PMID- 9623501 OWN - NLM STAT- MEDLINE DCOM- 19980731 LR - 20190921 IS - 0891-6934 (Print) IS - 0891-6934 (Linking) VI - 27 IP - 4 DP - 1998 TI - Anti-neutrophil cytoplasm autoantibodies (ANCA). The need for specific and sensitive assays. PG - 231-8 AB - Anti-neutrophil cytoplasm antibodies (ANCA) are a group of autoantibodies primarily associated with systemic vasculitis. Hitherto, the method of choice for ANCA detection has been indirect immunofluorescence (IIF). By this method two major patterns can be seen: a cytoplasmic pattern (cANCA) or a perinuclear pattern (pANCA). The cANCA pattern is most often caused by antibodies directed against proteinase-3 (PR3) and in rare cases it is caused by anti-myeloperoixdase (MPO) antibodies. The pANCA pattern can de caused by antibodies directed against a large group of proteins i.e. MPO, lactofenin and bactericidal/permeability-increasing protein. Often there is a discrepancy between the results obtained by IIF and those reported from the use of assays with purified antigens. This causes confusion. Until now only anti-PR3 and anti-MPO have been found of any clinical value. Therefore, it would be more proper to use assays with these highly purified antigens instead of an unspecific method like IIF. FAU - Baslund, B AU - Baslund B AD - Department of Rheumatology, Hvidovre University Hospital, Rigshospitalet, Copenhagen. FAU - Petersen, J AU - Petersen J LA - eng PT - Journal Article PT - Review PL - England TA - Autoimmunity JT - Autoimmunity JID - 8900070 RN - 0 (Antibodies, Antineutrophil Cytoplasmic) RN - EC 1.11.1.7 (Peroxidase) RN - EC 3.4.21.- (Serine Endopeptidases) SB - IM MH - Antibodies, Antineutrophil Cytoplasmic/*analysis MH - Enzyme-Linked Immunosorbent Assay MH - Fluorescent Antibody Technique, Indirect MH - Granulomatosis with Polyangiitis/diagnosis MH - Humans MH - Immunologic Tests/*methods MH - Peroxidase/immunology MH - Sensitivity and Specificity MH - Serine Endopeptidases/immunology MH - Vasculitis/*diagnosis RF - 68 EDAT- 1998/06/12 00:00 MHDA- 1998/06/12 00:01 CRDT- 1998/06/12 00:00 PHST- 1998/06/12 00:00 [pubmed] PHST- 1998/06/12 00:01 [medline] PHST- 1998/06/12 00:00 [entrez] AID - 10.3109/08916939808993835 [doi] PST - ppublish SO - Autoimmunity. 1998;27(4):231-8. doi: 10.3109/08916939808993835.