Skip to main content

Antiphospholipid Antibodies and Placental Development

  • Conference paper
Immunobiology of Reproduction

Part of the book series: Serono Symposia, USA ((SERONOSYMP))

Abstract

The antiphospholipid antibody syndrome (aPL syndrome) is characterized by elevated levels of autoantibodies against negatively charged phospholipids (aPLs) associated with several severe obstetrical complications, including recurrent pregnancy loss, pregnancy-induced hypertension and preeclampsia before 34 weeks’gestation, and intrauterine growth retardation (reviewed in 1, 2). The syndrome appears to be a prothrombotic state in which the patients are at risk for thrombosis at virtually any site. The most thoroughly studied aPLs are the lupus anticoagulant and antibodies against the phospholipid cardiolipin (aCLs). It is commonly proposed that aCLs, which are cross-reactive with other phospholipids, are primarily responsible for the thrombosis. The obstetric complications have been attributed to aCL-induced placental damage resulting from placental or decidual thrombosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rote NS, Walter A, Lyden TW. Antiphospholipid antibodies:lobsters or red herrings? Am J Reprod Immunol 1992;28:31–7.

    PubMed  CAS  Google Scholar 

  2. Rote NS. Alloantibodies, autoantibodies, and disorders of pregnancy. In:Naz R, ed. CRC monographs:immunology of reproduction. Boca Raton, FL:CRC Press, 1993:145–68.

    Google Scholar 

  3. DeWolf F, Carreras LO, Moerman P, Vermylen J, Van Assche A, Renaer M. Decidual vasculopathy and extensive placental infarction in a patient with repeated thromboembolic accidents, recurrent fetal loss, and a lupus anticoagulant. Am J Obstet Gynecol 1982;142:829–34.

    CAS  Google Scholar 

  4. Out HJ, Kooijman CD, Bruinse HW, Derksen RHWM. Histopathological findings in placentae from patients with intra-uterine fetal death and antiphospholipid antibodies. Eur J Obstet Gynecol Reprod Biol 1991;41:179–86.

    Article  PubMed  CAS  Google Scholar 

  5. Lochshin MD, Druzin ML, Goei S, et al. Antibody to cardiolipin as a predictor of fetal distress or death in pregnant patients with systemic lupus erythematosus. N Engl J Med 1985;313:152–6.

    Article  Google Scholar 

  6. Althabe O, Labarrere C, Telenta M. Maternal vascular lesions in placentae of small-for-gestational-age infants. Placenta 1985;6:265.

    Article  PubMed  CAS  Google Scholar 

  7. Sheppard BL, Bonnar J. An ultrastructural study of utero-placental spiral arteries in hypertensive and normotensive pregnancy and fetal growth retardation. Br J Obstet Gynaecol 1981;88:695.

    Article  PubMed  CAS  Google Scholar 

  8. Abramowsky CR, Vegas ME, Swinehart G, Gyves MT. Decidual vasculopathy of the placenta in lupus erythematosus. N Engl J Med 1980;303:668–72.

    Article  PubMed  CAS  Google Scholar 

  9. Branch DW, Rote NS, Dostal DA, Scott JR. Association of lupus anticoagulant with antibody against phosphatidylserine. Clin Immunol Immunopathol 1987;42:63–75.

    Article  PubMed  CAS  Google Scholar 

  10. Rote NS, Ng AK, Dostal-Johnson DA, Nicholson S, Siekman R. Immunologic detection of phosphatidylserine externalization during thrombin-induced platelet activation. Clin Immunol Immunopathol 1993;66:193–200.

    Article  PubMed  CAS  Google Scholar 

  11. Triplett DA, Brandt JT, Musgrave KA, Orr CA. The relationship between lupus anticoagulants and antibodies to phospholipid. JAMA 1988;259:550–4.

    Article  PubMed  CAS  Google Scholar 

  12. Lubbe WF, Butler WS, Palmer SJ, Liggins GC. Lupus anticoagulant in pregnancy. Br J Obstet Gynaecol 1984;91:357–63.

    Article  PubMed  CAS  Google Scholar 

  13. Branch DW, Scott JR, Kochenour NK, Hershgold E. Obstetric complications associated with the lupus anticoagulant. N Engl J Med 1985;313:1322–6.

    Article  PubMed  CAS  Google Scholar 

  14. Derue GJ, Englert JH, Harris EN, Gharavi AE, Morgan SH, Hull RG. Fetal loss in systemic lupus:association with anticardiolipin antibodies. J Obstet Gynaecol 1985;5:207–9.

