ADAMTS-13 gene expression in antiphospholipid syndrome

Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by recurrent thrombosis and fetal mortality. Thrombotic microangiopathy (TMA) is an important histological finding in catastrophic APS (CAPS) and in APS patients with nephropathy. Analysis of familial thrombotic thrombocytopenic...

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Main Authors: Veysel Sabri Hançer, Reyhan Diz Küçükkaya, Ayşegül Topal-Sarıkaya
Format: Article
Language:English
Published: Galenos Publishing House 2011-09-01
Series:Turkish Journal of Hematology
Subjects:
Online Access:http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-48378
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author Veysel Sabri Hançer
Reyhan Diz Küçükkaya
Ayşegül Topal-Sarıkaya
author_facet Veysel Sabri Hançer
Reyhan Diz Küçükkaya
Ayşegül Topal-Sarıkaya
author_sort Veysel Sabri Hançer
collection DOAJ
description Antiphospholipid syndrome (APS) is an autoimmune disorder characterized by recurrent thrombosis and fetal mortality. Thrombotic microangiopathy (TMA) is an important histological finding in catastrophic APS (CAPS) and in APS patients with nephropathy. Analysis of familial thrombotic thrombocytopenic purpura patients showed that there are mutations in the ADAMTS-13 gene that lead to functional defects in the ADAMTS-13 enzyme. The aim of this study was to investigate the prevalence of the aforementioned mutations in APS, as well as to evaluate the level and activity of the ADAMTS-13 enzyme in patients with APS. C365del, Q449stop codon, P475S, and C508Y mutations were analyzed in APS patients. Transcriptions were analyzed using real-time PCR, and the level and activity of ADAMTS-13 were analyzed via fluorogenic assay. None of the mutations tested were present in the patient or control groups. The level of ADAMTS-13 mRNA in the patient group was 50% lower than that in the control group. Although a significant difference in ADAMTS-13 activity was not observed between the patient and control groups, a significant association was observed with the level of ADAMTS-13 (p<0.0001). The level and activity of ADAMTS-13 were not associated with thrombotic complications, thrombocytopenia, or pregnancy complications in the patients with APS.
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spelling doaj.art-5bacc2aa406e4788b57bff150fccbd372023-02-15T16:09:48ZengGalenos Publishing HouseTurkish Journal of Hematology1300-77771308-52632011-09-012803213218ADAMTS-13 gene expression in antiphospholipid syndromeVeysel Sabri HançerReyhan Diz KüçükkayaAyşegül Topal-SarıkayaAntiphospholipid syndrome (APS) is an autoimmune disorder characterized by recurrent thrombosis and fetal mortality. Thrombotic microangiopathy (TMA) is an important histological finding in catastrophic APS (CAPS) and in APS patients with nephropathy. Analysis of familial thrombotic thrombocytopenic purpura patients showed that there are mutations in the ADAMTS-13 gene that lead to functional defects in the ADAMTS-13 enzyme. The aim of this study was to investigate the prevalence of the aforementioned mutations in APS, as well as to evaluate the level and activity of the ADAMTS-13 enzyme in patients with APS. C365del, Q449stop codon, P475S, and C508Y mutations were analyzed in APS patients. Transcriptions were analyzed using real-time PCR, and the level and activity of ADAMTS-13 were analyzed via fluorogenic assay. None of the mutations tested were present in the patient or control groups. The level of ADAMTS-13 mRNA in the patient group was 50% lower than that in the control group. Although a significant difference in ADAMTS-13 activity was not observed between the patient and control groups, a significant association was observed with the level of ADAMTS-13 (p<0.0001). The level and activity of ADAMTS-13 were not associated with thrombotic complications, thrombocytopenia, or pregnancy complications in the patients with APS.http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-48378Antiphospholipid syndromeADAMTS-13gene expression
spellingShingle Veysel Sabri Hançer
Reyhan Diz Küçükkaya
Ayşegül Topal-Sarıkaya
ADAMTS-13 gene expression in antiphospholipid syndrome
Turkish Journal of Hematology
Antiphospholipid syndrome
ADAMTS-13
gene expression
title ADAMTS-13 gene expression in antiphospholipid syndrome
title_full ADAMTS-13 gene expression in antiphospholipid syndrome
title_fullStr ADAMTS-13 gene expression in antiphospholipid syndrome
title_full_unstemmed ADAMTS-13 gene expression in antiphospholipid syndrome
title_short ADAMTS-13 gene expression in antiphospholipid syndrome
title_sort adamts 13 gene expression in antiphospholipid syndrome
topic Antiphospholipid syndrome
ADAMTS-13
gene expression
url http://www.journalagent.com/z4/download_fulltext.asp?pdir=tjh&plng=eng&un=TJH-48378
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AT reyhandizkucukkaya adamts13geneexpressioninantiphospholipidsyndrome
AT aysegultopalsarıkaya adamts13geneexpressioninantiphospholipidsyndrome