PMID- 22074845 OWN - NLM STAT- MEDLINE DCOM- 20120716 LR - 20120319 IS - 1477-0962 (Electronic) IS - 0961-2033 (Linking) VI - 21 IP - 4 DP - 2012 Apr TI - Antinuclear and antiphospholipid antibodies in patients with multiple sclerosis. PG - 412-20 LID - 10.1177/0961203311427550 [doi] AB - The prevalence of autoantibodies in multiple sclerosis (MS) patients and their clinical associations differ between various studies. This study investigated antiphospholipid and antinuclear antibodies in 85 patients with multiple sclerosis (MS) and clinically isolated syndrome (CIS) with regard to their association with demographic features, MS specific clinical features and symptoms of connective tissue diseases. Autoantibodies tested included antinuclear antibodies (ANA) with their specificities and anticardiolipin (aCL) and anti-beta-2-glycoprotein I (anti-beta2GPI) antibodies. Antinuclear antibodies were more prevalent in MS patients than in controls (63.5% vs. 3.3%; p < 0.01) and in 19% of patients specific antinuclear antibodies were detected. Anti-beta2GPI IgM antibodies were more frequent in MS patients than in the control group (20% vs. 3.3%; p < 0.05). The frequency of anticardiolipin antibodies did not differ between MS patients and controls. MS patients seropositive for ANA and extractable nuclear antigens (ENA) had significantly shorter disease duration than seronegative patients (p < 0.05) and a lower disability score (Expanded Disability Status Score; EDSS) (p < 0.05). Anti-beta2GPI antibodies were more frequent in patients with secondary progressive MS (SP-MS) and specific ANA antibodies were more frequent in patients with clinically isolated syndrome (CIS) (p < 0.05). The presence of autoantibodies was not associated with the predominant site of neurological involvement or the clinical features of connective tissue diseases. FAU - Szmyrka-Kaczmarek, M AU - Szmyrka-Kaczmarek M AD - Department of Rheumatology and Internal Diseases, Wroclaw Medical University, Poland. magda_szmyrka@yahoo.com FAU - Pokryszko-Dragan, A AU - Pokryszko-Dragan A FAU - Pawlik, B AU - Pawlik B FAU - Gruszka, E AU - Gruszka E FAU - Korman, L AU - Korman L FAU - Podemski, R AU - Podemski R FAU - Wiland, P AU - Wiland P FAU - Szechinski, J AU - Szechinski J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20111110 PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0 (Antibodies, Antinuclear) RN - 0 (Antibodies, Antiphospholipid) SB - IM MH - Adolescent MH - Adult MH - Antibodies, Antinuclear/*blood MH - Antibodies, Antiphospholipid/*blood MH - Case-Control Studies MH - Chi-Square Distribution MH - Connective Tissue Diseases/blood/diagnosis/*immunology MH - Disability Evaluation MH - Disease Progression MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multiple Sclerosis, Chronic Progressive/blood/diagnosis/*immunology MH - Multiple Sclerosis, Relapsing-Remitting/blood/diagnosis/*immunology MH - Poland MH - Prognosis MH - Serologic Tests MH - Severity of Illness Index MH - Young Adult EDAT- 2011/11/15 06:00 MHDA- 2012/07/17 06:00 CRDT- 2011/11/15 06:00 PHST- 2011/11/15 06:00 [entrez] PHST- 2011/11/15 06:00 [pubmed] PHST- 2012/07/17 06:00 [medline] AID - 0961203311427550 [pii] AID - 10.1177/0961203311427550 [doi] PST - ppublish SO - Lupus. 2012 Apr;21(4):412-20. doi: 10.1177/0961203311427550. Epub 2011 Nov 10.