Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases

<p>We investigated the performance of ANA-ELISA for CTDs screening and diagnosis and comparing it to the conventional ANA-IIF. ANA-ELISA is a solid-phase immune assay includes 17 ANA-targeted recombinant antigens; dsDNA, Sm-D, Rib-P, PCNA, U1-RNP (70, A, C), SS-A/Ro (52 and 60), SS-B/La, Centr...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Omar Suhail Alsaed (14151861) (author)
مؤلفون آخرون: Laith Ishaq Alamlih (14152893) (author), Omar Al-Radideh (14152896) (author), Prem Chandra (9072038) (author), Samar Alemadi (14152899) (author), Abdul-Wahab Al-Allaf (14158989) (author)
منشور في: 2022
الموضوعات:
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author Omar Suhail Alsaed (14151861)
author2 Laith Ishaq Alamlih (14152893)
Omar Al-Radideh (14152896)
Prem Chandra (9072038)
Samar Alemadi (14152899)
Abdul-Wahab Al-Allaf (14158989)
author2_role author
author
author
author
author
author_facet Omar Suhail Alsaed (14151861)
Laith Ishaq Alamlih (14152893)
Omar Al-Radideh (14152896)
Prem Chandra (9072038)
Samar Alemadi (14152899)
Abdul-Wahab Al-Allaf (14158989)
author_role author
dc.creator.none.fl_str_mv Omar Suhail Alsaed (14151861)
Laith Ishaq Alamlih (14152893)
Omar Al-Radideh (14152896)
Prem Chandra (9072038)
Samar Alemadi (14152899)
Abdul-Wahab Al-Allaf (14158989)
dc.date.none.fl_str_mv 2022-11-22T21:17:16Z
dc.identifier.none.fl_str_mv 10.1038/s41598-021-87366-w
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Clinical_utility_of_ANA-ELISA_vs_ANA-immunofluorescence_in_connective_tissue_diseases/21598221
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Immunology
Multidisciplinary
dc.title.none.fl_str_mv Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p>We investigated the performance of ANA-ELISA for CTDs screening and diagnosis and comparing it to the conventional ANA-IIF. ANA-ELISA is a solid-phase immune assay includes 17 ANA-targeted recombinant antigens; dsDNA, Sm-D, Rib-P, PCNA, U1-RNP (70, A, C), SS-A/Ro (52 and 60), SS-B/La, Centromere B, Scl-70, Fibrillarin, RNA Polymerase III, Jo-1, Mi-2, and PM-Scl. During the period between March till December 2016 all requests for ANA from primary, secondary, and tertiary care centers were processed with both techniques; ANA-IIF and ANA-ELISA. The electronic medical record of these patients was reviewed looking for CTD diagnosis documented by the Senior rheumatologist. SPSS 22 is used for analysis. Between March and December 2016, a total of 12,439 ANA tests were requested. 1457 patients were assessed by the rheumatologist and included in the analysis. At a cut-off ratio ≥ 1.0 for ANA-ELISA and a dilutional titre ≥ 1:80 for ANA-IIF, the sensitivity of ANA-IIF and ANA-ELISA for all CTDs were 63.3% vs 74.8% respectively. For the SLE it was 64.3% vs 76.9%, Sjogren’s Syndrome was 50% vs 76.9% respectively. The overall specificity of ANA-ELISA was 89.05%, which was slightly better than ANA-IIF 86.72%. The clinical performance of ANA-ELISA for CTDs screening showed better sensitivity and specificity as compared to the conventional ANA-IIF in our cohort.</p><h2>Other Information</h2> <p> Published in: Scientific Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1038/s41598-021-87366-w" target="_blank">http://dx.doi.org/10.1038/s41598-021-87366-w</a></p>
eu_rights_str_mv openAccess
id Manara2_d5cdae6b00082ac320e220c514b8d46f
identifier_str_mv 10.1038/s41598-021-87366-w
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/21598221
publishDate 2022
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spelling Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseasesOmar Suhail Alsaed (14151861)Laith Ishaq Alamlih (14152893)Omar Al-Radideh (14152896)Prem Chandra (9072038)Samar Alemadi (14152899)Abdul-Wahab Al-Allaf (14158989)ImmunologyMultidisciplinary<p>We investigated the performance of ANA-ELISA for CTDs screening and diagnosis and comparing it to the conventional ANA-IIF. ANA-ELISA is a solid-phase immune assay includes 17 ANA-targeted recombinant antigens; dsDNA, Sm-D, Rib-P, PCNA, U1-RNP (70, A, C), SS-A/Ro (52 and 60), SS-B/La, Centromere B, Scl-70, Fibrillarin, RNA Polymerase III, Jo-1, Mi-2, and PM-Scl. During the period between March till December 2016 all requests for ANA from primary, secondary, and tertiary care centers were processed with both techniques; ANA-IIF and ANA-ELISA. The electronic medical record of these patients was reviewed looking for CTD diagnosis documented by the Senior rheumatologist. SPSS 22 is used for analysis. Between March and December 2016, a total of 12,439 ANA tests were requested. 1457 patients were assessed by the rheumatologist and included in the analysis. At a cut-off ratio ≥ 1.0 for ANA-ELISA and a dilutional titre ≥ 1:80 for ANA-IIF, the sensitivity of ANA-IIF and ANA-ELISA for all CTDs were 63.3% vs 74.8% respectively. For the SLE it was 64.3% vs 76.9%, Sjogren’s Syndrome was 50% vs 76.9% respectively. The overall specificity of ANA-ELISA was 89.05%, which was slightly better than ANA-IIF 86.72%. The clinical performance of ANA-ELISA for CTDs screening showed better sensitivity and specificity as compared to the conventional ANA-IIF in our cohort.</p><h2>Other Information</h2> <p> Published in: Scientific Reports<br> License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1038/s41598-021-87366-w" target="_blank">http://dx.doi.org/10.1038/s41598-021-87366-w</a></p>2022-11-22T21:17:16ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1038/s41598-021-87366-whttps://figshare.com/articles/journal_contribution/Clinical_utility_of_ANA-ELISA_vs_ANA-immunofluorescence_in_connective_tissue_diseases/21598221CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215982212022-11-22T21:17:16Z
spellingShingle Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
Omar Suhail Alsaed (14151861)
Immunology
Multidisciplinary
status_str publishedVersion
title Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
title_full Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
title_fullStr Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
title_full_unstemmed Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
title_short Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
title_sort Clinical utility of ANA-ELISA vs ANA-immunofluorescence in connective tissue diseases
topic Immunology
Multidisciplinary