2000
DOI: 10.1002/1529-0131(200001)43:1<55::aid-anr8>3.0.co;2-m
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Increased soluble vascular cell adhesion molecule 1 concentrations in patients with primary or systemic lupus erythematosus-related antiphospholipid syndrome: Correlations with the severity of thrombosis

Abstract: Serum sVCAM-1 concentrations are increased in patients with primary APS, especially those with repeated thrombotic events or kidney involvement. These findings suggest that endothelial/ monocyte interaction may be important in the pathogenesis of primary APS.

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Cited by 110 publications
(68 citation statements)
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“…32 Numerous reports have demonstrated that plasma from patients with the APS contains antibodies that bind and activate endothelial cells, 15,33 and that endothelial cell activation may occur in a ␤ 2 GPI-dependent manner. 17,22 The clinical relevance of endothelial cell activation in patients with the APS is supported by reports demonstrating increased circulating levels of tissue factor 34 and VCAM-1, 35 as well as endothelial microparticles, 36 in these individuals.…”
Section: Discussionsupporting
confidence: 93%
“…32 Numerous reports have demonstrated that plasma from patients with the APS contains antibodies that bind and activate endothelial cells, 15,33 and that endothelial cell activation may occur in a ␤ 2 GPI-dependent manner. 17,22 The clinical relevance of endothelial cell activation in patients with the APS is supported by reports demonstrating increased circulating levels of tissue factor 34 and VCAM-1, 35 as well as endothelial microparticles, 36 in these individuals.…”
Section: Discussionsupporting
confidence: 93%
“…Once endothelial cells become activated, up-regulation of TF may be further augmented by a synergistic effect of TNF-a and factor Xa [37]. Other changes typical for this prothrombotic phenotype include increased expression of adhesion molecules (ICAM-1, VCAM-1, selectins E and P) [38,39], and formation of endothelial microparticles [40]. Raschi et al have shown that anti-beta 2 GPI antibodies induce translocation of NFjB in a manner similar to that elicited by LPS and TNF-a.…”
Section: Discussionmentioning
confidence: 99%
“…Different indirect parameters of EC perturbation ex-vivo have been investigated with no definite conclusions. While some studies reported increased plasma levels of single soluble ADM or endothelial derived microparticles in APS patients, others did not confirm these findings [36][37][38][39]. Additional confounding variables-such as a concomitant associated immune-mediated systemic inflammatory disorder-did weaken the comparison.…”
Section: Do Apl Induce An Endothelial Perturbation In Vivo Too?mentioning
confidence: 99%