
Description:
Anti-nuclearantibodies(ANA)areagroupofantibodiesdirectedagainstvariousnuclearandsomecytoplasmicantigens.Althoughtheseantibodieswerefirstassociatedwithsystemiclupuserythematosus(SLE),thelistofimplicateddiseaseshasexpandedandmanyrheumaticdiseasesarecharacterizedbythepresenceofoneormoreoftheseANAs.Forinstance,anti-SSA/Roandanti-SSB/LaantibodiesareassociatedwithSLEandSjogren"sSyndrome(SS),anti-dsDNAandanti-SmantibodieswithSLE,anti-histoneantibodieswithSLEandDrugInducedLupus,anti-RNPantibodieswithmixedconnectivetissuedisease(MCTD)andSLE,anti-Scl-70antibodieswithscleroderma(progressivesystemicsclerosis(PSSJ),anti-Jo1withpolymyositisanddermatomyositisandanti-centromereantibodieswithCRESTsyndrome.ANAareusuallydetectedbyindirectimmunofluorescence(IFA)onHEp-2.BecauseofcertainlimitationsofIFA,ANAELISAtestismorerobustofferingseveraladvantagesincludingeaseofoperationandnotrequiringskillsneededtoperformandreadIFAreactions.ANAELISAtestisabletoefficientlyscreenlargenumbersofpatientsamplesandreduceshumanerror.AsANAELISAtestcollectivelydetects,inonewell,totalANAsagainstdoublestrandedDNA(dsDNA),Histones,SS-A/Ro,SS-B/La,Sm,Sm/RNP,Scl-70,Jo-1,andcentromericantigens,morespecificantibodytestsarerecommendedtoperforminpatientswithpositiveANA.Principle:
AutoimmuneELISAkitsmeasureautoimmuneantibodiesintheserum.Itisbasedontheprincipleofasolidphaseenzyme-linkedimmunosorbentassay.Theassayutilizesaspecificantigenforimmobilizationonthemicrotiterwellsandanti-humanIgGantibodyconjugatedtohorserADIshperoxidase(HRP)fordetection.Thetestsampleisallowedtoreactsimultaneouslywiththetwocomponents,resultingin autoimmuneantibodiesbeingsandwichedbetweenthesolidphaseandenzyme-linkedantibodies.Afterincubation,thewellsarewashedtoremoveunbound-labeledantibodies.AHRPsubstrate,TMB,isaddedtoresultinthedevelopmentofabluecolor.ThecolordevelopmentisthenstoppedwiththeadditionofStopSolutionchangingthecolortoyellow.Theconcentrationofautoimmuneantibodies isdirectlyproportionaltothecolorintensityofthetestsample.Absorbanceismeasuredspectrophotometricallyat450nm.