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Journal of Clinical Pathology 2002;55:345
Copyright © 2002 by the BMJ Publishing Group Ltd & Association of Clinical Pathologists.
Journal of Clinical Pathology 2002;55:345
© 2002 Journal of Clinical Pathology

ECHO

Systemic autoimmunity and atherosclerosis

Atherosclerosis and a high titre of antinuclear antibodies (ANA) are linked, concludes a recent study. Humoral immunity is implicated in inflammatory processes leading to atherosclerosis in mice, and autoantibodies to atheroma components have been shown in humans. This, however, is the first study of systemic autoimmunity and atherosclerosis in humans.


Immunofluorescent staining of HEp 2000 cells with serum from a patient with advanced atherosclerosis, showing atypical speckled pattern characteristic of nucleolar staining. Bar=5µm.

Grainger and Bethell screened for serum ANA—a marker of systemic autoimmunity—with an indirect immunofluorescent antibody test with HEp 2000 cells used in screening for autoimmune diseases. They compared 40 consecutive patients (aged 53–76) with advanced atherosclerosis (>=50 % blockage in three coronary arteries) confirmed by coronary angiography and 30 patients (48–74) with no plaques. Neither patients nor immediate (first degree) relatives had an autoimmune disease.

ANA were detected in nearly three quarters of patients with atherosclerosis . . . [Full text of this article]


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