    Article  Google Scholar 

  15. Branch DW, Scott JR. Clinical implications of anti-phospholipid antibodies:the Utah experience. In:Harris EN, Exner T, Hughes GRV, Asherson RA, eds. Phospholipid-binding antibodies. Boca Raton, FL:CRC Press, 1991:335–46.

    Google Scholar 

  16. Ioannou PV, Golding BT. Cardiolipins:their chemistry and biochemistry. Prog Lipid Res 1979;17:279–318.

    Article  PubMed  CAS  Google Scholar 

  17. Daum G. Lipids of mitochondria. Biochim Biophys Acta 1985;822:1–42.

    PubMed  CAS  Google Scholar 

  18. Dale MP, Robinson NC. Synthesis of cardiolipin derivatives with protection of the free hydroxyl:its application to the study of cardiolipin stimulation of cytochrome c oxidase. Biochem J 1988;27:8270–5.

    Article  CAS  Google Scholar 

  19. Op den Kamp JAF. Lipid asymmetry in membranes. Annu Rev Biochem 1979;48:47–71.

    Article  PubMed  CAS  Google Scholar 

  20. Schick PK, Kurica KB, Chacko GK. Localization of phosphatidyl ethanol-amine and phosphatidyl serine in the human platelet plasma membrane. J Clin Invest 1976;57:1221–6.

    Article  PubMed  CAS  Google Scholar 

  21. Sune A, Bette-Bobillo P, Bienvenue A, Fellmann P, Devaux PF. Selective outside-inside translocation of amino-phospholipids in human platelets. Biochem J 1987;26:2972–8.

    Article  CAS  Google Scholar 

  22. Beleznay Z, Zachowski A, Devaux PF, Navazo MP, Ott P. ATP-dependent aminophospholipid translocation in erythrocyte vesicles:stoichiometry of transport. Biochem J 1993;32:3146–52.

    Article  CAS  Google Scholar 

  23. Gharavi AE, Harris EN, Asherson RA, Hughes GRV. Anticardiolipin antibodies:isotype distribution and phospholipid specificity. Ann Rheum Dis 1987;46:1–6.

    Article  PubMed  CAS  Google Scholar 

  24. Branch DW, Rote NS, Dostal DA, Scott JR. Association of lupus anticoagulant with antibody against phosphatidylserine. Clin Immunol Immunopathol 1987;42:63–75.

    Article  PubMed  CAS  Google Scholar 

  25. Branch DW, Rote NS, Scott JR. Demonstration of lupus anticoagulant antigens using an enzyme-linked immunoabsorbent assay (ELISA). Ann NY Acad Sci 1986;475:370–2.

    Article  CAS  Google Scholar 

  26. Branch DW, Rote NS, Scott JR. The demonstration of the lupus anticoagulant by an enzyme-linked immunoabsorbent assay (ELISA). Clin Immunol Immunopathol 1986;39:296–307.

    Article  Google Scholar 

  27. Scott JR, Rote NS, Branch DW Immunologic aspects of recurrent abortion and fetal death. Obstet Gynecol 1987;70:645–56.

    PubMed  CAS  Google Scholar 

  28. Triplett DA, Brandt JT. Lupus anticoagulants:misnomer, paradox, riddle, epiphenomenon. Hematol Pathol 1988;2:121–3.

    PubMed  CAS  Google Scholar 

  29. Lechner K. Lupus anticoagulants and thrombosis. In:Verstraete M, Vermylen J, Lijnen R, Arnout J, eds. Thrombosis and haemostasis. Leuven, Belgium:Leuven University Press, 1987:525–47.

    Google Scholar 

  30. Bevers EM, Comfurius P, Zwaal RFA. Changes in membrane phospholipid distribution during platelet activation. Biochim Biophys Acta 1983;736:57–66.

    Article  PubMed  CAS  Google Scholar 

  31. Thiagarajan P, Tait JF. Binding of annexin V/placental anticoagulant protein I to platelets:evidence for phosphatidylserine exposure in the procoagulant response of activated platelets. J Biol Chem 1990;265:17420–3.

    PubMed  CAS  Google Scholar 

  32. Zwaal RFA, Bevers EM, Comfurius P, Rosing J, Tilly RH, Verhallen PF. Loss of membrane phospholipid asymmetry during activation of blood platelets and sickled red cells;mechanisms and physiological significance. Mol Cell Biochem 1989;91:23–31.

    Article  PubMed  CAS  Google Scholar 

  33. Sessions A, Horowitz AF. Myoblast aminophospholipid asymmetry differs from that of fibroblasts. FEBS Lett 1981;134:75–8.

