Kostadinov D A, Razboĭnikov S
Vutr Boles. 1978;17(3):104-11.
The determination of antibodies against native DNA is of great importance in the solution of the diagnostic and therapeutic problems of dissiminated lupus erythematodes. The practical results are in a direct dependence on the laboratory methods for their determination. The diagnostic significance of two methods was studied with the present investigation: indirect immunofluorescent test and flocculation test with DNA-sensibilized bentonite particles. Under the conditions of the investigation, with the aid of the first method, antibodies against native DNA were found in 86.1 per cent of the sera of lupus nephropathy patients as well as in 13.3 per cent of the sera of patients with renal diseases not associated with LED. High serum titres including up to 1/128, were observed only in LED cases. The continuous persistence of antibodies against LED is also characteristic for the latter. The flocculation test was positive in 60.7 per cent of the sera investigated only with LED cases. The conclusion is that both methods could more wisely be used in LED immunodiagnostic because they combine high sensitivity with specificity of reaction, are easy to perform and no expensive material and apparatuses are required.
抗天然DNA抗体的测定对于解决播散性红斑狼疮的诊断和治疗问题至关重要。实际结果直接取决于其测定的实验室方法。本研究探讨了两种方法的诊断意义:间接免疫荧光试验和DNA致敏膨润土颗粒凝集试验。在研究条件下,借助第一种方法,狼疮性肾病患者血清中86.1%以及与播散性红斑狼疮无关的肾病患者血清中13.3%发现了抗天然DNA抗体。仅在播散性红斑狼疮病例中观察到高达1/128的高血清滴度。抗播散性红斑狼疮抗体的持续存在也是后者的特征。凝集试验仅在播散性红斑狼疮病例的60.7%的被检测血清中呈阳性。结论是这两种方法可更明智地用于播散性红斑狼疮的免疫诊断,因为它们兼具反应的高灵敏度和特异性,操作简便,无需昂贵的材料和设备。