β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients

Aim. To develop a test system measuring β1-adrenoreceptor antibody (anti- β1-AR) level. To study the effects of autoantibody removal on left ventricular (LV) contractility. Material and methods. Peptides, according to second human extracellular β1-AR loop fragments (197-222 amino acid fragments), we...

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Main Authors: E. A. Tabakyan, A. G. Tonevitsky, D. M. Ataullakhanova, A. Yu. Zaruba, V. V. Kukharchuk
Format: Article
Language:Russian
Published: «SILICEA-POLIGRAF» LLC 2007-06-01
Series:Кардиоваскулярная терапия и профилактика
Subjects:
Online Access:https://cardiovascular.elpub.ru/jour/article/view/1239
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author E. A. Tabakyan
A. G. Tonevitsky
D. M. Ataullakhanova
A. Yu. Zaruba
V. V. Kukharchuk
author_facet E. A. Tabakyan
A. G. Tonevitsky
D. M. Ataullakhanova
A. Yu. Zaruba
V. V. Kukharchuk
author_sort E. A. Tabakyan
collection DOAJ
description Aim. To develop a test system measuring β1-adrenoreceptor antibody (anti- β1-AR) level. To study the effects of autoantibody removal on left ventricular (LV) contractility. Material and methods. Peptides, according to second human extracellular β1-AR loop fragments (197-222 amino acid fragments), were synthesized by modified hard-phase method and then lyophilized. Molecular mass control was performed by laser desorption mass spectrometry. In total, 47 patients were examined, with the aim of anti- β1-AR detection. Dilated cardiomyopathy (DCMP) was diagnosed in 22 patients, ischemic CMP – in 8, post-infarction cardiosclerosis – in 6, myocarditis – in 3, alcohol CMP – in 1, and post-transplantation CMP – in 7 participants. Anti- β1-AR were removed in 4 DCMP patients, by plasmapheresis (PF; n=3) or immunoadsorption (IA; n=1). Results. A new immune-enzyme test system for autoantibody detection has been developed, using the second extracellular β1-AR loop 26 amino acid peptide as the antigen. Anti- β1-AR removal by IA or PF methods resulted in improved LV contractility among DCMP patients. Conclusion. It is important to determine whether LV contractility improvement is explained by anti-β1-AR removal exclusively. More advanced methods for anti- β1-AR and other anti-myocardial antibody detection should be developed, and auto-antibodies’ role in impaired myocardial contractility should be studied.
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spelling doaj.art-78da11982ec04537b89009ff65efaede2023-03-13T07:23:13Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252007-06-01632532950β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patientsE. A. Tabakyan0A. G. Tonevitsky1D. M. Ataullakhanova2A. Yu. Zaruba3V. V. Kukharchuk4НИИ клинической кардиологии им. А.Л.Мясникова Российского кардиологического научно)производственного комплекса Росздрава, МоскваНИИ трансплантологии и искусственных органов РосздраваНИИ клинической кардиологии им. А.Л.Мясникова Российского кардиологического научно)производственного комплекса Росздрава, МоскваНИИ клинической кардиологии им. А.Л.Мясникова Российского кардиологического научно)производственного комплекса Росздрава, МоскваНИИ клинической кардиологии им. А.Л.Мясникова Российского кардиологического научно)производственного комплекса Росздрава, МоскваAim. To develop a test system measuring β1-adrenoreceptor antibody (anti- β1-AR) level. To study the effects of autoantibody removal on left ventricular (LV) contractility. Material and methods. Peptides, according to second human extracellular β1-AR loop fragments (197-222 amino acid fragments), were synthesized by modified hard-phase method and then lyophilized. Molecular mass control was performed by laser desorption mass spectrometry. In total, 47 patients were examined, with the aim of anti- β1-AR detection. Dilated cardiomyopathy (DCMP) was diagnosed in 22 patients, ischemic CMP – in 8, post-infarction cardiosclerosis – in 6, myocarditis – in 3, alcohol CMP – in 1, and post-transplantation CMP – in 7 participants. Anti- β1-AR were removed in 4 DCMP patients, by plasmapheresis (PF; n=3) or immunoadsorption (IA; n=1). Results. A new immune-enzyme test system for autoantibody detection has been developed, using the second extracellular β1-AR loop 26 amino acid peptide as the antigen. Anti- β1-AR removal by IA or PF methods resulted in improved LV contractility among DCMP patients. Conclusion. It is important to determine whether LV contractility improvement is explained by anti-β1-AR removal exclusively. More advanced methods for anti- β1-AR and other anti-myocardial antibody detection should be developed, and auto-antibodies’ role in impaired myocardial contractility should be studied.https://cardiovascular.elpub.ru/jour/article/view/1239аутоантитела против β1-адренорецептораиммуноадсорбцияплазмаферезсократимость миокарда левого желудочка
spellingShingle E. A. Tabakyan
A. G. Tonevitsky
D. M. Ataullakhanova
A. Yu. Zaruba
V. V. Kukharchuk
β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
Кардиоваскулярная терапия и профилактика
аутоантитела против β1-адренорецептора
иммуноадсорбция
плазмаферез
сократимость миокарда левого желудочка
title β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
title_full β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
title_fullStr β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
title_full_unstemmed β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
title_short β1-adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
title_sort β1 adrenoreceptor antibody measurement and antibody removal effects on left ventricular contractility in dilated cardiomyopathy patients
topic аутоантитела против β1-адренорецептора
иммуноадсорбция
плазмаферез
сократимость миокарда левого желудочка
url https://cardiovascular.elpub.ru/jour/article/view/1239
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AT agtonevitsky b1adrenoreceptorantibodymeasurementandantibodyremovaleffectsonleftventricularcontractilityindilatedcardiomyopathypatients
AT dmataullakhanova b1adrenoreceptorantibodymeasurementandantibodyremovaleffectsonleftventricularcontractilityindilatedcardiomyopathypatients
AT ayuzaruba b1adrenoreceptorantibodymeasurementandantibodyremovaleffectsonleftventricularcontractilityindilatedcardiomyopathypatients
AT vvkukharchuk b1adrenoreceptorantibodymeasurementandantibodyremovaleffectsonleftventricularcontractilityindilatedcardiomyopathypatients