Relevance of lymphoproliferative disorders and of anti-C1 inhibitor autoantibodies in acquired angio-oedem

M. Cicardi, A. Beretta, M. Colombo, D. Gioffré, M. Cugno, A. Agostoni

Research output: Contribution to journalArticlepeer-review

Abstract

We looked for autoantibodies to C1 inhibitor (C1-INH) and evaluated the relationship of their presence to the associated lymphoproliferative diseases and to the cleaved form of C1-INH in 13 patients with acquired C1-INH deficiency (acquired angio-oedema (AAE)). At the time of manifestation of angio-oedema symptoms or within a few years the following diseases were diagnosed: liver angioma (n = 1), M-components (n = 7, one of whom also had echinococcal liver cysts), breast cancer (n = 1), chronic lymphocytic leukaemia (CLL; n = 1); three patients had no associated disease. Anti-C1-INH autoantibodies, measured both has immunoglobulin binding to C1-INH immobilized onto microtitre plates (ELISA) and as plasma inhibitory activity of C1-INH function, were found in 12 patients. Binding of C1-INH to paraproteins, transferred to Immobilon after agarose gel electrophoresis, was detectable in five of seven M-components associated with AAE. Immunoblotting analysis of SDS-PAGE-separated plasma demonstrated that C1INH circulated in the cleaved 96-kD form in the 12 patients with autoantibodies, but not in the one without. In conclusion, the large majority of our patients have autoantibodies to C1-INH. Circulating autoantibodies are necessary for the generation of cleaved C1-INH. The paraproteins associated with AAE are frequently autoantibodies to C1-INH and thus account for its consumption.

Original languageEnglish
Pages (from-to)475-480
Number of pages6
JournalClinical and Experimental Immunology
Volume106
Issue number3
Publication statusPublished - 1996

Keywords

  • Acquired angio-oedema
  • Autoantibodies
  • C1 inhibitor
  • Lymphoproliferative disease

ASJC Scopus subject areas

  • Immunology

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