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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Rote NS, Walter A, Lyden TW. Antiphospholipid antibodies:lobsters or red herrings? Am J Reprod Immunol 1992;28:31–7.
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.
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.
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.
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.
Althabe O, Labarrere C, Telenta M. Maternal vascular lesions in placentae of small-for-gestational-age infants. Placenta 1985;6:265.
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.
Abramowsky CR, Vegas ME, Swinehart G, Gyves MT. Decidual vasculopathy of the placenta in lupus erythematosus. N Engl J Med 1980;303:668–72.
Branch DW, Rote NS, Dostal DA, Scott JR. Association of lupus anticoagulant with antibody against phosphatidylserine. Clin Immunol Immunopathol 1987;42:63–75.
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.
Triplett DA, Brandt JT, Musgrave KA, Orr CA. The relationship between lupus anticoagulants and antibodies to phospholipid. JAMA 1988;259:550–4.
Lubbe WF, Butler WS, Palmer SJ, Liggins GC. Lupus anticoagulant in pregnancy. Br J Obstet Gynaecol 1984;91:357–63.
Branch DW, Scott JR, Kochenour NK, Hershgold E. Obstetric complications associated with the lupus anticoagulant. N Engl J Med 1985;313:1322–6.
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.
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.
Ioannou PV, Golding BT. Cardiolipins:their chemistry and biochemistry. Prog Lipid Res 1979;17:279–318.
Daum G. Lipids of mitochondria. Biochim Biophys Acta 1985;822:1–42.
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.
Op den Kamp JAF. Lipid asymmetry in membranes. Annu Rev Biochem 1979;48:47–71.
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.
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.
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.
Gharavi AE, Harris EN, Asherson RA, Hughes GRV. Anticardiolipin antibodies:isotype distribution and phospholipid specificity. Ann Rheum Dis 1987;46:1–6.
Branch DW, Rote NS, Dostal DA, Scott JR. Association of lupus anticoagulant with antibody against phosphatidylserine. Clin Immunol Immunopathol 1987;42:63–75.
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.
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.
Scott JR, Rote NS, Branch DW Immunologic aspects of recurrent abortion and fetal death. Obstet Gynecol 1987;70:645–56.
Triplett DA, Brandt JT. Lupus anticoagulants:misnomer, paradox, riddle, epiphenomenon. Hematol Pathol 1988;2:121–3.
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.
Bevers EM, Comfurius P, Zwaal RFA. Changes in membrane phospholipid distribution during platelet activation. Biochim Biophys Acta 1983;736:57–66.
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.
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.
Sessions A, Horowitz AF. Myoblast aminophospholipid asymmetry differs from that of fibroblasts. FEBS Lett 1981;134:75–8.
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.
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.
McEvoy L, Williamson P, Schlegel RA. Membrane phospholipid asymmetry as a determinant of erythrocyte recognition by macrophages. PNAS, USA 1986;83:3311.
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.
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.
Lyden TW, Ng AK, Rote NS. Modulation of phosphatidylserine epitope expression on BeWo cells during forskolin treatment. Placenta 1993;14:177–86.
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.
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.
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.
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.
Maneta-Peyret L, Freyburger G, Bessoule J-J, Cassagen C. Specific immunocytochemical visualization of phosphatidylserine. J Immunol Methods 1989;122:155–9.
Glenney JR. Calpactins:calcium-regulated membrane-skeletal proteins. Bioessays 1987;7:173–5.
Isenberg G. Actin binding proteins-lipid interactions. J Muscle Res Cell Motil 1991;12:136–44.
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.
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.
Wagner MC, Barylko B, Albanesi JP. Tissue distribution and subcellular localization of mammalian myosin I. J Cell Biol 1992;119:163–70.
Zwaal RFA. Scrambling membrane phospholipids and local control of blood clotting. NIPS 1988;3:57–61.
Comfurius P, Bevers EM, Zwaal RFA. Interaction between phosphatidylserine and the isolated cytoskeleton of human blood platelets. Biochim Biophys Acta 1989;983:212–6.
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.
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.
Wolf M, Baggiolini M. Identification of phosphatidylserine-binding proteins in human white blood cells. Biochem J 1990;269:723–8.
Calleau M, Herve P, Fellman P, Devaux PF. Transmembrane diffusion of fluorescent phospholipids in human erythrocytes. Chem Phys Lipids 1991;57:29–37.
O’Halloran T, Beckerle MC, Burridge K. Identification of talin as a major cytoplasmic protein implicated in platelet activation. Nature 1985;317:449–51.
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.
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.
Kliman HJ, Feinman MA, Strauss JF III. Differentiation of human cytotrophoblasts into syncytiotrophoblasts in culture. Troph Res 1987;2:407–21.
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.
Galli M, Barbui T, Zwaal RFA, Comfurius P, Bevers EM. Editorial:antiphospholipid antibodies:involvement of protein cofactors. Haematologica 1993;78:1–4.
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.
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.
Chamley LW, McKay EJ, Pattison NS. Cofactor dependent and cofactor independent anticardiolipin antibodies. Thromb Res 1991;61:291–9.
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.
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.
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.
Editor information
Editors and Affiliations
Rights 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