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High prevalence of IgA class anti-neutrophil cytoplasmic antibodies (ANCA) is associated with increased risk of bacterial infection in patients with cirrhosis
Authors:Maria Papp  Nora Sipeki  Zsuzsanna Vitalis  Tamas Tornai  Istvan Altorjay  Istvan Tornai  Miklos Udvardy  Kai Fechner  Silvia Jacobsen  Bianca Teegen  Andrea Sumegi  Gabor Veres  Peter Laszlo Lakatos  Janos Kappelmayer  Peter Antal-Szalmas
Affiliation:1 2nd Department of Medicine, Division of Gastroenterology, University of Debrecen, Debrecen, Hungary;2 2nd Department of Medicine, Division of Hematology, University of Debrecen, Debrecen, Hungary;3 EUROIMMUN Medizinische Labordiagnostika AG, Lübeck, Germany;4 Vascular Biology, Thrombosis and Hemostasis Research Group, Hungarian Academy of Sciences, Debrecen, Hungary;5 1st Department of Pediatrics, Semmelweis University, Budapest, Hungary;6 1st Department of Medicine, Semmelweis University, Budapest, Hungary;7 Department of Laboratory Medicine, University of Debrecen, Debrecen, Hungary
Abstract:
Keywords:ANCA, anti-neutrophil cytoplasmic antibody   IIF, indirect immunofluorescence   C-ANCA, cytoplasmic anti-neutrophil cytoplasmic antibody   P-ANCA, perinuclear anti-neutrophil cytoplasmic antibody   PR-3, proteinase-3   MPO, myeloperoxidase   TBB-5, human β tubulin isotype-5   BT, bacterial translocation   MELD, model for end-stage liver disease   SBP, spontaneous bacterial peritonitis   PPI, proton pump inhibitor   chronic HCV, chronic hepatitis C virus   CSI, clinically significant bacterial infection   CRP, high-sensitivity C reactive protein   PCT, procalcitonin   PMN, polymorphonuclear cell   PBC, primary biliary cirrhosis   AMA, antimitochondrial antibodies   sIgA, secretory IgA   SC, secretory component   ELISA, enzyme-linked immunosorbent assay   ASCA, anti-Saccharomyces cerevisiae antibodies   OMP, outer membrane protein   SD, standard deviation   IQR, interquartile range   ANOVA, one-way analysis of variance   OR, odds ratio   HR, hazard ratio   95% CI, 95% confidence intervals   CLD, chronic liver diseases   BAFF, B cell activating factor   APRIL, a proliferation-inducing ligand   TGF, transforming growth factor   IL, interleukin   TLR, toll-like receptor   TNFα, tumor necrosis factor alpha   iNOS, inducible nitric oxide synthase   sCD89, soluble CD89   mIgA, monomeric immunoglobulin A   pIgA, polymeric immunoglobulin A   LBP, serum lipopolysaccharide-binding protein   anti-PPS, anti-pneumococcal polysaccharide antibody
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