Introduction
Autoimmune diseases
Autoantibodies - Introduction
Autoantibodies - Determination
 
Autoantibodies
Rheumatoid Factor
Antinuclear Antibodies (ANA)
Specific Antibodies
Anti-neutrophil Cytoplasmic Antibodies
(ANCA)
Anti-phospholipid Antibodies
Anti-mitochondrial Antibodies (AMA)
Anti-endothelial Cell Antibodies (AECA)
Anti CCP antibodies
Antibodies against DNases
 
Quality Assurance
 
Reference ranges
 
Algorithm
ANA and incidence of diseases
Proposed stepwise diagnosis scheme
Positive Immunoflourescence -
Nucleoplasmic
Positive Immunoflourescence - Nucleolar
Positive Immunoflourescence -
Cytoplasmic
Type of autoimmune diseases
Conditions associated with antinuclear
antibodies (ANA)
 
Slide show
 
References
 
Collaborators
Specific Antibodies
Antiribonucleoprotein and anti-Sm
Antibodies to SS-A/Ro and SS-B/La
Anticentromere (ACA) and anti Scl-70 antibodies
Antibodies to anti-proliferating cell nuclear antigen (PCNA)
Antibodies to nuclear enzymes
PM-1 in polymyositis
DNA antibodies
Antibodies to histones
 
Antibodies to SS-A/Ro and SS-B/La - Clinical significance

1) Physiologic changes in the concentration of Antibodies to SS-A/Ro and SS-B/La

2) Pathologic changes in the concentration
Antibodies to SS-A/Ro and SS-B/La
Systemic Lupus Erythomatodes,
Progressive Systemic Sclerosis,
Sjögren’s Syndrome
Rheumatoid Srthritis

 

anti-SS-A (Ro)


Reference values
dependent on method

Immunofluorescence method.

negative

ELISA

 

 

Units

negative

< 8

U/ml

equivocal

8 – 10

U/ml

positive

> 10

U/ml


anti-SS-B (La)


Reference values
dependent on method

Immunofluorescence method.

negative

ELISA

 

 

Units

negative

< 3

U/ml

equivocal

3 – 4

U/ml

positive

> 4

U/ml



Anti – SS-A/Ro
- Systemic Lupus Erythomatodes 30 – 50 % patients
- Primary Sjögren’s syndrome 60 –70% patients
- Secundary Sjögren’s syndrome up to 95 % patients


Anti – SS-B/La
- Systemic Lupus Erythomatodes 15 % patient
- Primary Sjögren’s syndrome 45 –60% patients
- Secundary Sjögren’s syndrome up to 87 % patients