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抗双链DNA抗体和抗核小体抗体定性检测对系统性红斑狼疮的诊断价值

Values of qualitative assays for anti-ds-DNA and anti-nucleosome antibodies in diagnosis of systemic lupus erythematosus

  • 摘要: 目的:评价免疫印迹法抗双链DNA(ds-DNA)抗体、抗核小体抗体(ANuA)及绿蝇短膜虫间接免疫荧光法抗ds-DNA抗体检测在系统性红斑狼疮(SLE)中的诊断价值。方法:分别运用免疫印迹法、绿蝇短膜虫间接免疫荧光法及ELISA法检测166例SLE疾病活动期(包括初发和复发)患者血清中抗ds-DNA抗体、ANuA的水平。以酶联免疫吸附法(ELISA)检测结果为标准,评价抗ds-DNA抗体和ANuA定性检测对SLE的诊断价值。 结果:免疫印迹法检测抗ds-DNA抗体及ANuA诊断SLE的阳性符合率分别为73.33%、66.28%,绿蝇短膜虫间接免疫荧光法检测抗ds-DNA抗体诊断SLE的阳性符合率为68.57%;随着抗ds-DNA抗体和ANuA滴度的减小,其免疫印迹法或间接免疫荧光法检测阳性符合率均降低(P<0.05)。 结论:抗ds-DNA抗体、ANuA定性检测诊断SLE的阳性率均不理想,建议在ELISA检测抗ds-DNA抗体和ANuA诊断SLE的基础上采用。

     

    Abstract: Objective:To assess the diagnostic value of immunoblot assay for anti-double stranded DNA (ds-DNA) antibodies and anti-nucleosome antibodies (ANuA), and crithidia luciliae based indirect immunofluorescence for anti-ds-DNA antibodies in systemic lupus erythematosus (SLE) patients. Methods:The levels of anti-ds-DNA antibodies and ANuA in sera of 166 patients in active stage of SLE (including initial and recurrent patients) were detected by immunoblotting, crithidia luciliae immunofluorescence and enzyme-linked immunosorbent assay (ELISA). The values of qualitative detections for anti-ds-DNA antibodies and ANuA in diagnosing SLE were evaluated taking ELISA as standard. Results:The positive coincident rate of immunoblotting for anti-ds-DNA antibodies and ANuA was 73.33% and 66.28%, respectively. The positive coincident rate of crithidia luciliae immunofluorescence test for anti-ds-DNA antibodies was 68.57%. The positive coincident rates of immunoblotting and indirect immunofluorescent assay were both decreased with titers of anti-ds-DNA antibodies and ANuA (P<0.05). Conclusions:The positive rates in diagnosis of SLE are not ideal using qualitative assays for ds-DNA antibody and ANuA, therefore, qualitative assay is recommended to be applied based on ELISA.

     

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