Recombinant protein to analyze autoantibodies to proteinase 3 in systemic vasculitis

The presence of antineutrophil cytoplasmic autoantibodies with specificity for proteinase 3 (PR3-ANCA) usually is detected by enzyme-linked immunosorbent assay (ELISA) with purified PR3 as a substrate. We studied the technical performance of direct and capture ELISA using a recombinant proteolytical...

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Veröffentlicht in:American journal of clinical pathology 2003-10, Vol.120 (4), p.586-595
Hauptverfasser: RAROK, Agnieszka A, HUITEMA, Minke G, VAN DER LEIJ, Marcel J, VAN DER GELD, Ymke M, BERTHOLD, Heike, SCHMITT, Jacky, STEGEMAN, Coen A, LIMBURG, Pieter C, KALLENBERG, Cees G. M
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container_issue 4
container_start_page 586
container_title American journal of clinical pathology
container_volume 120
creator RAROK, Agnieszka A
HUITEMA, Minke G
VAN DER LEIJ, Marcel J
VAN DER GELD, Ymke M
BERTHOLD, Heike
SCHMITT, Jacky
STEGEMAN, Coen A
LIMBURG, Pieter C
KALLENBERG, Cees G. M
description The presence of antineutrophil cytoplasmic autoantibodies with specificity for proteinase 3 (PR3-ANCA) usually is detected by enzyme-linked immunosorbent assay (ELISA) with purified PR3 as a substrate. We studied the technical performance of direct and capture ELISA using a recombinant proteolytically inactive form of PR3 produced in the baculovirus expression system for the detection of PR3-ANCA in 114 patients with systemic vasculitis at diagnosis. We found that ELISA using recombinant PR3 produced in insect cells is a promising alternative for ELISA with native PR3. We found a correlation between tests using recombinant or native PR3, as well as correlation of the ELISA results with ANCA titers measured by the indirect immunofluorescence technique. However, the specificity for ANCA-associated vasculitis of ELISA with recombinant PR3 was lower than ELISA using native PR3. Compared with the direct assay, capture ELISA is a more sensitive method for PR3-ANCA detection, with both native and recombinant PR3, and its results depend on the monoclonal antibody used to capture the antigen.
doi_str_mv 10.1309/YTU2FUHBEXJLWMLD
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We found a correlation between tests using recombinant or native PR3, as well as correlation of the ELISA results with ANCA titers measured by the indirect immunofluorescence technique. However, the specificity for ANCA-associated vasculitis of ELISA with recombinant PR3 was lower than ELISA using native PR3. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Animals
Antibodies, Antineutrophil Cytoplasmic - immunology
Antibodies, Monoclonal
Baculovirus
Biological and medical sciences
Cells, Cultured
Enzyme-Linked Immunosorbent Assay - methods
Female
Fluorescent Antibody Technique, Indirect
Genetic Vectors
Humans
Male
Medical sciences
Myeloblastin
Recombinant Proteins - immunology
Recombinant Proteins - metabolism
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sensitivity and Specificity
Serine Endopeptidases - immunology
Serine Endopeptidases - metabolism
Spodoptera - genetics
Spodoptera - metabolism
Vasculitis - diagnosis
Vasculitis - enzymology
Vasculitis - immunology
Viral Proteins - immunology
Viral Proteins - metabolism
title Recombinant protein to analyze autoantibodies to proteinase 3 in systemic vasculitis
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