Skip to main content
Annals of the Rheumatic Diseases logoLink to Annals of the Rheumatic Diseases
. 1988 Aug;47(8):645–647. doi: 10.1136/ard.47.8.645

Relation of microscopic haematuria in ankylosing spondylitis to circulating IgA containing immune complexes.

A J Peeters 1, A W van den Wall Bake 1, A D van Dalsen 1, M L Westedt 1
PMCID: PMC1006715  PMID: 3415363

Abstract

Ankylosing spondylitis (AS) is associated with IgA nephropathy. To study the pathogenetic mechanism of this association the presence of haematuria and circulating IgA containing immune complexes (IgA ICs) in 70 patients with AS was determined. In this retrospective study haematuria was present in 15 patients and 25 patients had IgA ICs. Circulating IgA ICs were shown in 9/15 (60%) of the patients with haematuria and in 16/55 (29%) of those without haematuria. These results suggest that IgA ICs in patients with ankylosing spondylitis have a pathogenetic role in causing IgA nephropathy.

Full text

PDF
645

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Bailey R. R., Burry A. F., McGiven A. R., Kirk J. A., Laing J. K., Moller P. A renal lesion in ankylosing spondylitis. Nephron. 1980;26(4):171–173. doi: 10.1159/000181975. [DOI] [PubMed] [Google Scholar]
  2. Breedveld F. C., Lafeber G. J., de Vries E., Leyh P. C., Daha M. R., Cats A. Fc receptors on granulocytes from patients with rheumatoid arthritis and Felty's syndrome. Clin Exp Immunol. 1984 Mar;55(3):677–683. [PMC free article] [PubMed] [Google Scholar]
  3. Bruneau C., Bonin H. Evidence for a disease specific antigen in circulating immune complexes in ankylosing spondylitis. Clin Exp Immunol. 1983 Sep;53(3):529–535. [PMC free article] [PubMed] [Google Scholar]
  4. Bruneau C., Villiaumey J., Avouac B., Martigny J., Laurent J., Pichot A., Belghiti D., Lagrue G. Seronegative spondyloarthropathies and IgA glomerulonephritis: a report of four cases and a review of the literature. Semin Arthritis Rheum. 1986 Feb;15(3):179–184. doi: 10.1016/0049-0172(86)90015-6. [DOI] [PubMed] [Google Scholar]
  5. Calin A. Rarity of nephropathy in ankylosing spondylitis. Arthritis Rheum. 1982 Dec;25(12):1510–1510. doi: 10.1002/art.1780251228. [DOI] [PubMed] [Google Scholar]
  6. Chou C. T., Lee C. F., Shieh S. D., Huang H. W., Ho Y. S. The significance of raised serum IgA in ankylosing spondylitis with IgA nephropathy. Taiwan Yi Xue Hui Za Zhi. 1984 Dec;83(12):1232–1237. [PubMed] [Google Scholar]
  7. Clive D. M., Stoff J. S. Renal syndromes associated with nonsteroidal antiinflammatory drugs. N Engl J Med. 1984 Mar 1;310(9):563–572. doi: 10.1056/NEJM198403013100905. [DOI] [PubMed] [Google Scholar]
  8. Deicher H., Ebringer A., Hildebrand S., Kemper A., Zeidler H. Circulating immune complexes in ankylosing spondylitis. Br J Rheumatol. 1983 Nov;22(4 Suppl 2):122–127. doi: 10.1093/rheumatology/xxii.suppl_2.122. [DOI] [PubMed] [Google Scholar]
  9. Duquesnoy B., Santoro F., Wattre P., Delcambre B. Failure to find C1q-binding material and anti-IgG antibodies in ankylosing spondylitis. Ann Rheum Dis. 1980 Oct;39(5):449–452. doi: 10.1136/ard.39.5.449. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Espinoza L. R., Gaylord S. W., Bocanegra T. S., Vasey F. B., Germain B. F. Circulating immune complexes in the seronegative spondyloarthropathies. Clin Immunol Immunopathol. 1982 Mar;22(3):384–393. doi: 10.1016/0090-1229(82)90055-1. [DOI] [PubMed] [Google Scholar]
  11. Gabay R., Zubler R. H., Nydegger U. E., Lambert P. H. Immune complexes and complement catabolism in ankylosing spondylitis. Arthritis Rheum. 1977 May;20(4):913–916. doi: 10.1002/art.1780200402. [DOI] [PubMed] [Google Scholar]
  12. Hajjaj-Hassouni N., Laghrissi S., Khalil A., Mkinsi O., Maaouni A., Berbich A., Tazi A. Spondylarthrite ankylosante et amylose. A propos de deux observations. Rev Rhum Mal Osteoartic. 1982 Oct;49(10):687–691. [PubMed] [Google Scholar]
  13. Jennette J. C., Ferguson A. L., Moore M. A., Freeman D. G. IgA nephropathy associated with seronegative spondylarthropathies. Arthritis Rheum. 1982 Feb;25(2):144–149. doi: 10.1002/art.1780250205. [DOI] [PubMed] [Google Scholar]
