PMID- 34523591 OWN - NLM STAT- MEDLINE DCOM- 20220103 LR - 20220103 IS - 1308-4488 (Electronic) IS - 1016-5169 (Linking) VI - 49 IP - 6 DP - 2021 Sep TI - Differences in autoimmunity factors based on the activity of thromboangiitis obliterans. PG - 439-447 LID - 10.5543/tkda.2021.19014 [doi] AB - OBJECTIVE: The treatment of Buerger's disease (BD) presents a medical problem as its etiology is still unclear. In this study, our objective was to evaluate the serum levels of autoimmune markers in patients with different clinical features of BD. METHODS: In this study, 80 BD patients were categorized in three groups using a cross-sectional design: migratory thrombophlebitis, cold sensitivity, and skin discoloration (mild symptoms); chronic ulcers, claudication, and burning pain of the feet at night (moderate symptoms); pain at rest and spontaneous gangrene (severe symptoms). Enzyme-linked immunosorbent assay was performed to measure antibodies against immunoglobulin M rheumatoid factor (IgM RF), anti-nuclear antibodies (ANA), antibodies against cyclic citrullinated peptide (anti-CCP), antiphospholipid antibodies (APA), anti-cardiolipin antibodies (ACLA), anti-double stranded DNA (anti-dsDNA), and extractable nuclear antigen (ENA) profile. RESULTS: Patients with severe symptoms showed the lowest age (p=0.031), ESR (p<0.001), and highest prevalence of ischemia (p<0.001). In all the patients, the serum levels of ANA and IgM RF were higher than 1 U and 15 IU/mL, respectively. However, the progression of the disease from mild to moderate did not affect these markers significantly (p>0.05). Other markers were negative in patients with BD. CONCLUSION: The findings of this study indicate that BD may closely be correlated to transient autoimmune phenomena, despite the fact that further research is required to investigate how transient unspecific autoimmune reactions contribute to the BD pathogenesis. FAU - Shapouri-Moghadam, Abbas AU - Shapouri-Moghadam A AD - Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Afshari, Seyed Jalil Tavakkol AU - Afshari SJT AD - Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Modaghegh, Mohammad-Hadi Saeed AU - Modaghegh MS AD - Vascular and Endovascular Surgery Research Center, Alavi Hospital, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Mahmoudi, Mahmoud AU - Mahmoudi M AD - Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Rahimi, Hamid Reza AU - Rahimi HR AD - Department of Medical Genetics and Molecular Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. FAU - Ehteshamfar, Seyed Morteza AU - Ehteshamfar SM AD - Immunology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. LA - eng PT - Journal Article PL - Turkey TA - Turk Kardiyol Dern Ars JT - Turk Kardiyoloji Dernegi arsivi : Turk Kardiyoloji Derneginin yayin organidir JID - 9426239 RN - 0 (Antibodies, Antinuclear) RN - 0 (Biomarkers) RN - 9009-79-4 (Rheumatoid Factor) SB - IM MH - Adult MH - Antibodies, Antinuclear/*blood MH - Autoimmunity MH - Biomarkers/blood MH - Female MH - Humans MH - Male MH - Middle Aged MH - Rheumatoid Factor/*blood/immunology MH - Thromboangiitis Obliterans/*blood EDAT- 2021/09/16 06:00 MHDA- 2022/01/04 06:00 CRDT- 2021/09/15 08:48 PHST- 2021/09/15 08:48 [entrez] PHST- 2021/09/16 06:00 [pubmed] PHST- 2022/01/04 06:00 [medline] AID - 10.5543/tkda.2021.19014 [doi] PST - ppublish SO - Turk Kardiyol Dern Ars. 2021 Sep;49(6):439-447. doi: 10.5543/tkda.2021.19014.