PMID- 16297164 OWN - NLM STAT- MEDLINE DCOM- 20060113 LR - 20181113 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 142 IP - 3 DP - 2005 Dec TI - The association of anti-phospholipid antibodies with parity in placental malaria. PG - 512-8 AB - Anti-phospholipid antibodies (aPL) are autoantibodies associated with both infections and the pathogenesis of certain pregnancy complications. In the latter, but not the former, aPL are dependent on a co-factor, beta(2) glycoprotein I (beta2GPI), which can also be used as an antigen for detection of such aPL in pregnancy. A cross-sectional study was carried out on serum samples from Kumasi, Ghana, to determine the occurrence and beta2GPI-dependence of aPL in placental malaria. Anti-cardiolipin, anti-phosphatidylserine and anti-beta2GPI enzyme-linked immunosorbent assays (ELISAs) were performed on sera from 103 HIV-non-infected gravid women. Placental malaria, both active and past infection, was diagnosed in 33/103 (32%) based on placental histology. In multiparae, beta2GPI-independent IgM antibodies to cardiolipin (P = 0.018) and phosphatidylserine (P = 0.009) were observed, which were most pronounced in past placental malaria infection. In primiparae, no association emerged between aPL and placental malaria. Trends for improved clinical parameters were identified in infected women with levels of anti-cardiolipin beyond the 99th multiple of the median for a healthy, non-malarious population. This study in placental malaria reports parity associations of beta2GPI-independent aPL profiles, and does not support a role for beta2GPI-dependent aPL. It is of significance in the context of the known parity differences in pregnancy malaria immunity. FAU - Owens, S AU - Owens S AD - MRC Laboratories, Atlantic Road, Fajara, The Gambia. FAU - Chamley, L W AU - Chamley LW FAU - Ordi, J AU - Ordi J FAU - Brabin, B J AU - Brabin BJ FAU - Johnson, P M AU - Johnson PM LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Antibodies, Anticardiolipin) RN - 0 (Antibodies, Antiphospholipid) RN - 0 (Anticoagulants) RN - 0 (Apolipoproteins) RN - 0 (Cardiolipins) RN - 0 (Glycoproteins) RN - 0 (Immunoglobulin G) RN - 0 (Phosphatidylserines) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Adult MH - Antibodies, Anticardiolipin/immunology MH - Antibodies, Antiphospholipid/*immunology MH - Anticoagulants/immunology MH - Apolipoproteins/immunology MH - Cardiolipins/immunology MH - Cross-Sectional Studies MH - Enzyme-Linked Immunosorbent Assay/methods MH - Female MH - Glycoproteins/immunology MH - Humans MH - Immunoglobulin G/analysis MH - Malaria/*immunology MH - Parity/*immunology MH - Phosphatidylserines/immunology MH - Placenta Diseases/*immunology MH - Pregnancy MH - Pregnancy Complications, Infectious/*immunology MH - beta 2-Glycoprotein I PMC - PMC1809541 EDAT- 2005/11/22 09:00 MHDA- 2006/01/18 09:00 PMCR- 2006/12/01 CRDT- 2005/11/22 09:00 PHST- 2005/11/22 09:00 [pubmed] PHST- 2006/01/18 09:00 [medline] PHST- 2005/11/22 09:00 [entrez] PHST- 2006/12/01 00:00 [pmc-release] AID - CEI2936 [pii] AID - 10.1111/j.1365-2249.2005.02936.x [doi] PST - ppublish SO - Clin Exp Immunol. 2005 Dec;142(3):512-8. doi: 10.1111/j.1365-2249.2005.02936.x.