Antimyeloperoxidase antibodies in patients with extracapillary glomerulonephritis.

Abstract:

:The sera of 64 patients with extracapillary glomerulonephritis were investigated by enzyme-linked immunosorbent assay for the presence of antibody to human neutrophil myeloperoxidase (MPO). In all, circulating anti-MPO were found in 30% and antineutrophil cytoplasm antibodies (ANCA) detected by indirect immunofluorescence in 44% of the patients. Autoantibody to components of neutrophil granulocytes was not found in patients with other forms of glomerulonephritis. The incidence of ANCA (16/23) was higher than that of anti-MPO (5/23) in patients with a diagnosis of Wegener's granulomatosis. By contrast, anti-MPO was found in a majority of vasculitis patients without extrarenal symptoms (6/9), including 3 patients treated with hydralazine. One of the patients treated with hydralazine had circulating ANCA in combination with anti-MPO. Anti-MPO was also found in 1 out of 6 patients with Goodpasture's syndrome. The findings emphasize that autoantibodies to distinct components of neutrophil granulocytes partly differ with regard to diagnostic specificity.

journal_name

Nephron

journal_title

Nephron

authors

Nässberger L,Sjöholm AG,Thysell H

doi

10.1159/000186124

subject

Has Abstract

pub_date

1990-01-01 00:00:00

pages

152-6

issue

2

eissn

1660-8151

issn

2235-3186

journal_volume

56

pub_type

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