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Enzyme-linked immunosorbant assay in the rheumatological laboratory

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Manual of Biological Markers of Disease

Abstract

The increasing popularity of enzyme-linked immunosorbant assay (ELISA) for the detection of autoantibodies of value in the diagnosis of rheumatological diseases has led to the development of assay systems which are proving to be of great utility. Unfortunately, in practice, the results do not always match the high standards which are appropriate for use in routine diagnosis or application in research. In this paper we offer guidelines on practical aspects of employing ELISA to detect autoantibodies and describe methods and an approach which should assure a good quality of result.

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Abbreviations

OD:

optical density

ELISA:

enzyme-linked immunosorbent assay

DIB:

dot immunobinding assay

CIE:

counterimmuno electrophoresis

OPD:

orthophenylene diamine

TMB:

3,3’,5,5’-tetramethyl-benzidine

ABTS:

2,2’-azino-dia(3’-ethylbenzthiazoline-6-sulfonic acid)

ONPG:

ortho-nitrophenyl-B-D-galactosidase

References

  1. Sondergaard-Andersen J, Lauritzen E, Lind K, Holm A (1990) Covalently linked peptides for enzyme-linked immunosorbent assay. J Immunol Methods, 131:99–104.

    Article  Google Scholar 

  2. Akesson P, Cooney J, Kishimoto F, Bjorek L (1990) Protein-H. Anovel IgG binding bacterial protein. Mol Immunol 27:523–531.

    Article  PubMed  CAS  Google Scholar 

  3. Elkon KB, Bonfa E, Skelly S, Weissbach H, Brot N (1987) Ribosomal protein autoantibodies in systemic lupus erythaematosus. Bioassays 7:258–61

    Article  CAS  Google Scholar 

  4. Smith LH, Yin A, Beiber M, Teng NNN (1987) Detection of antibodies to HIV viral protein. J Immunol Meth 105:263–7

    Article  CAS  Google Scholar 

  5. Jitsukawa T, Nakajima S, Usui J, Watanabe H (1991) Detection of anti-nuclear antibodies from patients with systemic rheumatic diseases by ELISA using Hep-2 nuclei. J Clin Lab Anal 5:49–53.

    Article  PubMed  CAS  Google Scholar 

  6. Monce NM, Bogusky RT, Cappel NN (1991) An enzyme immunoassay screening test for the detection of total antinuclear antibodies. J Clin Lab Analysis 5:439–442.

    Article  Google Scholar 

  7. Brinkman K, Termat R, Van den Brink H, Berden J, Smeenk R (1991) The specificity of the anti dsDNA ELISA. A closer look. J Immunol Methods 139:91–100.

    Article  PubMed  CAS  Google Scholar 

  8. Nossent JC, Huysen V, Smeenk RJT, Swaak AJG (1989) Low avidity antibodies to double stranded DNA in systemic lupus erythaematosus: a longitudinal study of their clinical significance. Ann Rheum Dis 48:677–82.

    Article  PubMed  CAS  Google Scholar 

  9. Mohan TC, Jalil HA, Nadarajah M, Sng EH (1989) Evaluation of an ELISA method for the measurement of antibodies to dsDNA. Singapore Med J 30(3):242–5

    PubMed  CAS  Google Scholar 

  10. Tipping PG, Buchanan RC, Riglar AS, Dimech WJ, Littlejohn GO, Holdsworth SR (1991) Measurement of anti-DNA antibodies by ELISA: a comparative study with Crithidia and a farr assay. Pathology 23(1):21–4

    Article  PubMed  CAS  Google Scholar 

  11. Kroubouzas G, Tosca A, Konstadoulakis MM, Varelzidis A (1992) Poly-l-lysine causes false positive results in ELISA methods detecting anti-dsDNA antibodies. J Immunol Methods 148(1–2):261–3

    Article  Google Scholar 

  12. Kadlubowski M, Jackson M, Yap PL, Niell G (1991) Lack of specificity for antibodies to double stranded DNA found in four commercial kits. J Clin Path 44(3) 246–50

    Article  PubMed  CAS  Google Scholar 

  13. Brinet A, Fournel C, Faure JR, Venet C, Monier JC (1988) Anti Histone antibodies (ELISA and immunoblot) in canine lupus erythaematosus. Clin Exp Immunol 74(1):105–9

    PubMed  CAS  Google Scholar 

  14. Muller S, Barakat S, Watts R, Joubaud P, Isenberg D (1990) Longitudinal analysis of antibodies to histones, Sm-D peptides, and ubiquitin in the serum of patients with systemic lupus erythaematosus, rheumatoid arthritis and tuberculosis. Clin Exp Rheumatol 8(5):445–53

