Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, USA.
Laboratory of Veterinary Clinical Pathology, Department of Veterinary Medicine, Nihon University, Fujisawa, Japan.
Vet Clin Pathol. 2022 Sep;51(3):330-338. doi: 10.1111/vcp.13093. Epub 2022 Mar 15.
BACKGROUND: Canine immune thrombocytopenia (ITP) ranges from a mild to severe bleeding disorder, and platelet counts do not reliably predict clinical disease course. The detection of platelet autoantibodies may further define the disease phenotype, but variability in assay configurations and a lack of well-characterized controls limit the diagnostic utility of anti-platelet antibody assays. OBJECTIVES: We aimed to develop control reagents to facilitate the characterization of canine platelet surface-associated immunoglobulin (PSAIg) in flow cytometric assays. METHODS: Silica microspheres were coated with canine IgG and IgM to assess the reactivity of goat and rabbit origin anti-canine immunoglobulin reagents. They were also used as positive controls in the PSAIg assay. Preliminary assay evaluation and determination of sample stability used PRP isolated from seven healthy dogs and 26 dogs newly diagnosed with thrombocytopenia. RESULTS: Blood sample stability was established for up to a 48-hour storage time. The conjugated positive control microspheres demonstrated stable fluorescent labeling over a 2-year observation period. Rabbit and goat origin anti-dog IgM fluorescent antibody labels reacted nonspecifically with canine IgG. Rabbit origin anti-dog IgG antibody demonstrated greater class specificity for canine IgG than a goat origin antibody. Thrombocytopenic dogs had a broad range of membrane-bound immunoglobulin. Median PSAIgG for dogs with primary or secondary ITP (18.4%, 34.1%, respectively) were significantly higher than controls (3.8%, P < .05). CONCLUSIONS: The described assay reagents and procedures provide positive controls and allow consistent thresholding to define a positive test result, suitable for any flow cytometer. A rabbit anti-dog IgG fluorescent label demonstrated specificity for canine IgG and was useful for the detection of PSAIgG in thrombocytopenic dogs.
背景:犬免疫性血小板减少症(ITP)的严重程度不一,血小板计数不能可靠地预测临床疾病过程。血小板自身抗体的检测可能进一步确定疾病表型,但由于检测配置的可变性和缺乏特征明确的对照,限制了抗血小板抗体检测的诊断效用。
目的:我们旨在开发对照试剂,以促进流式细胞术检测犬血小板表面相关免疫球蛋白(PSAIg)的特征分析。
方法:用犬 IgG 和 IgM 包被二氧化硅微球,以评估山羊和兔源抗犬免疫球蛋白试剂的反应性。它们也被用作流式细胞术 PSAIg 检测的阳性对照。初步检测评估和样本稳定性测定使用从 7 只健康犬和 26 只新诊断为血小板减少症的犬中分离的 PRP。
结果:建立了长达 48 小时的血液样本储存时间稳定性。在 2 年的观察期内,共轭的阳性对照微球显示出稳定的荧光标记。兔和山羊源抗犬 IgM 荧光抗体标记与犬 IgG 发生非特异性反应。兔源抗犬 IgG 抗体对犬 IgG 的类特异性大于山羊源抗体。血小板减少症犬有广泛的膜结合免疫球蛋白。原发性或继发性 ITP 犬的 PSAIgG 中位数(分别为 18.4%和 34.1%)明显高于对照组(3.8%,P<.05)。
结论:所描述的检测试剂和程序提供了阳性对照,并允许进行一致的阈值设定以定义阳性检测结果,适用于任何流式细胞仪。兔抗犬 IgG 荧光标记对犬 IgG 具有特异性,可用于检测血小板减少症犬的 PSAIgG。
Vet Immunol Immunopathol. 2018-8