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Salman E, Dinç B. Elevated levels of anti-Golgi antibodies: An early sign of seronegative rheumatoid arthritis. Scand J Immunol 2024; 100:e13369. [PMID: 38566362 DOI: 10.1111/sji.13369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 03/12/2024] [Indexed: 04/04/2024]
Abstract
Anti-Golgi antibodies are uncommon antibodies that exhibit specific, polarized cytoplasmic staining on the Hep-2 substrate. The objective of our study was to identify the clinical and laboratory features associated with anti-Golgi antibodies. We examined 4.5 years of data from a Turkish tertiary hospital in this retrospective cohort analysis. The indirect immunofluorescence staining patterns, antinuclear antibody (ANA) titres and clinical data of all patients were obtained from the hospital record system. A total of 146,055 ANAs were detected, of which 224 patients (0.15%) exhibited anti-Golgi antibody staining. In total, 39.4% of diagnosed patients had autoimmune diseases (AIDs). Of the AIDs, 26 (46.4%) were rheumatoid arthritis (RA). This is a very high rate and another remarkable point is that 17 (65.3%) of these patients had seronegative RA. High-titre results (1 ≥ 1/320) were more common in patients with AID. Anti-Ro52 was prevalent in 50% of extractable nuclear antigen (ENA)-positive patients, making it a remarkable finding. The majority of individuals with high-titre anti-Golgi antibodies had AID, particularly RA. The majority of these patients also tested negative for anti-cyclic citrullinated peptide (anti-CCP) and rheumatoid factor (RF). Finally, high-titre anti-Golgi antibodies may be an important serologic marker for seronegative RA in the Turkish population.
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Affiliation(s)
- Emrah Salman
- Department of Immunology, Ankara Bilkent City Hospital, Ankara, Turkey
| | - Bedia Dinç
- Department of Microbiology, Ankara Bilkent City Hospital, Ankara, Turkey
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Virasoro BM, Carrizo CE, Pisoni CN. Polar/Golgi-Like Pattern on IIF and Its Association With Rheumatic Diseases. J Clin Rheumatol 2021; 27:S420-S422. [PMID: 32195852 DOI: 10.1097/rhu.0000000000001355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Belén María Virasoro
- Rheumatology and Immunology Section Centro de Educacion Medica e Investigaciones Clinicas "Dr. Norberto Quirno" (CEMIC) Buenos Aires, Argentina
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Zhai J, Liao J, Wang M, Huang Z, Hu J, Xu H, Xie Q, Ma B, Baan CC, Wu Y. Anti-Golgi Antibody as a Potential Indicator for Rheumatoid Arthritis. Lab Med 2021; 53:156-160. [PMID: 34415345 DOI: 10.1093/labmed/lmab046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
OBJECTIVE To reveal the relationship between anti-Golgi antibody (AGA) and clinical diseases through retrospective analysis. METHODS The clinical data of 584 cases testing positive for AGA in the past 11 years were collected and retrospectively analyzed. RESULTS AGA pattern accounted for .2% of positive ANA results. In total, 35.0% of diagnosed patients had autoimmune diseases (AID), mainly rheumatoid arthritis (RA). High-titer AGA (≧1:1000) was common in AID. In nondiagnosed patients with clinical symptoms, joint pain/muscle pain was the most common. CONCLUSIONS Positive AGA with high titer was closely related to RA. Joint pain/muscle pain was the most common symptom in patients who tested AGA positive. Therefore, AGA may be a key indicator of RA in the Chinese population.
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Affiliation(s)
- Jianzhao Zhai
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Jing Liao
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Minjin Wang
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Zhuochun Huang
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Jing Hu
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Huan Xu
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China
| | - Qibing Xie
- Department of Rheumatology, West China Hospital, Sichuan University, Chengdu, China
| | - Bin Ma
- School of Veterinary and Life Sciences, Murdoch University, Murdoch, Australia
| | - Carla C Baan
- Department of Internal Medicine, Sector of Nephrology & Transplantation, Erasmus MC, Rotterdam, Netherlands
| | - Yongkang Wu
- West China School of Medicine/Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.,Department of Outpatient and National Clinical Research Center for Geriatrics, West China Hospital of Sichuan University, Chengdu, China
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Ma L, Zeng A, Chen Y, Chen B, Zhou R. Anti-golgi antibodies: Prevalence and disease association in Chinese population. Clin Chim Acta 2019; 496:121-124. [PMID: 31278896 DOI: 10.1016/j.cca.2019.06.027] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 04/10/2019] [Accepted: 06/29/2019] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Anti-golgi antibodies (AGAs) are rarely encountered and often considered in relation to autoimmune diseases in clinical practice. This research was performed for studying the prevalence and clinical significance of AGAs in Chinese population. METHODS We retrospectively reviewed 22,619 laboratory reports of AGAs detected by indirect immunofluorescence (IIF) were consecutively collected from the First People's Hospital of Wenling between June 2012 and June 2017. Eight patients with AGAs were followed up for relevant clinical and laboratory characteristics. RESULT A total of 22,619 laboratory reports were collected. Of 19 patients with AGAs, 7 cases (all females) had autoimmune diseases (AID) and 12 cases (6 females and 6 males) had non-AID. High titer AGAs ranging from 1:1000 to 1:3200 were persistently present in AID patients, while low-titer AGAs ranging from 1:100 to 1:320 were transient in non-AID patients. CONCLUSION This is the first study to assess the AGA positive rate and relevant clinical manifestations in a hospitalized Chinese population. AGAs were rare and occurred in a variety of diseases. They were persistently strongly positive in AID, whereas low-titered and transient in non-AID.
