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用于干燥综合征诊断的自身抗体、检测方法及检测组合

Autoantibodies, detection methods and panels for diagnosis of Sjögren's syndrome.

作者信息

Shen Long, Suresh Lakshmanan

机构信息

Department of Rheumatology and Clinical Immunology, The First Affiliated Hospital of Xiamen University, Xiamen University, Xiamen 361003, China; Autoimmune Division, Trinity Biotech, 60 Pineview Drive, Buffalo, NY 14228, USA.

Department of Oral Diagnostic Sciences, School of Dental Medicine, University at Buffalo, Buffalo, NY 14214, USA; Autoimmune Division, Trinity Biotech, 60 Pineview Drive, Buffalo, NY 14228, USA.

出版信息

Clin Immunol. 2017 Sep;182:24-29. doi: 10.1016/j.clim.2017.03.017. Epub 2017 Apr 5.

Abstract

The presence of autoantibodies is one of several hallmarks of Sjögren's Syndrome, the detection of serum autoantibodies has a central role in the diagnosis and classification of Sjögren's syndrome. In this review, we will discuss autoantibodies that are helpful in the diagnosis of Sjögren's syndrome. This includes the traditional autoantibodies for disease classification (ANA, Anti-Ro/SSA, Anti-La/SSB, RF), autoantibodies identified from mouse models (Anti-SP1, Anti- PSP, Anti-CA6, and anti-alpha fodrin) and autoantibodies associated with other autoimmune disease (ACA, AMA, and Anti-CCP). We will also review the methods for the detection of autoantibodies and associated challenges for clinical results reporting. The significance of using an autoantibody panel for the diagnosis of SS will be also be reviewed.

摘要

自身抗体的存在是干燥综合征的几个标志之一,血清自身抗体的检测在干燥综合征的诊断和分类中起着核心作用。在本综述中,我们将讨论有助于干燥综合征诊断的自身抗体。这包括用于疾病分类的传统自身抗体(抗核抗体、抗Ro/SSA、抗La/SSB、类风湿因子)、从小鼠模型中鉴定出的自身抗体(抗SP1、抗PSP、抗CA6和抗α- fodrin)以及与其他自身免疫性疾病相关的自身抗体(抗心磷脂抗体、抗线粒体抗体和抗环瓜氨酸肽抗体)。我们还将综述自身抗体的检测方法以及临床结果报告的相关挑战。同时也将探讨使用自身抗体组合诊断干燥综合征的意义。

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