSH terms
- Antibody Specificity, Antibodies, Antinuclear, DNA, Female, Fluorescent Antibody Technique, Humans, Liver Cirrhosis, Biliary, Male, Middle Aged, Nuclear Envelope, Immunoblotting
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