Comparative analysis of three methods in anti-dsDNA antibodies detection: implications for Systemic Lupus Erythematosus diagnosis.


Journal

Scandinavian journal of immunology
ISSN: 1365-3083
Titre abrégé: Scand J Immunol
Pays: England
ID NLM: 0323767

Informations de publication

Date de publication:
Feb 2022
Historique:
revised: 07 11 2021
received: 01 06 2021
accepted: 01 12 2021
pubmed: 6 12 2021
medline: 27 1 2022
entrez: 5 12 2021
Statut: ppublish

Résumé

The evaluation of anti-dsDNA antibodies represents one of the essential diagnostic and prognostic marker features in patients affected by Systemic Lupus Erythematosus (SLE). In this study, we have compared immunoblotting (IB) with Crithidia luciliae indirect immunofluorescence test (CLIFT) and chemiluminescent immunoassay (CLIA) in 91 patients referred to our hospital for anti-dsDNA antibodies detection. The concordance and correlation measured by Cohen's kappa and Spearman's coefficient respectively was significant between CLIFT and CLIA (0.70; 0,7404, P < .0001) and among CLIA and IB (0.79; 0,5377, P < 0,0001) and lower between CLIFT and IB (0.55; 0,4373, P  <0,0001). Among the 46 IB-positive samples, 14 were positive for either CLIA or CLIFT. It is noteworthy that 11 out of these 14 samples had the final diagnosis of SLE. Thirteen out of fourteen samples were also positive for anti-nucleosome antibodies as measured concomitantly in immunoblotting. While our observations are based on a limited number of samples and will have to be confirmed in a bigger cohort, they underline the contribution of immunoblotting as an additional assay in defining the anti-dsDNA antibody profile in association with other well-established methods such as CLIA and CLIFT.

Identifiants

pubmed: 34865261
doi: 10.1111/sji.13123
doi:

Substances chimiques

Antibodies, Antinuclear 0
anti-dsDNA autoantibody 0

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e13123

Subventions

Organisme : Lega Italiana per la lotta contro tumori (LILT)

Informations de copyright

© 2021 The Scandinavian Foundation for Immunology.

Références

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Auteurs

Laura Cuomo (L)

U.O.C. Patologia Clinica, San Filippo Neri Hospital, ASL Roma1, Rome, Italy.

Marina Vitillo (M)

U.O.C. Patologia Clinica, San Filippo Neri Hospital, ASL Roma1, Rome, Italy.

Massimiliano Della Rocca (M)

Dedalus Italia S.p.A, Rome, Italy.

Pankaj Trivedi (P)

Department of Experimental Medicine, La Sapienza University, Rome, Italy.

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