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Table 4 Studies addressing prevalence and clinical association of aPT antibodies

From: Antiphospholipid syndrome in 2014: more clinical manifestations, novel pathogenic players and emerging biomarkers

Reference

Study population

N

Prevalence of anti-PT

Clinical association

Fleck et al. [28]

LA positive subjects

42

74%

NI

Pengo et al. [29]

APS patients

22

50%

No association with thrombosis

Horback et al. [30]

SLE patients

175

38%

Association with thrombosis

(IgG and IgM)

Puurunen et al. [31]

SLE patients

139

34%

Association with DVT

Swadzba et al. [32]

SLE patients with thrombotic event

127

28%

No association with thrombosis (IgG and IgM)

31

Galli et al. [33]

aPL-positive subjects

59

58%

No association with thrombosis

IgG 35.6%

IgM 37.3%

Bertolaccini et al. [34]

SLE patients

207

28%

No association with APS clinical manifestations

Forastiero et al. [35]

APS patients

97

25%

Association with thrombosis

aPL-negative patients with thrombotic events

83

Munoz-Rodriguez et al. [36]

APS patients

70

57%

Association with arterial thrombosis (IgG only)

SLE patients

107

40%

Atsumi et al. [37]

Patients with autoimmune diseases

265

IgG: PAPS 15%; SLE APS 42%; SLE no APS 20%

No association with APS

IgM: PAPS 5%; SLE APS 4%; SLE No APS 6%

Galli et al. [38]

LA-positive patients

72

85%

No association with APS

Nojima et al. [39]

SLE patients

124

IgG 52.4%

Association with venous thromboembolism (only aPT IgG + LA)

IgM 21%

Nojima et al. [40]

SLE patients

168

56%

Association with arterial thrombosis

Simmelink et al. [41]

LA-positive patients

46

30%

Association with thrombosis

LA-positive patients with SLE

29

LA-positive subjects: 70%

LA-negative patients

38

 

LA-negative patients with SLE

36

Salcido-Ochoa et al. [42]

APS patients

38

IgG 26%, IgM 11%

Association with thrombosis

SLE patients

466

IgG 20%, IgM 33%

Von Landenberg et al. [43]

APS patients

170

IgG 61.7%

Association with pregnancy loss (IgG only)

(57% PAPS; 43% SAPS)

 

IgM 57.6%

IgA 7%

Musial et al. [44]

APS patients

22

IgG 45.4%, IgM 50%

No association with thrombosis

SLE patients

160

IgG 18.1%, IgM 18.7%

SLE-like patients

22

IgG 31.8%, IgM 27.3%

Ishikura et al. [45]

SLE patients

22

18.2%

Association with venous thrombosis

Patients with

  

DVT/PTE

48

IgG 29%, IgM 8.3%

Stroke

30

IgG 16.7%, IgM 6.7%

Koskenmies et al. [46]

SLE patients

292

20%

Association with arterial thrombosis

Bertolaccini et al. [47]

SLE patients

212

31%

Association with venous/arterial thrombosis (IgG only)

IgG-only 24.5%

IgM-only 5%

Bizzarro et al. [48]

aCL-positive APS patients

25

60%

Association with thrombosis (IgG only)

SLE-APS patients

23

45%

SLE-no APS patients

66

Forastiero et al. [49]

aPL-positive subjects (LA/aCL)

194

46%

Association with thrombosis (IgG only)

IgG 36%

IgM 23%

Gould et al. [50]

SLE patients

100

20%

No association with thrombosis

Tsutumi et al. [51]

SLE patients

139

25%

Association with thrombosis

Nojima et al. [52]

SLE patients

175

54.3%

No association with thrombosis

Bizzaro et al. [53]

SLE patients

101

IgG 13.9%

Association with thrombosis (IgG only)

IgM 9%

IgG + IgM 3%

Sailer et al. [54]

LA-positive subjects

79

 

No association with thrombosis

With thrombosis

50

72% (assay I), 50% (assay II)

Without thrombosis

29

66% (assay I), 41% (assay II)

Bardin et al. [55]

APS patients

62

42%

NI

Jakowski et al. [56]

APS patients

58

22%

No association with pregnancy loss

Women with recurrent pregnancy loss

66

12%

Szodoray et al. [57]

SLE patients

85

IgG 18%, IgM 0

NI

Pengo et al. [58]

LA-positive subjects

231

IgG 26%

No association with APS clinical events

IgM 27%

Marozio et al. [59]

Obstetric APS patients

187

29.4%

Association with severe pre-eclampsia, HELLP syndrome, intra-uterine fetal death

IgG 25.8%

IgM 1.8%

IgG + IgM: 1.8%

Hoxha et al. [60]

PAPS patients

158

IgG 23.5%, IgM 4.9%

Association with thrombosis and obstetric manifestations (IgG only)

Thrombotic APS

56

IgG 10.7%, IgM 1.8%

Obstetric APS

102

 

Sater et al. [61]

Women with recurrent miscarriages

277

IgM 12%

No association with pregnancy loss

  1. aCL, anti-cardiolipin antibody; aPL, anti-phospholipid antibody; APS, anti-phospholipid syndrome; aPT, anti-prothrombin antibody; DVT, deep vein thrombosis; HELLP, hemolysis, elevated liver enzymes and low platelet count; Ig, immunoglobulin; LA, lupus anticoagulant; NI, not investigated; PAPS, primary anti-phospholipid syndrome; PTE, pulmonary thromboembolism; SAPS, secondary anti-phospholipid syndrome; SLE, systemic lupus erythematosus.