    PubMed  CAS  Google Scholar 

  15. Merryman P, Louis P (1991) Comparison of assay systems for the detecting antibodies to nuclear ribonucleoproteins. J Clin Pathol 44(8):685–9

    Article  PubMed  CAS  Google Scholar 

  16. Provost TT, Levin LS, Watson RM, Mayo M, Ratrie H (1991) detection of anti-Ro (SS-A) antibodies by gel double diffusion and a sandwich ELISA in systemic and sub acute cutaneous lupus erythaematosus and Sjogrens syndrome. J Autoimmun 4(1) 87–96

    Article  PubMed  CAS  Google Scholar 

  17. Charles PJ, Tyler SZ, Dawda P, Maini RN (1990) Antibodies to nRNP, Sm, Ro and La: comparison of gel diffusion and ELISA assays. Clin Rheum 9:546

    Article  Google Scholar 

  18. Yagamata H, Harley JB, Reichlin M (1984) Molecular properties of the Ro/SS-A antigen and enzyme linked immunosorbent assay for the quantitation of antibody. J Clin Invest 74:625–33

    Article  Google Scholar 

  19. Sontheimer RD, McCauliffe DP, Zappi E, Targoff I (1992) Antinuclear antibodies: clinical correlations and biologic significance. Adv Dermatol 7:3–52

    PubMed  CAS  Google Scholar 

  20. Charles PJ, Foster H, Shattles W, Griffiths I, Maini RN (1991) Salivary antibodies to Ro and La in primary Sjogrens syndrome. Hung Rheum 32(supp):275

    Google Scholar 

  21. Veldhoven CH, Meilof JF, Huisman JG, Smeenk RJ (1992) The development of a quantitative assay for the detection of anti- Ro/SS-A and anti-La/SS-B autoantibodies using purified recombinent proteins. J Immunol Methods 151(1–2): 177–89

    Article  PubMed  CAS  Google Scholar 

  22. St Clair EW, Pisetsky DS, Reich CF, Chambers JC, Keene JD (1988) Quantitative immunoassay of anti-La antibodies using purified recombinant La antigen. Arthr Rheum 31:506–14.

    Article  Google Scholar 

  23. Whittingham S, Naselli G, McNeilage LJ, Coppel RL, Sturgess AD (1987) Serological diagnosis of primary Sjogrens syndrome by means of human recombinant La(SS-B) as a nuclear antigen. Lancet 2(8549):1–3

    PubMed  CAS  Google Scholar 

  24. Blazek M, Naser W, Bayer-Beck J, Lakomek HJ, Werle E, Fiehn W (1992) Enzyme immunoassay for the detection of autoantibodies to nRNP and Sm: a rapid and sensitive alternative to current procedures. Z Rheumatol 51:87–93

    PubMed  CAS  Google Scholar 

  25. Takeda Y, Wang GS, Wang RJ, Anderson SK, Petterson I, Amaki S, Sharp GC (1989) Enzyme-linked immunosorbent assay using isolated (U) small nuclear ribonucleoprotein polypeptides as antigens to investigate the clinical significance of autoantibodies to these polypeptides. Clin Immunol Immunopathol 50(2):213–30

    Article  PubMed  CAS  Google Scholar 

  26. Barka NE, Agopian MS, Peter JB (1992) Comparison of two commercial ELISA kits for the detection of anti snRNP and anti-Sm autoantibodies using immunoblot as reference method. Lupus 1 (supp 1) 65

    Google Scholar 

  27. Ter-Borg EJ, Horst G, Limburg PC, van Venrooij WJ, Kallenberg CG (1991) Changes in levels of antibodies against the 70k Da polypeptide of the U1RNP complex in relation to exacerbations of systemic lupus erythaematosus. J Rheumatol 18(3):363–7

    PubMed  CAS  Google Scholar 

  28. Williams DG, Charles PJ, Maini RN (1988) Preparative isolation of p67,A,B,B’, and D from nRNP/Sm antigens by reverse-phase chromatography. Use in a polypeptide-specific ELISA for independent quantitation of anti-nRNP and anti-Sm antibodies. J Immunol Methods 113(1):25–35

    Article  PubMed  CAS  Google Scholar 

  29. Field M, Williams DG, Charles PJ, Maini RN (1988) Anti Sm antibodies by ELISA are specific for systemic lupus erythaematosus. Increased sensitivity of detection using purified peptide antigens. Ann Rheum Dis 47:820–825

