2004
DOI: 10.1182/blood-2004-01-0203
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Detection of antibody-mediated reduction of annexin A5 anticoagulant activity in plasmas of patients with the antiphospholipid syndrome

Abstract: Annexin A5 (A5) forms 2-dimensional crystals over phospholipid bilayers, blocking their availability for coagulation reactions. Recently, human antiphospholipid (aPL) monoclonal antibodies (mAbs) have been demonstrated by atomic force microscopy (AFM) to disrupt this crystallization and accelerate coagulation. We therefore performed a study with small, well-defined groups of patients to investigate whether these effects on A5 binding and activity are also detectable in plasmas from patients with the aPL syndro… Show more

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Cited by 93 publications
(77 citation statements)
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“…We compared the results with the effect on thrombin time, a PL-independent clotting time (CT). Moreover, we compared the effect of CRP with that of annexin V (AnV), a potent endothelial surface anticoagulant based on its ability to displace PL-dependent coagulation factors by binding to negatively charged PL, including phosphatidylserine (PS) and PE [1,7] . We attempted to visualize the binding of CRP to the PL surface by flow cytometry.…”
mentioning
confidence: 99%
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“…We compared the results with the effect on thrombin time, a PL-independent clotting time (CT). Moreover, we compared the effect of CRP with that of annexin V (AnV), a potent endothelial surface anticoagulant based on its ability to displace PL-dependent coagulation factors by binding to negatively charged PL, including phosphatidylserine (PS) and PE [1,7] . We attempted to visualize the binding of CRP to the PL surface by flow cytometry.…”
mentioning
confidence: 99%
“…The final concentration range of AnV (Sigma-Aldrich, St. Louis, MO, USA) (0 -0.09 -0.18 -0.36 -0.72 -1.14 μ M) was based on current literature [7] .…”
mentioning
confidence: 99%
“…The AnxA5 anticoagulant function might depend on its 4 well-established property to self-assemble on PS-containing membranes into an extensive two-dimensional crystal lattice [42] that hinders the assembly of the procoagulant complexes. In line with such protective function in the blood clotting regulation, anti-AnxA5 autoantibodies are found in patients suffering from antiphospholipid syndrome [43], a disease that manifests clinically as recurrent thrombotic events and is associated with fetal loss [44]. The occurrence of AnxA5 autoantibodies [45] is also linked to autoimmune disorders [46] also observed in some patients suffering from multiple sclerosis or systemic lupus erythematosus.…”
Section: Coagulationmentioning
confidence: 85%
“…Similarly to the TGT tests the various variants require validation for their relevance as PD methods and addition to diagnosis [35,36] Lupus anticoagulant tests As is well known, lupus testing relies on the determination of prolongation of clotting tests, while 'by contrast' the feared complication is thrombotic.This indicates that the clotting tests utilized are pharmacokinetic rather than functional. More recently Rand et al [37] proposed other tests which seem to reflect the (patho-)physiology better as they study increased coagulation in relation to thrombosis. The value of this approach will become a topic of future research and a possible guide to treatment.…”
Section: The Prothrombin Time Test (Inr)mentioning
confidence: 99%