Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 219.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 253.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 286.79999999999995 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 320.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Deprecated: Implicit conversion from float 320.4 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26579816
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Medicine+(Baltimore)
2015 ; 94
(46
): e2059
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Evaluation of the Clinical Performance of a Novel Chemiluminescent Immunoassay
for Detection of Anticardiolipin and Anti-Beta2-Glycoprotein 1 Antibodies in the
Diagnosis of Antiphospholipid Syndrome
#MMPMID26579816
Zhang S
; Wu Z
; Li P
; Bai Y
; Zhang F
; Li Y
Medicine (Baltimore)
2015[Nov]; 94
(46
): e2059
PMID26579816
show ga
Detection of antiphospholipid antibodies represents the first-line approach for
diagnosis of antiphospholipid syndrome (APS). In this study, we evaluated the
clinical performance of a novel chemiluminescence assay (CIA) in detection of
IgG/IgM/IgA anti-cardiolipin (aCL) and IgG/IgM/IgA anti-?2 glycoprotein 1
(a?2GP1) antibodies and to compare it with commercial enzyme-linked immunosorbent
assay (ELISA) kits from the same manufacturer.A total of 227 sera were tested in
this study, including 84 samples from patients with APS, 104 samples from
patients with non-APS diseases as disease controls, and 39 healthy controls.
Serum IgG/IgM/IgA aCL and IgG/IgM/IgA a?2GP1 were determined by both ELISA
(QUANTA Lite? ELISA) and CIA (QUANTA Flash®assays).Significant quantitative
correlations were identified between ELISA and CIA in IgG/IgM/IgA aCL and
IgG/IgM/IgA a?2GP1 autoantibodies detection (P?0.001), with the rho value
ranging from 0.51 to 0.87. In addition, ELISA and CIA demonstrated good
qualitative agreements in IgG/IgM/IgA aCL and IgM/IgA a?2GP1 autoantibodies
determination with kappa coefficient ranged from 0.52 to 0.77. In contrast, ELISA
and CIA showed a moderate qualitative agreement in IgG a?2GP1 detection with a
kappa value of 0.2. Notably, significantly higher IgG a?2GP1 positive sera were
detected by CIA, compared to those detected by ELISA in both primary APS (52.9%
vs. 8.8%) and APS associated to other diseases sera (70.0% vs. 8.0%). For
diagnosis of APS, IgG a?2GP1 detection by CIA (IgG a?2GP1 CIA) demonstrated the
highest sensitivity (63.1%), followed by IgG aCL CIA (48.8%). More importantly,
IgG a?2GP1 CIA demonstrated the highest ability to predict the thrombotic events
in patients with APS, with an OR of 3 (95% CI: 1.1-7.9).Our data suggest that
this novel CIA assay had good performance in detecting aCL and a?2GP1 antibodies,
especially in the detection of IgG a?2GP1 antibodies. Our findings could shed
insight on the application of CIA in the laboratory diagnosis of APS in China.