    Article  PubMed  CAS  Google Scholar 

  34. Sessions A, Horowitz AF. Differentiation related differences in the plasma membrane phospholipid asymmetry of myogenic and fibrogenic cells. Biochim Biophys Acta 1983;728:103–11.

    Article  PubMed  CAS  Google Scholar 

  35. Fadok VA, Voelker DR, Campbell PA, Cohen JJ, Bratton DL, Henson PM. Exposure of phosphatidylserine on the surface of apoptotic lymphocytes triggers specific recognition and removal by macrophages. J Immunol 1992;148:2207–16.

    PubMed  CAS  Google Scholar 

  36. McEvoy L, Williamson P, Schlegel RA. Membrane phospholipid asymmetry as a determinant of erythrocyte recognition by macrophages. PNAS, USA 1986;83:3311.

    Article  CAS  Google Scholar 

  37. Comfurius P, Bevers EM, Zwaal RFA. The involvement of cytoskeleton in the regulation of transbilayer movement of phospholipids in human blood platelets. Biochim Biophys Acta 1985;815:143–8.

    Article  PubMed  CAS  Google Scholar 

  38. Lyden TW, Vogt E, Ng AK, Johnson PM, Rote NS. Monoclonal antiphospholipid antibody reactivity against human placental trophoblast. J Reprod Immunol 1992;22:1–14.

    Article  PubMed  CAS  Google Scholar 

  39. Lyden TW, Ng AK, Rote NS. Modulation of phosphatidylserine epitope expression on BeWo cells during forskolin treatment. Placenta 1993;14:177–86.

    Article  PubMed  CAS  Google Scholar 

  40. Cowchock FS, Reece EA, Balaban D, Branch DW, Plouffe L. Repeated fetal losses associated with antiphospholipid antibodies:a collaborative randomized trial comparing prednisone with low-dose heparin treatment. Am J Obstet Gynecol 1992;166:1318–23.

    PubMed  CAS  Google Scholar 

  41. Schorer AE, Wickham NW, Watson KV. Lupus anticoagulant induces a selective defect in thrombin-mediated endothelial prostacyclin release and platelet aggregation. Br J Haematol 1989;71:399–407.

    Article  PubMed  CAS  Google Scholar 

  42. Khamashta MA, Harris EN, Gharavi AE, et al. Immune mediated mechanism for thrombosis:antiphospholipid antibody binding to platelet membranes. Ann Rheum Dis 1988;47:849–54.

    Article  PubMed  CAS  Google Scholar 

  43. Out HJ, de Groot PG, van Vliet M, de Gast GC, Nieuwenhuis HK. Antibodies to platelets in patients with anti-phospholipid antibodies. Blood 1991;77:2655–9.

    PubMed  CAS  Google Scholar 

  44. Maneta-Peyret L, Freyburger G, Bessoule J-J, Cassagen C. Specific immunocytochemical visualization of phosphatidylserine. J Immunol Methods 1989;122:155–9.

    Article  PubMed  CAS  Google Scholar 

  45. Glenney JR. Calpactins:calcium-regulated membrane-skeletal proteins. Bioessays 1987;7:173–5.

    Article  PubMed  CAS  Google Scholar 

  46. Isenberg G. Actin binding proteins-lipid interactions. J Muscle Res Cell Motil 1991;12:136–44.

    Article  PubMed  CAS  Google Scholar 

  47. Fukami K, Furuhashi K, Inagaki M, Endo T, Hatano S, Takenawa T. Requirement of phosphatidylinositol 4,5-bisphosphate for œ-actinin function. Nature 1992;359:150–2.

    Article  PubMed  CAS  Google Scholar 

  48. Haest CWM, Plasa G, Kamp D, Deuticke B. Spectrin as a stabilizer of the phospholipid asymmetry in the human erythrocyte membrane. Biochim Biophys Acta 1978;509:21–32.

    Article  PubMed  CAS  Google Scholar 

  49. Wagner MC, Barylko B, Albanesi JP. Tissue distribution and subcellular localization of mammalian myosin I. J Cell Biol 1992;119:163–70.

    Article  PubMed  CAS  Google Scholar 

  50. Zwaal RFA. Scrambling membrane phospholipids and local control of blood clotting. NIPS 1988;3:57–61.

    CAS  Google Scholar 

  51. Comfurius P, Bevers EM, Zwaal RFA. Interaction between phosphatidylserine and the isolated cytoskeleton of human blood platelets. Biochim Biophys Acta 1989;983:212–6.

