A simplified method to assess affinity of insulin autoantibodies

Copyright © 2010 Elsevier Inc. All rights reserved.

Bibliographische Detailangaben
Veröffentlicht in:Clinical immunology (Orlando, Fla.). - 1999. - 137(2010), 3 vom: 15. Dez., Seite 415-21
1. Verfasser: Achenbach, Peter (VerfasserIn)
Weitere Verfasser: Guo, Liang-Hao, Gick, Claudia, Adler, Kerstin, Krause, Stephanie, Bonifacio, Ezio, Colman, Peter G, Ziegler, Anette-G
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2010
Zugriff auf das übergeordnete Werk:Clinical immunology (Orlando, Fla.)
Schlagworte:Journal Article Research Support, Non-U.S. Gov't Autoantibodies Insulin Antibodies
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520 |a Insulin autoantibodies (IAA) precede type 1 diabetes, but not all IAA-positive children develop other islet autoantibodies and disease. Diabetes risk can be stratified by laborious IAA affinity measurement using competition with multiple ligand concentrations. Here, we identify a single competitor concentration that discriminates low- and high-affinity IAA. Discrimination was achieved among 122 IAA-positive sera using 7.0 nM competitor which is 54-fold that of the assay radioligand concentration. Relative-binding <60% at this competitor concentration identified all 85 sera with affinities ≥1.0×10⁸ L/mol and none with lower affinities (P<0.0001), and 45 (96%) of 47 multiple islet autoantibody-positive sera (P<0.0001). IAA competition was further tested in a second set of 119 IAA-positive sera. Of these, 99 fulfilled high-affinity competition criteria of <60% relative-binding at 7.0 nM competitor including 89 (94%) of 95 sera with multiple islet autoantibodies (P<0.0001). Thus, increased IAA specificity can be achieved with simple modification to existing assays 
650 4 |a Journal Article 
650 4 |a Research Support, Non-U.S. Gov't 
650 7 |a Autoantibodies  |2 NLM 
650 7 |a Insulin Antibodies  |2 NLM 
700 1 |a Guo, Liang-Hao  |e verfasserin  |4 aut 
700 1 |a Gick, Claudia  |e verfasserin  |4 aut 
700 1 |a Adler, Kerstin  |e verfasserin  |4 aut 
700 1 |a Krause, Stephanie  |e verfasserin  |4 aut 
700 1 |a Bonifacio, Ezio  |e verfasserin  |4 aut 
700 1 |a Colman, Peter G  |e verfasserin  |4 aut 
700 1 |a Ziegler, Anette-G  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Clinical immunology (Orlando, Fla.)  |d 1999  |g 137(2010), 3 vom: 15. Dez., Seite 415-21  |w (DE-627)NLM098196855  |x 1521-7035  |7 nnns 
773 1 8 |g volume:137  |g year:2010  |g number:3  |g day:15  |g month:12  |g pages:415-21 
856 4 0 |u http://dx.doi.org/10.1016/j.clim.2010.09.002  |3 Volltext 
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