The clinical associations of antiphospholipid antibodies (aPL) are well recognized but the mechanism(s) causing the production of these antibodies are not yet known. We demonstrated the induction of pathogenic aPL antibodies that caused intrauterine fetal death and transverse myelopathy due to spinal cord infarction in mice by immunization with foreign β2GPl. We also induced aPL and anti-β2-GPI in mice by immunization with PL-binding viral peptides and hypothesized that in APS patients, aPL may be induced by β2GPl-like-PL-binding products of common human bacteria and viruses.
GharaviAR, HarrisEN, AshersonRA, HughesGRV.Anticardiolipin antibodies: Isotype distribution and phospholipid specificity.Ann Rheum Dis1987; 46: 1–6.
5.
HarrisEN. Anticardioplipin Antibodies: Detection by radioimmunoassay and association with thrombosis in systemic lupus erythematosus.Lancet1983; ii:1211–1213.
6.
MarcusDM, SchwartingGE.Immunological properties by glycoproteins and phospholipids.Adv Immunol1976; 23: 203–240.
7.
InoueK, NujimaS.Immunochemical studies of phospholipids. I. Reactivity of various synthetic cardiolipin derivatives with Wasserman antibody.Biochim Biophys Acta1967; 144: 409–414.
IgarashiK. Effective induction of antiphospholipid and anticoagulant in normal mouse.Thromb Res1991; 61: 135–148.
10.
GharaviAE, SammaritanoLR, WenJ, ElkonKB.Induction of antiphospholipid autoantibodies by immunization with β2 glycoprotein I (apolipoprotein H).J Clin Invest1992; 90: 1105–1109.
11.
McNeilHP, SimpsonRJ, ChestermanCJ, KrilisSA.Antiphospholipid antibodies are directed against a complex antigen that induces lipid binding inhibitor of coagulation: β2 glycoprotein I (apolipoprotein H).Proc Natl Acad Sci USA1990; 87: 4120–4124.
12.
GalliM. Anticardiolipin antibodies (ACA) directed not to cardiolipin but to a plasma protein cofactor.Lancet1990; 335: 1544–1547.
13.
MatsuuraH. Anticardiolipin cofactor(s) and differential diagnosis of autoimmune disease (Letter).Lancet1990; 336: 177–178.
14.
GharaviAE, SammaritanoLR, BovastroJL, WilsonWA.Specificities and characteristics of β2 glycoprotein I-induced antiphospholipid antibodies.J Lab Clin Med1995; 125: 775–778.
15.
PierangeliSS, HarrisEN.Induction of phospholipid-binding antibodies in mice and rabbits by immunization with human β2 glycoprotein I or anticardiolipin antibodies alone.Clin Exp Immunol1993; 78: 233–238.
16.
BlankM. Immunization with anticardiolipin cofactor (beta-2-glycoprotein I) induces experimental antiphospholipid antibody syndrome in naive mice.J Autoimmunity1994; 7: 441–455.
17.
AronAL. Early onset of autoimmunity in MRL/ + + mice following immunization with β2 glycoprotein I.Clin Exp Immunol1995; 101 (1): 78–81.
18.
GarciaCO. Induction of experimental antiphospholipid syndrome in PL/J mice following immunization with β2GPI.Am J Reprod Immunol1997; 37: 118–124.
19.
PierangeliSS. Thrombogenic properties of murine anticardiolipin antibodies induced by β2 glycoprotein I and human IgG antiphospholipid antibodies.Circulation1996; 94: 1746–1751.
20.
GharaviAE. Thrombogenic properties of antiphospholipid antibodies do not depend on their binding to β2 glycoprotein I (β2GPI) alone.Lupus1998; 7: 341–346.
21.
HuntJ, KrilisS.The fifth domain of β2 glycoprotein I contains a phospholipid binding site (Cys 281-Lys 288) and a region recognized by anticardiolipin antibodies.J Immunol1994; 152: 653–659.
22.
MatsuuraE. Molecular studies on phospholipid binding sites and cryptic epitopes appearing on β2 glycoprotein I structures recognized by anticardiolipin antibodies.Lupus1995; Suppl 1: S21–S31.
23.
GharaviAE. Induction of aPL by immunization with a 15 amino acid peptide.Arthritis Rheum1995; 39: S296 (Abstract).
24.
PierangeliSS, XweiLiu, HarrisEN, GharaviAE.Murine monoclonal antibodies against the phospholipid binding sites of human β2 glycoprotein I are thrombegenic and activate endothelial cells.Arthritis Rheum1997; 40 (9): S103(Abstract).
25.
GharaviAE. Induction of antiphospholid antibodies by immunization with a viral peptide.Arthritis Rheum1996; 39: S319(Abstract).