Serum IgA against type 3 muscarinic acetylcholine receptor is a novel marker in diagnosis of Sjoegren＇s syndrome  

作　　者：LI Ying-ni GUO Jian-ping HE Jing LIU Xia YIN Fang-rui DING Yan YAO Hai-hong KANG Ai-jun LI Zhan-guo 

机构地区：[1]Department of Rheumatology and Immunology, Peking UniversityPeople's Hospital, Beijing 100044, China [2]Department of Rheumatology and Immunology, China-JapanFriendship Hospital, Beijing 100029, China [3]Department of Rheumatology and Immunology, First AffiliatedHospital, Baotou Medical College, Baotou, Inner Mongolia014010, China [4]Department of Laboratory Animal Science, Peking UniversityHealth Science Center, Beijing 100191, China

出　　处：《Chinese Medical Journal》2011年第16期2490-2495,共6页中华医学杂志（英文版）

基　　金：This work was supported-by a grant from the National Natural Science Foundation of China （No. 31070788）.

摘　　要：Background Antibodies against type 3 muscarinic acetylcholine receptor （M3R） are involved in the pathogenesis of Sj6gren＇s syndrome （SS）, but the clinical value of them in SS patients has been controversial. The aims of this study were to： （1） establish an improved enzyme-linked immunosorbent assay （ELISA） to detect IgA antibodies against M3R; （2） evaluate the value of IgA antibodies against the second extracellular loop of M3R205-220 （c2M3RP） in diagnosis of SS. Methods To increase the ELISA sensitivity, c2M3RP was coupled to bovine serum albumin （BSA） by the glutaraldehyde method and a 96-well microplate was treated by ultraviolet rays before coated. Concentrations of anti-c2M3RP, anti-SSA, and anti-SSB were measured in the sera of 240 individuals： 91 patients with primary SS and 149 controls （16 secondary SS, 27 systemic lupus erythematosus, 40 rheumatoid arthritis and 66 healthy controls）. Diagnostic properties of anti-c2M3RP were determined by receiver-operating characteristic curve analysis. Results The prevalence of serum IgA anti-c2M3RP antibodies in patients with pSS （46%, 42/91） was significantly higher than that in patients with systemic lupus erythematosus （19%, 5/27）, in rheumatoid arthritis （15%, 6/40） and in healthy controls （5%, 3/66）. However, there was no significant difference between the two $S groups （P=-0.727）. The diagnostic performance of IgA anti-M3RP antibodies was similar to anti-SSA assay, but had 22% higher sensitivity than anti-SSB. By analyzing of IgA anti-c2M3RP antibodies, combination of anti-SSA and anti-SSB resulted in increased sensitivity, whereas their specificity was not significantly changed. Conclusions The improved anti-c2M3RP ELISA is a novel, sensitive, and specific serological test for the diagnosis of SS. The combined application of anti-c2M3RP, anti-SSA and anti-SSB tests can improve the laboratory diagnosis of SS. The IgA anti-c2M3RP antibodies may serve as a novel diagnostic marker for SS.Background Antibodies against type 3 muscarinic acetylcholine receptor （M3R） are involved in the pathogenesis of Sj6gren＇s syndrome （SS）, but the clinical value of them in SS patients has been controversial. The aims of this study were to： （1） establish an improved enzyme-linked immunosorbent assay （ELISA） to detect IgA antibodies against M3R; （2） evaluate the value of IgA antibodies against the second extracellular loop of M3R205-220 （c2M3RP） in diagnosis of SS. Methods To increase the ELISA sensitivity, c2M3RP was coupled to bovine serum albumin （BSA） by the glutaraldehyde method and a 96-well microplate was treated by ultraviolet rays before coated. Concentrations of anti-c2M3RP, anti-SSA, and anti-SSB were measured in the sera of 240 individuals： 91 patients with primary SS and 149 controls （16 secondary SS, 27 systemic lupus erythematosus, 40 rheumatoid arthritis and 66 healthy controls）. Diagnostic properties of anti-c2M3RP were determined by receiver-operating characteristic curve analysis. Results The prevalence of serum IgA anti-c2M3RP antibodies in patients with pSS （46%, 42/91） was significantly higher than that in patients with systemic lupus erythematosus （19%, 5/27）, in rheumatoid arthritis （15%, 6/40） and in healthy controls （5%, 3/66）. However, there was no significant difference between the two $S groups （P=-0.727）. The diagnostic performance of IgA anti-M3RP antibodies was similar to anti-SSA assay, but had 22% higher sensitivity than anti-SSB. By analyzing of IgA anti-c2M3RP antibodies, combination of anti-SSA and anti-SSB resulted in increased sensitivity, whereas their specificity was not significantly changed. Conclusions The improved anti-c2M3RP ELISA is a novel, sensitive, and specific serological test for the diagnosis of SS. The combined application of anti-c2M3RP, anti-SSA and anti-SSB tests can improve the laboratory diagnosis of SS. The IgA anti-c2M3RP antibodies may serve as a novel diagnostic marker for SS.

关 键 词：Soegren＇s syndrome AUTOANTIBODIES type 3 muscarinic acetylcholine receptor enzyme-linked immunosorbent assay 

分 类 号：S858.28[农业科学—临床兽医学] Q512.1[农业科学—兽医学]