[Clinical investigation of anti-myeloperoxidase antibodies in patients with glomerulonephritis with crescent formation]

Nihon Jinzo Gakkai Shi. 1990 Oct;32(10):1087-93.
[Article in Japanese]

Abstract

Anti-neutrophil cytoplasmic antibodies (ANCA) have been found in patients with systemic vasculitis and crescentic glomerulonephritis. Recently two types of ANCA were identified, one is anti-myeloperoxidase antibodies (Anti-MPO Ab) stained perinuclear pattern of alcohol-fixed neutrophils by immunofluorescence test, and the other is autoantibodies with no reactivity with myeloperoxidase stained diffuse cytoplasmic pattern (C-ANCA). We investigated 59 patients with various glomerulonephritis with or without crescent to detect anti-MPO Ab and C-ANCA by an enzyme-linked immunosorbent assay. The results were as follows: 1) Anti-MPO Ab were detected only in patients with various glomerulonephritis with crescent. 2) Titers of anti-MPO Ab were high related to percentage of crescent in some cases of glomerulonephritis. 3) Titers of anti-MPO Ab were elevated at stage of cellular and fibro-cellular crescent. 4) C-ANCA were detected only in patients with Wegener's granulomatosis. These data suggested that anti-MPO Ab may play important roles in crescent formation and may be a marker of crescent formation in various glomerulonephritis.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Autoantibodies / analysis*
  • Cytoplasm / immunology
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Glomerulonephritis / diagnosis*
  • Glomerulonephritis / pathology
  • Humans
  • Kidney Glomerulus / pathology
  • Male
  • Middle Aged
  • Neutrophils / immunology
  • Peroxidase / immunology*

Substances

  • Autoantibodies
  • Peroxidase