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PREVALENCE OF NON-ORGAN-SPECIFIC AUTOANTIBODIES IN A RURAL COMMUNITY FROM NORTHEASTERN BRAZIL: A POPULATION-BASED STUDY
Rural population
Autoimmunity
Autoimmune diseases
Liver diseases
Cirrose Hepática Biliar/imunologia
População Rural/estatística & dados numéricos
Anticorpos Antinucleares/imunologia
Adolescente
Adulto
Idoso
Criança
Feminino
Técnica Indireta de Fluorescência para Anticorpo
Hepatite Autoimune/diagnóstico
Hepatite Viral Humana/diagnóstico
Humanos
Cirrose Hepática Biliar/diagnóstico
Mitocôndrias/imunologia
Músculo Liso/imunologia
Prevalência
Adulto jovem
Author
Affilliation
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Portuguese Hospital of Salvador. Salvador, BA, Brasil
University of São Paulo School of Medicine. São Paulo, SP, Brasil
LPC Laboratory. Salvador, BA, Brasil
Federal University of Bahia. Salvador, BA, Brasil
Federal University of Bahia. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Portuguese Hospital of Salvador. Salvador, BA, Brasil
University of São Paulo School of Medicine. São Paulo, SP, Brasil
LPC Laboratory. Salvador, BA, Brasil
Federal University of Bahia. Salvador, BA, Brasil
Federal University of Bahia. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Abstract
Non-organ-specific autoantibodies (NOSA) are well-recognized diagnostic markers of autoimmune hepatitis
(AIH) and primary biliary cirrhosis (PBC), but can also be observed in patients with viral hepatitis as well as in
healthy subjects. The aim of this study was to evaluate the prevalence of NOSA in subjects living in a rural
community in Brazil and to correlate their occurrence with the presence of liver disease. Seven hundred
twenty-five apparently healthy subjects were randomly selected for assessment of antinuclear (ANA),
anti-smooth muscle (SMA), antimitochondrial (AMA), anti-liver/kidney microsome type 1, and anti-liver
cytosol type 1 antibodies. Subjects with those NOSA were evaluated for the presence of AIH, PBC, and viral
hepatitis. Reactivities for all NOSA, SMA, ANA, and AMA were detected, respectively, in 14, 10, 4, and 0.1% of
subjects, with a mean titer of 1:40. NOSA-positive subjects were significantly older and more frequently
females. No correlation was observed between the occurrence of NOSA and PBC, AIH, or viral hepatitis. The
prevalence of NOSA in Brazilians was 14%. They were usually low titer. NOSA were more frequently observed
in females and older subjects and their presence was not correlated with the presence of AIH, PBC, or viral
hepatitis
Keywords
AutoantibodiesRural population
Autoimmunity
Autoimmune diseases
Liver diseases
Cirrose Hepática Biliar/imunologia
População Rural/estatística & dados numéricos
Anticorpos Antinucleares/imunologia
Adolescente
Adulto
Idoso
Criança
Feminino
Técnica Indireta de Fluorescência para Anticorpo
Hepatite Autoimune/diagnóstico
Hepatite Viral Humana/diagnóstico
Humanos
Cirrose Hepática Biliar/diagnóstico
Mitocôndrias/imunologia
Músculo Liso/imunologia
Prevalência
Adulto jovem
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