  14. Kauffmann R. H., de Rooy-Dijk H. H., Klein F., Lafeber G. J., Cats A., van Es L. A. The significance of immunofluorescent immunoglobulin inclusions in polymorphonuclear leucocytes for the detection of circulating immune complexes. Clin Exp Immunol. 1983 Oct;54(1):203–212. [PMC free article] [PubMed] [Google Scholar]
  15. Lourie S. H., Denman S. J., Schroeder E. T. Association of renal papillary necrosis and ankylosing spondylitis. Arthritis Rheum. 1977 May;20(4):917–921. doi: 10.1002/art.1780200403. [DOI] [PubMed] [Google Scholar]
  16. Maksymowych W., Dasgupta M. K., Rothwell R. S., Dossetor J. B., Russell A. S. The absence of circulating immune complexes in patients with ankylosing spondylitis. Rheumatol Int. 1981;1(3):107–109. doi: 10.1007/BF00541253. [DOI] [PubMed] [Google Scholar]
  17. Panayi G. S., Slaney J., Williams B. D. Circulating immune complexes in patients with ankylosing spondylitis. Ann Rheum Dis. 1980 Oct;39(5):445–448. doi: 10.1136/ard.39.5.445. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Pasternack A., Törnroth T., Martio J. Ultrastructural studies of renal arteriolar changes in ankylosing spondylitis. Acta Pathol Microbiol Scand A. 1971;79(6):591–603. doi: 10.1111/j.1699-0463.1971.tb01861.x. [DOI] [PubMed] [Google Scholar]
  19. Prakash S., Bansal R., Rajagopalan P., Malaviya A. N. Immunological studies in seronegative spondyloarthropathies. Br J Rheumatol. 1983 Aug;22(3):146–150. doi: 10.1093/rheumatology/22.3.146. [DOI] [PubMed] [Google Scholar]
  20. Rifai A., Millard K. Glomerular deposition of immune complexes prepared with monomeric or polymeric IgA. Clin Exp Immunol. 1985 May;60(2):363–368. [PMC free article] [PubMed] [Google Scholar]
  21. Rosenbaum J. T., Theofilopoulos A. N., McDevitt H. O., Pereira A. B., Carson D., Calin A. Presence of circulation immune complexes in Reiter's syndrome and ankylosing spondylitis. Clin Immunol Immunopathol. 1981 Feb;18(2):291–297. doi: 10.1016/0090-1229(81)90036-2. [DOI] [PubMed] [Google Scholar]
  22. Shu K. H., Lian J. D., Yang Y. F., Lu Y. S., Wang J. Y., Lan J. L., Chou G. Glomerulonephritis in ankylosing spondylitis. Clin Nephrol. 1986 Apr;25(4):169–174. [PubMed] [Google Scholar]
  23. Sissons J. G., Woodrow D. F., Curtis J. R., Evans D. J., Gower P. E., Sloper J. C., Peters D. K. Isolated glomerulonephritis with mesangial IgA deposits. Br Med J. 1975 Sep 13;3(5984):611–614. doi: 10.1136/bmj.3.5984.611. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Steven M. M., Westedt M. L., Daha M. R., de Vries E., Cats A. Comparison of immune complexes and complement components in arterial and venous blood of patients with rheumatoid arthritis. J Rheumatol. 1986 Feb;13(1):74–78. [PubMed] [Google Scholar]
  25. Swaak A. J., Frankfort I., Menon R. S., Pekelharing J. M., Planten O. Absence of IgA nephropathy in patients with ankylosing spondylitis. Rheumatol Int. 1986;6(4):145–149. doi: 10.1007/BF00541280. [DOI] [PubMed] [Google Scholar]
  26. Valentijn R. M., Kauffmann R. H., de la Rivière G. B., Daha M. R., Van ES L. A. Presence of circulating macromolecular IgA in patients with hematuria due to primary IgA nephropathy. Am J Med. 1983 Mar;74(3):375–381. doi: 10.1016/0002-9343(83)90954-3. [DOI] [PubMed] [Google Scholar]
  27. Wall B. A., Agudelo C. A., Pisko E. J. Increased incidence of recurrent hematuria in ankylosing spondylitis: a possible association with IgA nephropathy. Rheumatol Int. 1984;4(1):27–29. doi: 10.1007/BF00683881. [DOI] [PubMed] [Google Scholar]
  28. Zubler R. H., Lange G., Lambert P. H., Miescher P. A. Detection of immune complexes in unheated sera by modified 125I-Clq binding test. Effect of heating on the binding of Clq by immune complexes and application of the test to systemic lupus erythematosus. J Immunol. 1976 Jan;116(1):232–235. [PubMed] [Google Scholar]
  29. van der Linden S., Valkenburg H. A., Cats A. Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum. 1984 Apr;27(4):361–368. doi: 10.1002/art.1780270401. [DOI] [PubMed] [Google Scholar]

Articles from Annals of the Rheumatic Diseases are provided here courtesy of BMJ Publishing Group

RESOURCES