    Article  PubMed  CAS  Google Scholar 

  30. Hines JJ, Danho W, Elkon KB (1991) Detection and quantification of anti-Sm antibodies using synthetic peptide and recombinant Sm B antigens. Arthritis Rheum 34(5):572–9

    Article  PubMed  CAS  Google Scholar 

  31. Kveder T, Bozic B, Lestan B, Rozman B (1991) Is counterimmunoelectrophoresis an appropriate method for the detection of antibodies against ribosomal RNP. Clin Rheum 9:547

    Google Scholar 

  32. Ghirardello A, Ruffatti A, Calligaro A, Del Ross T, Gambari PF. (1992) ELISA detection anti ENA antibodies:comparison with counterimmunoelectrophoresis. Clin Rheum 11:126

    Google Scholar 

  33. Merety K, Cebecauer L, Bohm U, Kozakova D, Brozik M (1989) Study of anti Scl-70 (topoisomerase-1) autoantibodies in rheumatic patients. Clin Rheum 8:20

    Google Scholar 

  34. Hildebrandt S, Weiner ES, Senecal J-L, Noell GS, Earnshaw WC, Rothfield NF (1990) Autoantibodies to topoisomerase 1 (Sc1–70): analysis by gel diffusion, immunoblot, and enzyme-linked immunosorbent assay. Clin Immunol Immunopathol 57:399–410.

    Article  PubMed  CAS  Google Scholar 

  35. Verheijen R, de Jong BAW, van Venrooij (1992) A recombinant topoisomerase 1 ELISA:screening for IgG, IgM and IgA anti-topo 1 autoantibodies in human sera. Clin Exp Immunol 89:456–460

    Article  PubMed  CAS  Google Scholar 

  36. Sakamoto M, Takasaki Y, Yamanaka K (1989) Purification and characterization of KI antigen and detection of anti-Ki antibody by enzyme linked immunosorbent assay in patients with systemic lupus erythematosus. Arthr Rheum 32:1554–62.

    Article  CAS  Google Scholar 

  37. Walker EJ, Tymms KE, Webb J, Jeffrey PD (1987) Improved detection of anti Jo-1 antibody, a marker for myositis, using purified histidyl-tRNA synthetase. J Immunol Methods 96:149–56.

    Article  PubMed  CAS  Google Scholar 

  38. Cowchuck S, Fort J, Munoz S, Norberg R, Maddery W (1988) False positive ELISA tests for anti-cardiolipin antibodies in sera from patients with repeated abortion, rheumatologic disorders and primary biliary cirrhosis: correlation with elevated polyclonal IgM and implications for patients with repeated abortion. Clin Exp Immunol 73:289–94.

    Google Scholar 

  39. Peter JB (1990) Cardiolipin antibody assays. Lancet 335:1405

    Article  PubMed  CAS  Google Scholar 

  40. Hughes TP, Jones P, Rozenberg MC. (1989) Hypergammaglobulinaemia and the anticardiolipin antibody test. Arthr Rheum 32:813

    Article  CAS  Google Scholar 

  41. Matsura E, Igarashi Y, Fujimoto M, Ichikawa KT, Koike T (1990) Anticardiolipin cofactors and differential diagnosis of autoimmune diseases. Lancet 336:177–8

    Article  Google Scholar 

  42. Rupin A, Gruel Y, Leroy J, Bardos P (1992) Methodological approach for the detection of IgM anticardiolipin antibodies. Immunol Invest 21(2):159–67

    Article  PubMed  CAS  Google Scholar 

  43. Kumar V, Bartholomew W, Shieh MT, Pierce C, Kaul N (1991) Standardization of ELISA for the detection of anti-cardiolipin antibodies-effect of non-specific IgG binding. Immunol Invest 20(7):583–93

    Article  PubMed  CAS  Google Scholar 

  44. Verheijen R, de Jong BAW, Oberye EHH, van Venrooij WJ (1992) Molecular cloning of a major CENP-B epitope and its use for the detection of anticentromere autoantibodies. Mol Biol Rep 16:49–59

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer Science+Business Media Dordrecht

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Charles, P.J., Maini, R.N. (1993). Enzyme-linked immunosorbant assay in the rheumatological laboratory. In: Van Venrooij, W.J., Maini, R.N. (eds) Manual of Biological Markers of Disease. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5444-4_5

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  • DOI: https://doi.org/10.1007/978-94-011-5444-4_5

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-0-7923-4243-4

  • Online ISBN: 978-94-011-5444-4

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