PMID- 24752512 OWN - NLM STAT- MEDLINE DCOM- 20150120 LR - 20140925 IS - 1097-4598 (Electronic) IS - 0148-639X (Linking) VI - 50 IP - 4 DP - 2014 Oct TI - Cytoplasmic 5'-nucleotidase autoantibodies in inclusion body myositis: Isotypes and diagnostic utility. PG - 488-92 LID - 10.1002/mus.24199 [doi] AB - INTRODUCTION: Recent studies have identified circulating immunoglobulin (Ig) G autoantibodies against cytoplasmic 5'-nucleotidase 1A (cN1A; NT5C1A) in patients with inclusion body myositis (IBM), whose detection provides for an IBM blood diagnostic test. Whether or not anti-cN1A autoantibody isotypes other than IgG are present in IBM has not previously been reported. METHODS: Plasma and serum samples from 205 patients (50 with and155 without IBM) were studied for the presence of IgM and IgA, in addition to IgG, anti-cN1A autoantibodies using immunoblots and enzyme-linked immunoassays (ELISAs). RESULTS: IgM, IgA, and IgG anti-cN1A autoantibodies were detected by ELISA with similar sensitivities (49-53%) and specificities (94-96%), but with differing patterns of autoantibody isotype presence. Combination assays of all 3 autoantibody levels improved diagnostic sensitivity to 76%. CONCLUSIONS: In addition to previously recognized IgG anti-cN1A autoantibodies, IBM patients have circulating IgM and IgA anti-cN1A autoantibodies. Differing patterns of these isotypes may be present and useful for diagnosis. CI - Copyright (c) 2014 Wiley Periodicals, Inc. FAU - Greenberg, Steven A AU - Greenberg SA AD - Department of Neurology, Brigham and Women's Hospital and Children's Hospital Informatics Program, Harvard Medical School and Harvard-MIT Division of Health Sciences and Technology, Boston, Massachusetts, USA. LA - eng PT - Journal Article PL - United States TA - Muscle Nerve JT - Muscle & nerve JID - 7803146 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulin Isotypes) RN - EC 3.1.3.5 (5'-Nucleotidase) SB - IM MH - 5'-Nucleotidase/*immunology MH - Autoantibodies/*blood MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunoglobulin Isotypes/*blood MH - Male MH - Molecular Weight MH - Myositis, Inclusion Body/*blood MH - ROC Curve OTO - NOTNLM OT - anti-cN1A antibodies OT - inclusion body myositis EDAT- 2014/04/23 06:00 MHDA- 2015/01/21 06:00 CRDT- 2014/04/23 06:00 PHST- 2013/11/06 00:00 [received] PHST- 2014/01/30 00:00 [revised] PHST- 2014/02/04 00:00 [accepted] PHST- 2014/04/23 06:00 [entrez] PHST- 2014/04/23 06:00 [pubmed] PHST- 2015/01/21 06:00 [medline] AID - 10.1002/mus.24199 [doi] PST - ppublish SO - Muscle Nerve. 2014 Oct;50(4):488-92. doi: 10.1002/mus.24199.