Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease

The study covered 30 apparently healthy individuals and 38 patients with systemic scleroderma. The patients gave their consent to participate in the study in accordance with the World Medical Association Declaration of Helsinki in the current (2013) version (ACR/EULAR). The donors and patients had t...

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Main Authors: O. I. Emelyanova, I. P. Gontar, O. A. Rusanova, I. A. Zborovskaya
Format: Article
Language:Russian
Published: St. Petersburg branch of the Russian Association of Allergologists and Clinical Immunologists 2021-01-01
Series:Медицинская иммунология
Subjects:
Online Access:https://www.mimmun.ru/mimmun/article/view/2098
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author O. I. Emelyanova
I. P. Gontar
O. A. Rusanova
I. A. Zborovskaya
author_facet O. I. Emelyanova
I. P. Gontar
O. A. Rusanova
I. A. Zborovskaya
author_sort O. I. Emelyanova
collection DOAJ
description The study covered 30 apparently healthy individuals and 38 patients with systemic scleroderma. The patients gave their consent to participate in the study in accordance with the World Medical Association Declaration of Helsinki in the current (2013) version (ACR/EULAR). The donors and patients had their blood tested for catalase antibodies with immunoenzyme assay and using magnetic sorbents upon hospital admission and before discharge. It was found that the patients with systemic scleroderma had a reduced oxidase activity of catalase as well as elevated catalase antibodies, compared with the controls. We revealed a statistically significant regularity that the concentration of catalase immunoglobulins is associated with activity and course of the disease. To assess the activity of systemic scleroderma we performed a complex evaluation of two parameters: enzymatic activity and catalase antibody levels. It was established that catalase autoantibodies are mostly revealed in patients with high-activity scleroderma, subacute and acute course of the disease, and when the lungs, skin, kidneys, joints and nervous system were involved, which was conclusively confirmed by a correlation analysis. It is especially important that catalase antibodies should be revealed at early stage of the disease development; they are of especial diagnostic importance, and their changes over time may form the basis for assessing efficiency of administered therapy. The changes in biochemical activity of catalase, elevated antibody titers provide additional criteria of diagnosis in systemic scleroderma. Monitoring of these parameters in hospital settings helps to evaluate the effectiveness of administered therapy and adjust its correction, which is confirmed by inclusion of such extracorporal techniques as plasma separation into the combined treatment schedules. Studying biochemical activity of catalase and formation of catalase antibodies expands our understanding of scleroderma development and opens new avenues for research.
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spelling doaj.art-f1881343747c4f9ba22e7ea149c9d2912025-03-11T17:59:11ZrusSt. Petersburg branch of the Russian Association of Allergologists and Clinical ImmunologistsМедицинская иммунология1563-06252313-741X2021-01-012261179118410.15789/1563-0625-CAI-20981338Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the diseaseO. I. Emelyanova0I. P. Gontar1O. A. Rusanova2I. A. Zborovskaya3Zborovsky Research Institute for Clinical and Experimental RheumatologyZborovsky Research Institute for Clinical and Experimental RheumatologyZborovsky Research Institute for Clinical and Experimental RheumatologyZborovsky Research Institute for Clinical and Experimental RheumatologyThe study covered 30 apparently healthy individuals and 38 patients with systemic scleroderma. The patients gave their consent to participate in the study in accordance with the World Medical Association Declaration of Helsinki in the current (2013) version (ACR/EULAR). The donors and patients had their blood tested for catalase antibodies with immunoenzyme assay and using magnetic sorbents upon hospital admission and before discharge. It was found that the patients with systemic scleroderma had a reduced oxidase activity of catalase as well as elevated catalase antibodies, compared with the controls. We revealed a statistically significant regularity that the concentration of catalase immunoglobulins is associated with activity and course of the disease. To assess the activity of systemic scleroderma we performed a complex evaluation of two parameters: enzymatic activity and catalase antibody levels. It was established that catalase autoantibodies are mostly revealed in patients with high-activity scleroderma, subacute and acute course of the disease, and when the lungs, skin, kidneys, joints and nervous system were involved, which was conclusively confirmed by a correlation analysis. It is especially important that catalase antibodies should be revealed at early stage of the disease development; they are of especial diagnostic importance, and their changes over time may form the basis for assessing efficiency of administered therapy. The changes in biochemical activity of catalase, elevated antibody titers provide additional criteria of diagnosis in systemic scleroderma. Monitoring of these parameters in hospital settings helps to evaluate the effectiveness of administered therapy and adjust its correction, which is confirmed by inclusion of such extracorporal techniques as plasma separation into the combined treatment schedules. Studying biochemical activity of catalase and formation of catalase antibodies expands our understanding of scleroderma development and opens new avenues for research.https://www.mimmun.ru/mimmun/article/view/2098catalasesystemic sclerodermaantibodiesmagnetocontrollable sorbentsdiagnosticsactivity
spellingShingle O. I. Emelyanova
I. P. Gontar
O. A. Rusanova
I. A. Zborovskaya
Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
Медицинская иммунология
catalase
systemic scleroderma
antibodies
magnetocontrollable sorbents
diagnostics
activity
title Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
title_full Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
title_fullStr Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
title_full_unstemmed Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
title_short Сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
title_sort сatalase antibodies in patients with systemic scleroderma as a diagnostic and prognostic marker of the disease
topic catalase
systemic scleroderma
antibodies
magnetocontrollable sorbents
diagnostics
activity
url https://www.mimmun.ru/mimmun/article/view/2098
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AT ipgontar satalaseantibodiesinpatientswithsystemicsclerodermaasadiagnosticandprognosticmarkerofthedisease
AT oarusanova satalaseantibodiesinpatientswithsystemicsclerodermaasadiagnosticandprognosticmarkerofthedisease
AT iazborovskaya satalaseantibodiesinpatientswithsystemicsclerodermaasadiagnosticandprognosticmarkerofthedisease