    Article  PubMed  CAS  Google Scholar 

  52. Zhuang Q, Stracher A. Purification and characterization of a calcium binding protein with “synexin-like”activity from human blood platelets. Biochem Biophys Res Commun 1989;159:236–41.

    Article  PubMed  CAS  Google Scholar 

  53. Burgener R, Wolf M, Ganz T, Baggiolini M. Purification and characterization of a major phosphatidylserine-binding phosphoprotein from human platelets. Biochem J 1990;269:729–34.

    PubMed  CAS  Google Scholar 

  54. Wolf M, Baggiolini M. Identification of phosphatidylserine-binding proteins in human white blood cells. Biochem J 1990;269:723–8.

    PubMed  CAS  Google Scholar 

  55. Calleau M, Herve P, Fellman P, Devaux PF. Transmembrane diffusion of fluorescent phospholipids in human erythrocytes. Chem Phys Lipids 1991;57:29–37.

    Article  Google Scholar 

  56. O’Halloran T, Beckerle MC, Burridge K. Identification of talin as a major cytoplasmic protein implicated in platelet activation. Nature 1985;317:449–51.

    Article  PubMed  Google Scholar 

  57. Beckerle MC, Miller DE, Bertagnolli ME, Locke SJ. Activation-dependent redistribution of the adhesion plaque protein, talin, in intact human platelets. J Cell Biol 1989;109:3333–46.

    Article  PubMed  CAS  Google Scholar 

  58. Heise H, Bayerl Th, Isenberg G, Sackmann E. Human platelet P-235, a talinlike actin binding protein, binds selectively to mixed lipid bilayers. Biochim Biophys Acta 1991;1061:121–31.

    Article  PubMed  CAS  Google Scholar 

  59. Kliman HJ, Feinman MA, Strauss JF III. Differentiation of human cytotrophoblasts into syncytiotrophoblasts in culture. Troph Res 1987;2:407–21.

    Google Scholar 

  60. Rauch J, Janoff AS. Phospholipid in the hexagonal (II) phase is immunogenic:evidence for immunorecognition of nonbilayer lipid phases in vivo. PNAS, USA 1990;87:4112–4.

    Article  CAS  Google Scholar 

  61. Galli M, Barbui T, Zwaal RFA, Comfurius P, Bevers EM. Editorial:antiphospholipid antibodies:involvement of protein cofactors. Haematologica 1993;78:1–4.

    PubMed  CAS  Google Scholar 

  62. Galli M, Comfurius P, Maassen C, et al. Anticardiolipin antibodies (ACA) directed not to cardiolipin but to a plasma protein cofactor. Lancet 1990;335:1544–7.

    Article  PubMed  CAS  Google Scholar 

  63. Rauch J, Janoff AS. Role of monoclonal antibodies in understanding the interactions between anti-phospholipid antibodies and phospholipids. In:Harris N, Exner T, Hughes GRV, Asherson RA, eds. Phospholipid-binding antibodies. Boca Raton, FL:CRC Press, 1991:108–22.

    Google Scholar 

  64. Chamley LW, McKay EJ, Pattison NS. Cofactor dependent and cofactor independent anticardiolipin antibodies. Thromb Res 1991;61:291–9.

    Article  PubMed  CAS  Google Scholar 

  65. McNeil HP, Simpson RJ, Chesterman CN, Krilis SA. Anti-phospholipid antibodies are directed against a complex antigen that includes a lipid-binding inhibitor of coagulation:132-glycoprotein I (apolipoprotein H). PNAS, USA 1990;87:4120–4.

    Article  CAS  Google Scholar 

  66. Janoff AS. Relationship of lipid and antibody:phospholipid three dimensional structure determines antigenicity. In:Lochshin M, ed. Proc Antiphospholipid Antibody/Lupus Anticoagulant Workshop. NIH, Sept 25, 1991.

    Google Scholar 

  67. Bevers EM, Galli M, Barbui T, Comfurius P, Zwaal RFA. Lupus anticoagulant IgG’s (LA) are not directed to phospholipids only, but to a complex of lipid-bound human prothrombin. Thromb Haemost 1991;66:629–32.

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer-Verlag New York, Inc.

About this paper

Cite this paper

Rote, N.S., Lyden, T.W., Vogt, E., Ng, A.K. (1994). Antiphospholipid Antibodies and Placental Development. In: Hunt, J.S. (eds) Immunobiology of Reproduction. Serono Symposia, USA. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8422-9_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-8422-9_18

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4613-8424-3

  • Online ISBN: 978-1-4613-8422-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics