PMID- 25274952 OWN - NLM STAT- MEDLINE DCOM- 20160105 LR - 20161018 IS - 1437-4331 (Electronic) IS - 1434-6621 (Linking) VI - 53 IP - 5 DP - 2015 Apr TI - Diagnostic performance study of an antigen microarray for the detection of antiphospholipid antibodies in human serum. PG - 801-8 LID - 10.1515/cclm-2014-0569 [doi] AB - BACKGROUND: The parallelization of clinically relevant antigens in a microarray format is of growing importance due to the ability to measure multiple antigen-antibody interactions. With the development of a microarray for the detection of antiphospholipid antibodies we focussed on one important autoimmune disease that is still diagnostically challenging. Reasons are the heterogeneity of the autoantibodies and the unspecific clinical symptoms. METHODS: For the covalent immobilization of antigenic structures, glass transducers were coated with 11-aminoundecyltrimethoxysilane (11-AUTMS). In total 35 antiphospholipid syndrome (APS) patients, six patients with lupus erythematosus and 24 healthy controls were investigated on a microarray format using polarized imaging reflectometric interference spectroscopy. RESULTS: The novel surface modification based on the short derivative 11-AUTMS resulted in a selective biosensor allowing a clear differentiation of patient and control samples. It combined proteinogenic as well as phospholipid-derived antigens, namely beta2-glycoprotein I (beta2-GPI), prothrombin, cardiolipin (CL) and a beta2-GPI/CL complex. With optimized regeneration conditions, up to 20 consecutive measurements could be performed on one chip. Sensitivity was determined to be 0.800-0.929, specificity was between 0.733 and 0.969, depending on the respective antigen. CONCLUSIONS: Multiplexed determination of serological parameters has a great potential. We have shown that our biosensor is capable of detecting four different APS relevant antibodies in parallel exhibiting a sensitivity and specificity comparable to existing ELISA methods. FAU - Schindler, Aline R AU - Schindler AR FAU - Bleher, Oliver AU - Bleher O FAU - Thaler, Markus A AU - Thaler MA FAU - Kocot, Carmen J AU - Kocot CJ FAU - Steigerwald, Udo AU - Steigerwald U FAU - Proll, Gunther AU - Proll G FAU - Gauglitz, Gunter AU - Gauglitz G FAU - Luppa, Peter B AU - Luppa PB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Germany TA - Clin Chem Lab Med JT - Clinical chemistry and laboratory medicine JID - 9806306 RN - 0 (Antibodies, Antiphospholipid) RN - 0 (Antigens) RN - 0 (Immobilized Proteins) RN - 0 (beta 2-Glycoprotein I) SB - IM MH - Antibodies, Antiphospholipid/*analysis/immunology MH - Antigens/chemistry/*immunology MH - Antiphospholipid Syndrome/*diagnosis MH - Glass/chemistry MH - Humans MH - Immobilized Proteins/chemistry/immunology MH - Microarray Analysis/*methods MH - beta 2-Glycoprotein I/chemistry/immunology EDAT- 2014/10/03 06:00 MHDA- 2016/01/06 06:00 CRDT- 2014/10/03 06:00 PHST- 2014/05/28 00:00 [received] PHST- 2014/08/25 00:00 [accepted] PHST- 2014/10/03 06:00 [entrez] PHST- 2014/10/03 06:00 [pubmed] PHST- 2016/01/06 06:00 [medline] AID - /j/cclm.ahead-of-print/cclm-2014-0569/cclm-2014-0569.xml [pii] AID - 10.1515/cclm-2014-0569 [doi] PST - ppublish SO - Clin Chem Lab Med. 2015 Apr;53(5):801-8. doi: 10.1515/cclm-2014-0569.