Abuaf N
Ann Biol Clin (Paris). 1982;40(2):65-74.
There has been rapid progress in techniques for the detection of antinuclear antibodies. The methods most widely used at present are indirect immunofluorescence, Ouchterlony double immunodiffusion, passive haemagglutination and the Farr test. Antinuclear antibodies recognise several antigens. With a few exceptions, indigenous DNA is specific to DLE and is seen in more than 80 p. cent of patients. Other antibodies are less constant but equally specific: anti-Sm in DLE, antinucleolus in scleroderma. By contrast, the antibodies present in Sjögren's syndrome and anti-ENP would not seem to be specific to any single disease and the quite widely found anti-DNA is of little diagnostic interest.
抗核抗体检测技术取得了迅速进展。目前应用最广泛的方法是间接免疫荧光法、双向免疫扩散法、被动血凝试验和Farr试验。抗核抗体可识别多种抗原。除少数例外,内源性DNA是盘状红斑狼疮的特异性抗原,80%以上的患者可检测到。其他抗体的出现情况不太稳定,但同样具有特异性:盘状红斑狼疮中的抗Sm抗体、硬皮病中的抗核仁抗体。相比之下,干燥综合征中存在的抗体以及抗可提取性核抗原抗体似乎并非任何一种单一疾病所特有,而广泛存在的抗DNA抗体在诊断上意义不大。