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Affiliation(s)
- Lisha Ma
- Department of Clinical Laboratory, the First People's Hospital of Wenling, Affiliated Wenzhou Medical University, Taizhou, Zhejiang Province, China
| | - Aiping Zeng
- Department of Clinical Laboratory, the First People's Hospital of Wenling, Affiliated Wenzhou Medical University, Taizhou, Zhejiang Province, China
| | - Ying Chen
- Department of Clinical Laboratory, the First People's Hospital of Wenling, Affiliated Wenzhou Medical University, Taizhou, Zhejiang Province, China
| | - Binxuan Chen
- Department of Clinical Laboratory, the First People's Hospital of Wenling, Affiliated Wenzhou Medical University, Taizhou, Zhejiang Province, China
| | - Renfang Zhou
- Department of Clinical Laboratory, the First People's Hospital of Wenling, Affiliated Wenzhou Medical University, Taizhou, Zhejiang Province, China.
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Andrejevic S, Milenkovic B, Stojsic J, Stevic R, Bonaci-Nikolic B. Coexistence of Autoantibodies against the Golgi Complex and Ro52 Antigen in a Patient with Nonspecific Interstitial Pneumonia. Intern Med 2016; 55:273-8. [PMID: 26831023 DOI: 10.2169/internalmedicine.55.3832] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Nonspecific interstitial pneumonia (NSIP) is often associated with connective tissue diseases (CTD). The diagnosis of NSIP was confirmed in a 63-year-old man by high-resolution computed tomography and an open lung biopsy. Anti-Golgi complex autoantibodies (AGA) and anti-Ro52 antibodies were simultaneously detected at high concentrations. Autoantibodies to aminoacyl-tRNA synthetases (ARS) were negative. The patient was treated with corticosteroids for six months. During the seven-year follow-up, NSIP had a slow progression and patient had not developed the clinical features of CTD. The present study potentially demonstrates that the autoimmune process elicited by AGA and/or Ro/SSA may play a role in promoting idiopathic NSIP independently of the typical ARS routes, which has not been reported thus far.
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Affiliation(s)
- Sladjana Andrejevic
- Clinic of Allergy and Clinical Immunology, Clinical Center of Serbia, Serbia
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Okada M, Suzuki K, Miyamoto S, Shinohara T, Takada K, Sato K, Ishiyama N, Ohsuzu F. A case of rheumatoid arthritis that developed autoimmune hepatitis associated with anti-Golgi complex antibody. Mod Rheumatol 2014; 13:185-8. [DOI: 10.3109/s10165-002-0221-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Abstract
Idiopathic collapsing glomerulopathy is a clinically and pathologically distinct variant of focal segmental glomerulosclerosis characterized clinically by a male and Afro-Caribbean racial predominance, proteinuria (often nephrotic range), and rapid progression to end-stage renal failure. Pathologically, the typical changes are global glomerular collapse leading to obliteration of glomerular capillary lumina, hypertrophy and hyperplasia of podocytes, and severe tubulointerstitial changes. A secondary form with almost identical pathologic features is described in association with human immunodeficiency virus infection. We describe a female patient who presented with multisystemic manifestations, including high spiking fever, arthralgias, lymphadenopathy, striking hyperferritinemia, and impaired renal function with proteinuria. Renal biopsy showed classic collapsing glomerulopathy. A diagnosis of adult Still's disease was made on the basis of Yamaguchi's criteria. The patient was treated with steroids, resulting in remission of the rheumatological condition closely paralleled by remission of proteinuria and renal function, thereby strongly suggesting a causative link between adult Still's disease and collapsing glomerulopathy in this patient. We propose that collapsing glomerulopathy ought to be considered in adult Still's disease with unexplained renal insufficiency or proteinuria.
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Affiliation(s)
- Sanjeev Kumar
- Department of Renal Medicine and Transplantation, St. Bartholomew's and Royal London Hospitals, Barts and The London NHS Trust, London, United Kingdom UK.
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Hong HS, Chung WH, Hung SI, Chen MJ, Lee SH, Yang LC. Clinical association of anti-golgi autoantibodies and their autoantigens. Scand J Immunol 2004; 59:79-87. [PMID: 14723625 DOI: 10.1111/j.0300-9475.2004.01353.x] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Anti-Golgi autoantibodies (AGAs) and their targets have been reported from several diseases. However, the association of AGAs, selective autoantigens and related clinical diseases is still obscure. In this study, the presence of AGAs in the sera of 5983 patients was screened to explore the association of AGAs and clinical diseases. By means of indirect immunofluorescence using HEp-2 cells, sera of 12 patients bearing AGAs were identified. The location of recognized Golgi autoantigen(s) was confirmed by the treatment of monensin and double immunostaining using beta-COP. Using the immunoelectron microscopy, AGA immunoreactivity was clearly demonstrated at a stack structure, characteristic of the Golgi complex. Furthermore, analysis of the 12 AGA-positive sera by Western blot revealed at least 15 components of Golgi antigens with relative molecular weights ranging from 54 to 350 kDa, and several Golgi autoantigens identified may be novel. Notably, over half of the AGA-positive cases found belong to non-autoimmune diseases, particularly hepatic disorder. This study presents the association of AGAs, components of the Golgi complex and clinical diseases.
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Affiliation(s)
- H-S Hong
- Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan.
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