Anti-cardiolipin antibodies: Difference between revisions

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'''Anti-cardiolipin antibodies''' ('''ACA''') are [[autoantibodies]], often of the [[IgG]] and [[IgM]] type, that are directed against cardiolipin and found in several diseases, including [[systemic lupus erythematosus]], [[antiphospholipid syndrome]], livedoid vasculopathy, and in syphilis (a non-autoimmune, infectious disease).
{{DISPLAYTITLE:Anti-cardiolipin antibodies}}


==Overview==
== Anti-cardiolipin antibodies ==
Cardiolipin is a kind of fat molecule (phospholipid) that is found in the outer layer of your blood platelets and the lining of your blood vessels. When your immune system detects something harmful in your body, it produces proteins called antibodies to attack the invaders. But in some cases, the immune system mistakenly produces antibodies against cardiolipin. These are called anti-cardiolipin antibodies.
[[File:Antibody.svg|thumb|right|Diagram of an antibody structure]]
Anti-cardiolipin antibodies are [[autoantibodies]] directed against [[cardiolipin]], a type of [[phospholipid]] found in the inner mitochondrial membrane. These antibodies are associated with several [[autoimmune diseases]], most notably the [[antiphospholipid syndrome]] (APS), which can lead to increased risk of [[thrombosis]] and [[pregnancy complications]].


==Clinical Significance==
== Structure and Function ==
Anti-cardiolipin antibodies can cause blood clots to form in arteries or veins and are often found in people with diseases that cause the immune system to attack the body's own cells (autoimmune diseases), such as [[systemic lupus erythematosus]] and [[antiphospholipid syndrome]].  
Anti-cardiolipin antibodies are typically of the [[IgG]], [[IgM]], or [[IgA]] isotypes. They are part of the body's [[immune response]] but mistakenly target the body's own tissues, leading to [[autoimmunity]]. The presence of these antibodies can disrupt normal [[coagulation]] processes, contributing to the formation of [[blood clots]].


==Diagnosis==
== Clinical Significance ==
The presence of anti-cardiolipin antibodies can be detected through a blood test. This test is often done on people who have had unexplained blood clots or who have a disease, such as lupus, that is known to increase the risk of blood clots.
The detection of anti-cardiolipin antibodies is crucial in diagnosing [[antiphospholipid syndrome]], which is characterized by recurrent [[venous]] or [[arterial thrombosis]] and [[pregnancy morbidity]]. Patients with APS may experience [[deep vein thrombosis]], [[pulmonary embolism]], or [[stroke]]. In pregnant women, these antibodies can lead to [[recurrent miscarriage]], [[preeclampsia]], or [[intrauterine growth restriction]].


==Treatment==
== Diagnosis ==
Treatment for anti-cardiolipin antibodies typically involves medications to reduce the risk of blood clots. These may include blood thinners, such as warfarin, or aspirin. In some cases, people with high levels of these antibodies may need to take medication for the rest of their lives.
The presence of anti-cardiolipin antibodies is typically assessed using [[enzyme-linked immunosorbent assay]] (ELISA) tests. These tests measure the levels of antibodies in the blood and help in the diagnosis of APS and other related conditions. It is important to confirm the presence of these antibodies on two or more occasions, at least 12 weeks apart, to establish a diagnosis of APS.


==See Also==
== Treatment ==
Management of patients with anti-cardiolipin antibodies involves reducing the risk of thrombosis. This may include the use of [[anticoagulants]] such as [[warfarin]] or [[heparin]], especially in patients with a history of thrombosis. In pregnant women, low-dose [[aspirin]] and [[heparin]] may be used to improve pregnancy outcomes.
 
== Related pages ==
* [[Antiphospholipid syndrome]]
* [[Antiphospholipid syndrome]]
* [[Systemic lupus erythematosus]]
* [[Autoimmune disease]]
* [[Autoimmune disease]]
* [[Blood clot]]
* [[Thrombosis]]
* [[Lupus anticoagulant]]
* [[Pregnancy complications]]


[[Category:Immunology]]
[[Category:Autoimmune diseases]]
[[Category:Autoimmune diseases]]
[[Category:Blood disorders]]
[[Category:Antibodies]]
[[Category:Medical tests]]
 
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Latest revision as of 11:12, 15 February 2025


Anti-cardiolipin antibodies[edit]

Diagram of an antibody structure

Anti-cardiolipin antibodies are autoantibodies directed against cardiolipin, a type of phospholipid found in the inner mitochondrial membrane. These antibodies are associated with several autoimmune diseases, most notably the antiphospholipid syndrome (APS), which can lead to increased risk of thrombosis and pregnancy complications.

Structure and Function[edit]

Anti-cardiolipin antibodies are typically of the IgG, IgM, or IgA isotypes. They are part of the body's immune response but mistakenly target the body's own tissues, leading to autoimmunity. The presence of these antibodies can disrupt normal coagulation processes, contributing to the formation of blood clots.

Clinical Significance[edit]

The detection of anti-cardiolipin antibodies is crucial in diagnosing antiphospholipid syndrome, which is characterized by recurrent venous or arterial thrombosis and pregnancy morbidity. Patients with APS may experience deep vein thrombosis, pulmonary embolism, or stroke. In pregnant women, these antibodies can lead to recurrent miscarriage, preeclampsia, or intrauterine growth restriction.

Diagnosis[edit]

The presence of anti-cardiolipin antibodies is typically assessed using enzyme-linked immunosorbent assay (ELISA) tests. These tests measure the levels of antibodies in the blood and help in the diagnosis of APS and other related conditions. It is important to confirm the presence of these antibodies on two or more occasions, at least 12 weeks apart, to establish a diagnosis of APS.

Treatment[edit]

Management of patients with anti-cardiolipin antibodies involves reducing the risk of thrombosis. This may include the use of anticoagulants such as warfarin or heparin, especially in patients with a history of thrombosis. In pregnant women, low-dose aspirin and heparin may be used to improve pregnancy outcomes.

Related pages[edit]