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. 1985 Jul;69(7):497–499. doi: 10.1136/bjo.69.7.497

Alpha 1 antitrypsin serum levels and phenotypes in patients with retinal vasculitis.

D Wakefield, J Easter, S N Breit, P Clark, R Penny
PMCID: PMC1040654  PMID: 3874648

Abstract

alpha 1 antitrypsin is an important immunoregulatory protein, the serum level of which is genetically determined. Deficient phenotypes of this ubiquitous protease inhibitor are associated with a variety of inflammatory diseases including anterior uveitis. In order to investigate the role of this protease inhibitor in the pathogenesis of retinal vasculitis (RV) 25 patients were investigated. Diseases associated with RV included Behcet's syndrome (8), SLE (2), and sarcoidosis (1). Deficient phenotypes of alpha 1 antitrypsin were not associated with RV. However, the serum alpha 1 antitrypsin level was significantly increased in patients with active RV and paralleled disease activity in patients studied prospectively.

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Selected References

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

  1. Arnaud P., Wilson G. B., Koistinen J., Fudenberg H. H. Immunofixation after electrofocusing: improved method for specific detection of serum proteins with determination of isoelectric points. I. Immunofixation print technique for detection of alpha-1-protease inhibitor. J Immunol Methods. 1977;16(3):221–231. doi: 10.1016/0022-1759(77)90200-9. [DOI] [PubMed] [Google Scholar]
  2. Breit S. N., Penny R. The role of alpha 1 protease inhibitor (alpha 1 antitrypsin) in the regulation of immunologic and inflammatory reactions. Aust N Z J Med. 1980 Aug;10(4):449–453. doi: 10.1111/j.1445-5994.1980.tb04101.x. [DOI] [PubMed] [Google Scholar]
  3. Brewerton D. A., Webley M., Murphy A. H., Ward A. M. The alpha 1-antitrypsin phenotype MZ in acute anterior uveitis. Lancet. 1978 May 20;1(8073):1103–1103. doi: 10.1016/s0140-6736(78)90951-0. [DOI] [PubMed] [Google Scholar]
  4. Cox D. W., Markovic V. D., Teshima I. E. Genes for immunoglobulin heavy chains and for alpha 1-antitrypsin are localized to specific regions of chromosome 14q. Nature. 1982 Jun 3;297(5865):428–430. doi: 10.1038/297428a0. [DOI] [PubMed] [Google Scholar]
  5. Dumonde D. C., Kasp-Grochowska E., Graham E., Sanders M. D., Faure J. P., de Kozak Y., van Tuyen V. Anti-retinal autoimmunity and circulating immune complexes in patients with retinal vasculitis. Lancet. 1982 Oct 9;2(8302):787–792. doi: 10.1016/s0140-6736(82)92679-4. [DOI] [PubMed] [Google Scholar]
  6. Ffytche T. J. Retinal vasculitis. A review of the clinical signs. Trans Ophthalmol Soc U K. 1977 Sep;97(4):457–461. [PubMed] [Google Scholar]
  7. Grabner G., Pausch V., Mayr W. R. Alpha-1-antitrypsin phenotypes in acute anterior uveitis. Ophthalmic Res. 1982;14(1):1–4. doi: 10.1159/000265167. [DOI] [PubMed] [Google Scholar]
  8. Johnson A. M. Genetic typing of alpha1-antitrypsin by immunofixation electrophoresis, identification of subtypes of Pi M. J Lab Clin Med. 1976 Jan;87(1):152–163. [PubMed] [Google Scholar]
  9. Kueppers F. Genetically determined differences in the response of alpha-antitrypsin levels in human serum to typhoid vaccine. Humangenetik. 1968;6(3):207–214. doi: 10.1007/BF00291864. [DOI] [PubMed] [Google Scholar]
  10. Saari K. M., Solja J., Sirpelä M., Frants R. R., Eriksson A. W. Alpha 1-antitrypsin and acute anterior uveitis. Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1981;216(3):205–207. doi: 10.1007/BF00408161. [DOI] [PubMed] [Google Scholar]
  11. Wakefield D., Breit S. N., Clark P., Penny R. Immunogenetic factors in inflammatory eye disease. Influence of HLA-B27 and alpha 1-antitrypsin phenotypes on disease expression. Arthritis Rheum. 1982 Dec;25(12):1431–1434. doi: 10.1002/art.1780251207. [DOI] [PubMed] [Google Scholar]

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