PMID- 25269089 OWN - NLM STAT- MEDLINE DCOM- 20150720 LR - 20141202 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 438 DP - 2015 Jan 1 TI - An improved flow cytometric immunobead array to detect autoantibodies in plasma from patients with immune thrombocytopenic purpura. PG - 396-400 LID - S0009-8981(14)00414-8 [pii] LID - 10.1016/j.cca.2014.09.018 [doi] AB - BACKGROUND: Autoantibodies against platelet glycoproteins (GPs) play an important role in immune thrombocytopenic purpura (ITP). This study was to develop an improved flow cytometric immunobead array (FCIA) assay to detect platelet autoantibodies in ITP patient plasma. METHODS: Plasma samples were isolated from 71 ITP patients and 136 non-ITP controls and incubated with platelets from normal individuals. After washing, platelets were lysed and the platelet lysates were incubated with polystyrene microbeads coupled with monoclonal antibodies against human GPs IX (SZ1), Ib (SZ2), IIIa (SZ21), IIb (SZ22), and P-selectin (SZ51). Platelet GP-autoantibody complexes were detected by flow cytometry using a FITC-labeled secondary antibody. RESULT: Autoantibodies against platelet GPIb, GPIIb, GPIIIa, GPIX and P-selectin were detected in plasma from ITP patients, as indicated by high mean fluorescent intensity values when microbeads with antibodies SZ1, SZ2, SZ21, SZ22, and SZ51 were used. In ROC analysis, values of the area under the curve were 0.74, 0.83, 0.80, 0.79 and 0.87, respectively. Compared with the previously reported assays, this new FCIA eliminated the need of isolating platelets from ITP patients without compromising assay sensitivity and accuracy in predicting ITP. CONCLUSION: This simplified FICA assay may be more suitable for ITP diagnosis in clinical laboratory settings. CI - Copyright (c) 2014 Elsevier B.V. All rights reserved. FAU - Zhao, Yunxiao AU - Zhao Y AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - Zhu, Mingqing AU - Zhu M AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - Jiang, Miao AU - Jiang M AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - Zuo, Bin AU - Zuo B AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - Wu, Qingyu AU - Wu Q AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - Ruan, Changgeng AU - Ruan C AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. FAU - He, Yang AU - He Y AD - MOH Key Lab of Thrombosis and Hemostasis, Jiangsu Institute of Hematology, the First Affiliated Hospital, the Cyrus Tang Hematology Center, and the Collaborative Innovation Center of Hematology, Soochow University, Suzhou, China. Electronic address: heyang1963@163.com. LA - eng PT - Journal Article DEP - 20140928 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Antibodies, Monoclonal) RN - 0 (Autoantibodies) RN - 0 (Platelet Membrane Glycoproteins) RN - 0 (Polystyrenes) RN - I223NX31W9 (Fluorescein-5-isothiocyanate) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antibodies, Monoclonal MH - Area Under Curve MH - Autoantibodies/*blood MH - Blood Platelets/chemistry/immunology MH - Case-Control Studies MH - Child MH - Child, Preschool MH - Female MH - Flow Cytometry/instrumentation/*standards MH - Fluorescein-5-isothiocyanate MH - Humans MH - Immunoassay/instrumentation/*standards MH - Male MH - Microspheres MH - Middle Aged MH - Platelet Membrane Glycoproteins/*analysis/immunology MH - Polystyrenes MH - Protein Array Analysis/instrumentation/*standards MH - Purpura, Thrombocytopenic, Idiopathic/blood/*diagnosis/immunology MH - ROC Curve MH - Staining and Labeling/methods OTO - NOTNLM OT - Flow cytometry OT - Immune thrombocytopenic purpure OT - Immunebead array OT - Platelet glycoprotein OT - Thrombocytopenia EDAT- 2014/10/01 06:00 MHDA- 2015/07/21 06:00 CRDT- 2014/10/01 06:00 PHST- 2014/03/02 00:00 [received] PHST- 2014/09/12 00:00 [revised] PHST- 2014/09/15 00:00 [accepted] PHST- 2014/10/01 06:00 [entrez] PHST- 2014/10/01 06:00 [pubmed] PHST- 2015/07/21 06:00 [medline] AID - S0009-8981(14)00414-8 [pii] AID - 10.1016/j.cca.2014.09.018 [doi] PST - ppublish SO - Clin Chim Acta. 2015 Jan 1;438:396-400. doi: 10.1016/j.cca.2014.09.018. Epub 2014 Sep 28.