Evidence map›Paper›PMID 27209064›Full record

ArticleArthritis research & therapy2016

Antiphospholipid antibodies detected by line immunoassay differentiate among patients with antiphospholipid syndrome, with infections and asymptomatic carriers.

Dirk Roggenbuck, Maria Orietta Borghi, Valentina Somma, Thomas Büttner, Peter Schierack, Katja Hanack, Claudia Grossi, Caterina Bodio, Paolo Macor, Philipp von Landenberg and 3 more

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 38 citations in OpenAlex.

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  12. Advances in the Research on Anticardiolipin Antibody.Journal of immunology research · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 3 countries.

Dirk RoggenbuckInstitute of Biotechnology, Faculty 2, Brandenburg University of Technology Cottbus-Senftenberg, Großenhainer Str. 57, 01968, Senftenberg, Germany. dirk.roggenbuck@b-tu.de.
Maria Orietta BorghiDepartment of Clinical Science and Community Health, University of Milan, Milan, Italy.
Valentina SommaResearch and Development Department, Medipan GmbH, Dahlewitz/Berlin, Germany.
Thomas BüttnerResearch and Development Department, GA Generic Assays GmbH, Dahlewitz/Berlin, Germany.
Peter SchierackResearch and Development Department, Medipan GmbH, Dahlewitz/Berlin, Germany.
Katja HanackChair Immuntechnology, Department of Biochemistry and Biology, University of Potsdam, Potsdam, Germany.
Claudia GrossiIstituto Auxologico Italiano, Laboratory of Immunorheumatology, Cusano Milanino, Italy.
Caterina BodioDepartment of Clinical Science and Community Health, University of Milan, Milan, Italy.
Paolo MacorDepartment of Life Sciences, University of Trieste, Trieste, Italy.
Philipp von LandenbergLabor Nordwest, Schüttorf, Germany.
Francesco BoccellatoMax Planck Institute for Infection Biology, Berlin, Germany.
Michael MahlerInova Diagnostics, San Diego, CA, USA.
Pier Luigi MeroniDepartment of Clinical Science and Community Health, University of Milan, Milan, Italy.
IRCCS Istituto Auxologico Italiano · ITMedipan (Germany) · DEUniversity of Milan · ITBrandenburg University of Technology Cottbus-Senftenberg · DEGeneric Assays (Germany) · DEKrankenhaus Nordwest · DEMax Planck Institute for Infection Biology · DENova Medical (United States) · USUniversity of Potsdam · DEUniversity of Trieste · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntiphospholipid antibodies (aPL) can be detected in asymptomatic carriers and infectious patients. The aim was to investigate whether a novel line immunoassay (LIA) differentiates between antiphospholipid syndrome (APS) and asymptomatic aPL+ carriers or patients with infectious diseases (infectious diseases controls (IDC)).

methodsSixty-one patients with APS (56 primary, 22/56 with obstetric events only, and 5 secondary), 146 controls including 24 aPL+ asymptomatic carriers and 73 IDC were tested on a novel hydrophobic solid phase coated with cardiolipin (CL), phosphatic acid, phosphatidylcholine, phosphatidylethanolamine, phosphatidylglycerol, phosphatidylinositol, phosphatidylserine, beta2-glycoprotein I (β2GPI), prothrombin, and annexin V. Samples were also tested by anti-CL and anti-β2GPI ELISAs and for lupus anticoagulant activity. Human monoclonal antibodies (humoAbs) against human β2GPI or PL alone were tested on the same LIA substrates in the absence or presence of human serum, purified human β2GPI or after CL-micelle absorption.

resultsComparison of LIA with the aPL-classification assays revealed good agreement for IgG/IgM aß2GPI and aCL. Anti-CL and anti-ß2GPI IgG/IgM reactivity assessed by LIA was significantly higher in patients with APS versus healthy controls and IDCs, as detected by ELISA. IgG binding to CL and ß2GPI in the LIA was significantly lower in aPL+ carriers and Venereal Disease Research Laboratory test (VDRL) + samples than in patients with APS. HumoAb against domain 1 recognized β2GPI bound to the LIA-matrix and in anionic phospholipid (PL) complexes. Absorption with CL micelles abolished the reactivity of a PL-specific humoAb but did not affect the binding of anti-β2GPI humoAbs.

conclusionsThe LIA and ELISA have good agreement in detecting aPL in APS, but the LIA differentiates patients with APS from infectious patients and asymptomatic carriers, likely through the exposure of domain 1.

Indexed as

AdultAgedAntibodies, AntiphospholipidAntiphospholipid SyndromeDiagnosis, DifferentialFemaleHumansImmunoassayInfectionsMaleMiddle AgedYoung AdultAntibodies, AntiphospholipidAntiphospholipid antibodyAntiphospholipid syndromeBeta2 - glycoprotein ILine immunoassayPhospholipid binding proteins

Identifiers

PMID27209064
PMCPMC4875598
OpenAlexW2403104076

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.