Intrinsic factor autoantibodies by luminescent immuno-precipitation system in patients with corpus atrophic gastritis.

Atrophic gastritis Autoimmune gastritis CAG, corpus atrophic gastritis Gastric autoantibodies Hp, Helicobacter pylori IFA, intrinsic factor autoantibodies Intrinsic factor antibodies LIPS LIPS, luminescent immuno-precipitation system Luciferase immunoprecipitation system PA, pernicious anemia PCA, antibodies against gastric parietal cells Parietal cell antibodies Pernicious anemia

Journal

Journal of translational autoimmunity
ISSN: 2589-9090
Titre abrégé: J Transl Autoimmun
Pays: Netherlands
ID NLM: 101759413

Informations de publication

Date de publication:
2021
Historique:
received: 06 08 2021
revised: 28 10 2021
accepted: 29 10 2021
entrez: 10 1 2022
pubmed: 11 1 2022
medline: 11 1 2022
Statut: epublish

Résumé

Corpus atrophic gastritis (CAG) may lead to intrinsic factor (IF) deficiency and vitamin B Recombinant nanoluciferase-tagged IF secreted from transfected Expi293F cells was used as antigen in an IFA-LIPS assay. IFA IgG were measured in sera from subjects undergoing gastroscopy and biopsy (updated Sydney system) mainly for anemia (57%) or dyspepsia (34%). This cohort comprised 105 patients with histologically-proven-CAG (cases: median age 64 years, 68% females) and 110 subjects with suspected CAG that were histologically negative (controls: median age 67 years, 54% females). Cut-off values were selected by Q-Q-plot analysis (negative: <2.5 arbitrary units). IFA levels were higher in cases than in controls (Mann-Whitney:p < 10 The IFA-LIPS assay discriminated between CAG patients and controls showing a good specificity (95%) at the cost of sensitivity (32%). IFA-positivity occurred independently from anemia and vitamin B

Sections du résumé

BACKGROUND BACKGROUND
Corpus atrophic gastritis (CAG) may lead to intrinsic factor (IF) deficiency and vitamin B
METHODS METHODS
Recombinant nanoluciferase-tagged IF secreted from transfected Expi293F cells was used as antigen in an IFA-LIPS assay. IFA IgG were measured in sera from subjects undergoing gastroscopy and biopsy (updated Sydney system) mainly for anemia (57%) or dyspepsia (34%). This cohort comprised 105 patients with histologically-proven-CAG (cases: median age 64 years, 68% females) and 110 subjects with suspected CAG that were histologically negative (controls: median age 67 years, 54% females). Cut-off values were selected by Q-Q-plot analysis (negative: <2.5 arbitrary units).
RESULTS RESULTS
IFA levels were higher in cases than in controls (Mann-Whitney:p < 10
CONCLUSIONS CONCLUSIONS
The IFA-LIPS assay discriminated between CAG patients and controls showing a good specificity (95%) at the cost of sensitivity (32%). IFA-positivity occurred independently from anemia and vitamin B

Identifiants

pubmed: 35005595
doi: 10.1016/j.jtauto.2021.100131
pii: S2589-9090(21)00051-4
pmc: PMC8716657
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100131

Informations de copyright

© 2021 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

Ilaria Marzinotto (I)

San Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

Ludovica Dottori (L)

Medical-Surgical Department of Clinical Sciences and Translational Medicine, Sant'Andrea Hospital, School of Medicine, University Sapienza, Rome, Italy.

Francesca Baldaro (F)

Medical-Surgical Department of Clinical Sciences and Translational Medicine, Sant'Andrea Hospital, School of Medicine, University Sapienza, Rome, Italy.

Emanuele Dilaghi (E)

Medical-Surgical Department of Clinical Sciences and Translational Medicine, Sant'Andrea Hospital, School of Medicine, University Sapienza, Rome, Italy.

Cristina Brigatti (C)

San Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

Elena Bazzigaluppi (E)

San Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

Gianluca Esposito (G)

Medical-Surgical Department of Clinical Sciences and Translational Medicine, Sant'Andrea Hospital, School of Medicine, University Sapienza, Rome, Italy.

Howard W Davidson (HW)

Barbara Davis Center for Diabetes, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.

Lorenzo Piemonti (L)

San Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

Vito Lampasona (V)

San Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.

Edith Lahner (E)

Medical-Surgical Department of Clinical Sciences and Translational Medicine, Sant'Andrea Hospital, School of Medicine, University Sapienza, Rome, Italy.

Classifications MeSH