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A simple and rapid microSepharose assay for GAD65 and ICA512 autoantibodies in diabetes

Schranz, Dorota B. ; Bekris, Lynn ; Landin-Olsson, Mona LU ; Törn, Carina LU ; Niläng, Anna ; Toll, Åsa ; Grönlund, Hans ; Toivola, Bert and Lernmark, Åke LU orcid (1998) In Journal of Immunological Methods 213(1). p.87-97
Abstract

GAD65Ab and ICA512Ab are strongly associated with insulin-dependent (Type 1) diabetes mellitus. A novel, simple radio-antigen binding assay with microSepharose conjugated with monoclonal antibodies specific for human immunoglobulin light chains was developed to provide diagnostic sensitivity and specificity of GAD65Ab and ICA512Ab for Type 1 diabetes. The Receiver Operating Characteristic (ROC) curve was used to determine the upper level of Normal in 583 new onset Type 1 diabetic patients and in 829 matched controls. The sensitivity of GAD65Ab and ICA512Ab was 66% (384/583) and 41% (211/520), respectively, and the diagnostic specificity was 96% for both autoantibodies. Levels, but not frequency, of GAD65Ab were higher among female Type... (More)

GAD65Ab and ICA512Ab are strongly associated with insulin-dependent (Type 1) diabetes mellitus. A novel, simple radio-antigen binding assay with microSepharose conjugated with monoclonal antibodies specific for human immunoglobulin light chains was developed to provide diagnostic sensitivity and specificity of GAD65Ab and ICA512Ab for Type 1 diabetes. The Receiver Operating Characteristic (ROC) curve was used to determine the upper level of Normal in 583 new onset Type 1 diabetic patients and in 829 matched controls. The sensitivity of GAD65Ab and ICA512Ab was 66% (384/583) and 41% (211/520), respectively, and the diagnostic specificity was 96% for both autoantibodies. Levels, but not frequency, of GAD65Ab were higher among female Type 1 diabetes patients, whereas ICA512Ab levels did not differ between males and females. Positivity for GAD65Ab, ICA512Ab or both showed a sensitivity of 74% and a specificity of 92% for Type 1 diabetes. This simple, one-step centrifugation, high-capacity radio-antigen binding assay has a high precision and reproducibility to accurately detect both GAD65Ab and ICA512Ab. This assay should also prove useful in other autoantibody assays against conformation-sensitive autoantigens.

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author
; ; ; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
keywords
Autoimmunity, Islet cell autoantibodies, MicroSepharose, Radio-antigen binding assay, ROC curve, Type 1 diabetes
in
Journal of Immunological Methods
volume
213
issue
1
pages
87 - 97
publisher
Elsevier
external identifiers
  • scopus:0031818859
  • pmid:9671127
ISSN
0022-1759
DOI
10.1016/S0022-1759(98)00025-8
language
English
LU publication?
no
id
bbe4a935-9dc6-4037-850f-b6a75c0813d7
date added to LUP
2019-06-30 23:46:13
date last changed
2024-03-13 08:01:23
@article{bbe4a935-9dc6-4037-850f-b6a75c0813d7,
  abstract     = {{<p>GAD65Ab and ICA512Ab are strongly associated with insulin-dependent (Type 1) diabetes mellitus. A novel, simple radio-antigen binding assay with microSepharose conjugated with monoclonal antibodies specific for human immunoglobulin light chains was developed to provide diagnostic sensitivity and specificity of GAD65Ab and ICA512Ab for Type 1 diabetes. The Receiver Operating Characteristic (ROC) curve was used to determine the upper level of Normal in 583 new onset Type 1 diabetic patients and in 829 matched controls. The sensitivity of GAD65Ab and ICA512Ab was 66% (384/583) and 41% (211/520), respectively, and the diagnostic specificity was 96% for both autoantibodies. Levels, but not frequency, of GAD65Ab were higher among female Type 1 diabetes patients, whereas ICA512Ab levels did not differ between males and females. Positivity for GAD65Ab, ICA512Ab or both showed a sensitivity of 74% and a specificity of 92% for Type 1 diabetes. This simple, one-step centrifugation, high-capacity radio-antigen binding assay has a high precision and reproducibility to accurately detect both GAD65Ab and ICA512Ab. This assay should also prove useful in other autoantibody assays against conformation-sensitive autoantigens.</p>}},
  author       = {{Schranz, Dorota B. and Bekris, Lynn and Landin-Olsson, Mona and Törn, Carina and Niläng, Anna and Toll, Åsa and Grönlund, Hans and Toivola, Bert and Lernmark, Åke}},
  issn         = {{0022-1759}},
  keywords     = {{Autoimmunity; Islet cell autoantibodies; MicroSepharose; Radio-antigen binding assay; ROC curve; Type 1 diabetes}},
  language     = {{eng}},
  month        = {{04}},
  number       = {{1}},
  pages        = {{87--97}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Immunological Methods}},
  title        = {{A simple and rapid microSepharose assay for GAD65 and ICA512 autoantibodies in diabetes}},
  url          = {{http://dx.doi.org/10.1016/S0022-1759(98)00025-8}},
  doi          = {{10.1016/S0022-1759(98)00025-8}},
  volume       = {{213}},
  year         = {{1998}},
}