PMID- 9536232 OWN - NLM STAT- MEDLINE DCOM- 19980423 LR - 20190704 IS - 0007-0963 (Print) IS - 0007-0963 (Linking) VI - 138 IP - 1 DP - 1998 Jan TI - Counterimmunoelectrophoresis, ELISA and immunoblotting detection of anti-Ro/SSA antibodies in subacute cutaneous lupus erythematosus. A comparative study. PG - 114-7 AB - Patients with subacute cutaneous lupus erythematosus (SCLE) have circulating antibodies to Ro/SSA directed to two antigenically distinct ribonucleoproteins of 60 kDa and 52 kDa. Three laboratory tests may be used to detect anti-Ro/SSA antibodies: counterimmunoelectrophoresis (CIE), enzyme-linked immunosorbent assay (ELISA) and immunoblotting (IB). Their relative efficacy and clinical correlations were ascertained. We determined anti-Ro/SSA antibodies with CIE, with two different ELISA methods (ELISA 1 and 2) and with IB in 29 SCLE patients. Anti-52 kDa and -60 kDa Ro/SSA antibodies were also assayed with IB. In addition, we determined antinuclear antibodies with indirect immunofluorescence, anti-Sm, anti-RNP, anti-La/SSB and anti-Ro/SSA antibodies with CIE and ELISA, and anti-nDNA and cardiolipin antibodies using an ELISA method. CIE detected anti-Ro/SSA antibodies in 22 patients while ELISA 1 and 2 did so in 17 and 18 patients, respectively. In five patients, IB revealed a reactivity to 60 kDa polypeptides and in two, a reactivity to 52 kDa polypeptides. Of these seven patients, four had a myocardial infarction. Of these, two reacted to the 52 kDa antigen and two to the 60 kDa antigen. A combination of techniques was often needed to detect all specificities. ELISA proved to be very specific and sensitive. The IB technique detected a group of patients with myocardial infarction. A case-control study is needed to confirm the data of cardiac involvement. FAU - Parodi, A AU - Parodi A AD - Department of Dermatology, University of Genoa, Italy. FAU - Drosera, M AU - Drosera M FAU - Barbieri, L AU - Barbieri L FAU - Rebora, A AU - Rebora A LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 0 (Antibodies, Antinuclear) RN - 0 (Biomarkers) RN - 0 (SS-A antibodies) SB - IM MH - Adult MH - Aged MH - Antibodies, Antinuclear/*analysis MH - Antibody Specificity MH - Biomarkers MH - Counterimmunoelectrophoresis MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunoblotting MH - Lupus Erythematosus, Cutaneous/*immunology MH - Male MH - Middle Aged MH - Myocardial Infarction/immunology MH - Sensitivity and Specificity EDAT- 1998/04/16 00:00 MHDA- 1998/04/16 00:01 CRDT- 1998/04/16 00:00 PHST- 1998/04/16 00:00 [pubmed] PHST- 1998/04/16 00:01 [medline] PHST- 1998/04/16 00:00 [entrez] AID - 10.1046/j.1365-2133.1998.02035.x [doi] PST - ppublish SO - Br J Dermatol. 1998 Jan;138(1):114-7. doi: 10.1046/j.1365-2133.1998.02035.x.