Comparison of substrates for the detection of antinuclear antibodies in normals and in patients with connective tissue and other diseases.

Diagnostic immunology Pub Date : 1984-01-01
M F Lipscomb, L D Cope, G L Stephens, J S Deng, J N Gilliam
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Abstract

There has been some controversy regarding the relative merits of cell lines versus frozen tissue substrates for the detection of antinuclear antibodies (ANA) by indirect immunofluorescence. We have compared two cell lines (KB and HEP2) with frozen mouse kidney for the detection of ANA in several groups of individuals. Cell lines were more likely to detect ANA than frozen mouse kidney in normal individuals and in hospital and clinic patients with diseases other than connective tissue diseases when sera were examined at manufacturer's recommended screening dilutions. There was also a trend for the cell lines to demonstrate ANA more frequently than mouse kidney in patients with systemic lupus erythematosus and other connective tissue diseases, but the differences were not statistically significant. Centromere antibodies could be reliably suspected only on cell lines and could be confirmed only if mitotic figures were present.

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正常人和结缔组织及其他疾病患者抗核抗体检测底物的比较。
在间接免疫荧光法检测抗核抗体(ANA)时,细胞系与冷冻组织底物的优劣一直存在争议。我们将两种细胞系(KB和HEP2)与冷冻小鼠肾脏进行比较,以检测几组个体中的ANA。当在制造商推荐的筛选稀释度下检测血清时,细胞系比正常个体和医院和诊所患有结缔组织疾病以外疾病的患者更容易检测到ANA。在系统性红斑狼疮和其他结缔组织疾病患者中,细胞系比小鼠肾脏更频繁地表现出ANA的趋势,但差异无统计学意义。着丝粒抗体只能在细胞系上可靠地怀疑,并且只有在有丝分裂象出现时才能证实。
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