Removal of autoantibodies in dilated cardiomyopathy by immunoadsorption

被引:90
作者
Wallukat, G [1 ]
Reinke, P [1 ]
Dorffel, WV [1 ]
Luther, HP [1 ]
Bestvater, K [1 ]
Felix, SB [1 ]
Baumann, G [1 ]
机构
[1] HUMBOLDT UNIV BERLIN,BERLIN,GERMANY
关键词
immunoadsorption; autoimmune diseases; dilated cardiomyopathy; anti-beta(1)-adrenoceptor autoantibody;
D O I
10.1016/0167-5273(96)02598-3
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Immunoadsorption with Ig-Therasorb leads to a marked decrease in serum levels of immunoglobulins including of the agonist-like anti-beta(1)-adrenoceptor autoantibody found in the serum of patients with idiopathic dilated cardiomyopathy. The reduction in autoantibody levels was accompanied by an improvement of heart function and a shift to a lower NYHA state. In this disease, as in a variety of other autoimmune disorders, apheresis with Ig-Therasorb led to a rapid improvement of the clinical status and could be used in end-stage dilated cardiomyopathy (with autoantibodies) as a bridge for transplantation.
引用
收藏
页码:191 / 195
页数:5
相关论文
共 24 条
[1]  
Borberg H, 1988, J Clin Apher, V4, P59, DOI 10.1002/jca.2920040204
[2]   IDENTIFICATION OF ALPHA-CARDIAC AND BETA-CARDIAC MYOSIN HEAVY-CHAIN ISOFORMS AS MAJOR AUTOANTIGENS IN DILATED CARDIOMYOPATHY [J].
CAFORIO, ALP ;
GRAZZINI, M ;
MANN, JM ;
KEELING, PJ ;
BOTTAZZO, GF ;
MCKENNA, WJ ;
SCHIAFFINO, S .
CIRCULATION, 1992, 85 (05) :1734-1742
[3]   ANTIBODY-BASED IMMUNOADSORPTION AS A THERAPEUTIC MEANS [J].
DUMOULIN, A ;
MULLERDERLICH, J ;
BIEBER, F ;
RICHTER, WO ;
FREI, U ;
MULLER, R ;
SPAETHE, R .
BLOOD PURIFICATION, 1993, 11 (03) :145-149
[4]   LOCALIZATION OF A FUNCTIONAL AUTOIMMUNE EPITOPE ON THE MUSCARINIC ACETYLCHOLINE RECEPTOR-2 IN PATIENTS WITH IDIOPATHIC DILATED CARDIOMYOPATHY [J].
FU, LX ;
MAGNUSSON, Y ;
BERGH, CH ;
LILJEQVIST, JA ;
WAAGSTEIN, F ;
HJALMARSON, A ;
HOEBEKE, J .
JOURNAL OF CLINICAL INVESTIGATION, 1993, 91 (05) :1964-1968
[5]   FUNCTIONAL EPITOPE ANALYSIS OF THE 2ND EXTRACELLULAR LOOP OF THE HUMAN HEART MUSCARINIC ACETYLCHOLINE-RECEPTOR [J].
FU, MLX ;
SCHULZE, W ;
WALLUKAT, G ;
HJALMARSON, A ;
HOEBEKE, J .
JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, 1995, 27 (01) :427-436
[6]  
FU MLX, 1994, RECEPTOR CHANNEL, V2, P121
[7]   REMOVAL OF BABOON AND HUMAN ANTIPORCINE IGG AND IGM NATURAL ANTIBODIES BY IMMUNOADSORPTION - RESULTS OF IN-VITRO AND IN-VIVO STUDIES [J].
LEVENTHAL, JR ;
JOHN, R ;
FRYER, JP ;
WITSON, JC ;
DERLICH, JM ;
REMISZEWSKI, J ;
DALMASSO, AP ;
MATAS, AJ ;
BOLMAN, RM .
TRANSPLANTATION, 1995, 59 (02) :294-300
[8]   AUTOANTIBODIES AGAINST BETA-ADRENOCEPTORS IN HUMAN IDIOPATHIC DILATED CARDIOMYOPATHY [J].
LIMAS, CJ ;
GOLDENBERG, IF ;
LIMAS, C .
CIRCULATION RESEARCH, 1989, 64 (01) :97-103
[9]   AUTOIMMUNITY IN IDIOPATHIC DILATED CARDIOMYOPATHY - CHARACTERIZATION OF ANTIBODIES AGAINST THE BETA(1)-ADRENOCEPTOR WITH POSITIVE CHRONOTROPIC EFFECT [J].
MAGNUSSON, Y ;
WALLUKAT, G ;
WAAGSTEIN, F ;
HJALMARSON, A ;
HOEBEKE, J .
CIRCULATION, 1994, 89 (06) :2760-2767
[10]   QUANTITATIVE ASSESSMENT OF ANTILAMININ ANTIBODIES IN MYOCARDITIS AND PERIMYOCARDITIS [J].
MAISCH, B ;
WEDEKING, U ;
KOCHSIEK, K .
EUROPEAN HEART JOURNAL, 1987, 8 :233-235