比较三种检测肌肉特异性激酶抗体的方法。

IF 1.6 4区 医学 Q4 BIOCHEMICAL RESEARCH METHODS Journal of immunological methods Pub Date : 2024-02-03 DOI:10.1016/j.jim.2024.113627
Kyphuong Luong , Bucky K. Lozier , Camille L. Novis , Tammy L. Smith , Lauren M. Zuromski , Lisa K. Peterson
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引用次数: 0

摘要

目的:比较检测肌肉特异性激酶(MuSK)抗体的三种不同方法:比较检测肌肉特异性激酶(MuSK)抗体的 3 种不同方法:采用酶联免疫吸附试验(ELISA)和固定细胞法(f-CBA-IFA)对237份血清样本进行MuSK抗体检测。其中 148 份血清曾在临床检测中进行过 RIA 检测:47 份 MuSK 抗体阳性,101 份 MuSK 抗体阴性。在 MuSK RIA 阴性抗体中,46 份检测出其他神经抗体阳性。此外,89 份血清随后接受了所有三种方法的检测:70 份健康对照血清和 19 份其他神经抗体阳性血清:结果:根据分级 RIA 值,两种方法检测结果在 1.00 nmol/L 或以上时,定性检测间一致性为 100%;ELISA 和 f-CBA-IFA 检测结果在 0.21 和 0.99 nmol/L 之间时,定性检测间一致性分别为 81% 和 94%;两种方法检测结果在 0.04-0.20 nmol/L 之间时,定性检测间一致性为 0%。阴性结果显示,RIA 与 ELISA 和 f-CBA-IFA 的一致性为 100%(n = 55)。其他神经自身抗体阳性对照组或健康对照组均未在任何检测中出现阳性结果:总的来说,用于检测MuSK抗体的三种方法之间的一致性非常好。f-CBA-IFA和ELISA的性能与RIA相当,在检测MuSK IgG方面表现出极高的整体准确性,其中f-CBA-IFA与RIA相比,在阳性样本之间表现出更高的一致性,而不会在对照样本中发现假阳性。用于检测 MuSK 抗体的非放射性方法的优点包括减少了有害物质的处理和处置、自动化的潜力以及试剂的保质期更长,从而降低了与工作流程和批次验证相关的成本。因此,市售的酶联免疫吸附和转染细胞检测法可替代传统的放射性检测法,用于 MuSK IgG 的血清学测定。
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Comparison of three methods for the detection of antibodies against muscle-specific kinase

Objectives

To compare 3 different methods for the detection of antibodies against muscle-specific kinase (MuSK).

Methods

MuSK antibody testing was performed in 237 serum samples by enzyme-linked immunosorbent assay (ELISA) and fixed cell-based assay (f-CBA-IFA). One hundred and forty-eight (148) of the sera had previously been tested by RIA during clinical testing: 47 MuSK antibody positive and 101 MuSK antibody negative. Of the MuSK RIA negative antibodies, 46 tested positive for other neural antibodies. Additionally, 89 sera were subsequently tested by all three methods: 70 healthy controls and 19 sera positive for other neural antibodies.

Results

Qualitative inter-assay agreement based on tiered RIA values was 100% for results of 1.00 nmol/L or greater by both methods; 81% and 94% for results between 0.21 and 0.99 nmol/L by ELISA and f-CBA-IFA, respectively; and 0% for results of 0.04–0.20 nmol/L by both methods. Negative results showed 100% agreement between RIA and both ELISA and f-CBA-IFA (n = 55). None of the controls positive for other neural autoantibodies or healthy controls were positive in any assay.

Conclusion

Overall, excellent agreement was observed between the 3 methods used to detect antibodies against MuSK. Both the f-CBA-IFA and ELISA performed comparably to RIA and exhibited excellent overall accuracy for MuSK IgG detection, with the f-CBA-IFA demonstrating higher agreement between positive samples with the RIA than the ELISA without identifying false positives in the control samples. Advantages of non-radioactive methods for the detection of MuSK antibodies include reduced handling and disposal of hazardous materials, potential for automation and the reagents having a longer shelf-life, reducing costs associated with both workflow and lot validations. Thus, commercially available ELISA and transfected cell-based assays are viable alternatives to the traditional radioactive assay used for serologic determination of MuSK IgG.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
120
审稿时长
3 months
期刊介绍: The Journal of Immunological Methods is devoted to covering techniques for: (1) Quantitating and detecting antibodies and/or antigens. (2) Purifying immunoglobulins, lymphokines and other molecules of the immune system. (3) Isolating antigens and other substances important in immunological processes. (4) Labelling antigens and antibodies. (5) Localizing antigens and/or antibodies in tissues and cells. (6) Detecting, and fractionating immunocompetent cells. (7) Assaying for cellular immunity. (8) Documenting cell-cell interactions. (9) Initiating immunity and unresponsiveness. (10) Transplanting tissues. (11) Studying items closely related to immunity such as complement, reticuloendothelial system and others. (12) Molecular techniques for studying immune cells and their receptors. (13) Imaging of the immune system. (14) Methods for production or their fragments in eukaryotic and prokaryotic cells. In addition the journal will publish articles on novel methods for analysing the organization, structure and expression of genes for immunologically important molecules such as immunoglobulins, T cell receptors and accessory molecules involved in antigen recognition, processing and presentation. Submitted full length manuscripts should describe new methods of broad applicability to immunology and not simply the application of an established method to a particular substance - although papers describing such applications may be considered for publication as a short Technical Note. Review articles will also be published by the Journal of Immunological Methods. In general these manuscripts are by solicitation however anyone interested in submitting a review can contact the Reviews Editor and provide an outline of the proposed review.
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