Antiphospholipid antibodies (APLA) an associated with thrombophilia and rec
urrent pregnancy loss. Different mechanisms have been proposed to explain t
heir pathogenic effects and among them, we have previously shown that APLA
accumulate in late endosomes of human umbilical vein endothelial cells (HUV
EC) leading to a redistribution of the cation-independent mannose-6-phospha
te receptor (CI-M6PR). Because many APLA are directed towards beta (2)-glyc
oprotein 1 (beta (2)GP1)phospholipid complexes, we investigated the localis
ation of beta (2)GP1 in HUVEC. By immunofluorescence analysis, using monocl
onal and polyclonal anti-beta (2)GP1 antibodies, we detected beta (2)GP1 at
the cell surface and in late endosomes. Incubation of HUVEC with anti-beta
(2)GP1 antibodies resulted in antibody accumulation at the cell surface an
d within late endosomes and in a redistribution of the CI-M6PR from the Gol
gi apparatus to late endosomes. The anti-beta (2)GP1 antibodies remained de
tectable in late endosomes even after several days of incubation in antibod
y-free medium. The accumulation of anti-beta (2)GP1 antibodies in late endo
somes of endothelial cells and the resulting modification of intracellular
protein trafficking may contribute to the pathogenic effects of these antib
odies.