Evidence map›Paper›PMID 35510209›Full record

ArticleJournal of medical biochemistry2022

Sensitivity of three thyrotropin receptor antibody assays in thyroid-associated orbitopathy.

Marija Sarić-Matutinović, Tanja Diana, Biljana Nedeljković-Beleslin, Jasmina Ćirić, Miloš Žarković, Iva Perović-Blagojević, George J Kahaly, Svetlana Ignjatović

Open access · diamondAbstract read
In one paragraph

Article in Journal of medical biochemistry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Molecular Biomarkers in Thyroid Eye Disease: A Literature Review.Ophthalmic plastic and reconstructive surgery · 2023
    Review
  6. Article
  7. Article
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

8 authors at 4 institutions in 3 countries.

Marija Sarić-MatutinovićUniversity of Belgrade, Faculty of Pharmacy, Belgrade.
Tanja DianaJohannes Gutenberg University (JGU) Medical Center, Department of Medicine I, Molecular Thyroid Research Laboratory, Mainz, Germany.
Biljana Nedeljković-BeleslinUniversity Clinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Belgrade.
Jasmina ĆirićUniversity Clinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Belgrade.
Miloš ŽarkovićUniversity Clinical Center of Serbia, Clinic for Endocrinology, Diabetes and Metabolic Disorders, Belgrade.
Iva Perović-BlagojevićClinical Hospital Center 'Dr Dragiša Mišović-Dedinje', Service for laboratory diagnostics, Belgrade.
George J KahalyJohannes Gutenberg University (JGU) Medical Center, Department of Medicine I, Molecular Thyroid Research Laboratory, Mainz, Germany.
Svetlana IgnjatovićUniversity of Belgrade, Faculty of Pharmacy, Belgrade.
University of Belgrade · RSJohannes Gutenberg University Mainz · DEUniversity Clinical Centre · PLUniversity Hospital Center Dr Dragiša Mišović · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Thyrotropin receptor autoantibodies (TSH-RAb) are indispensable biomarkers in the laboratory assessment of thyroid-associated orbitopathy (TAO). Clinical sensitivity of three different assays for TSH-R-Ab determination was evaluated in patients with TAO. Methods: 87 consecutive TAO patients were enrolled and their serum samples analyzed in parallel with three assays. An ECLIA competitive binding and a chemiluminescent bridge immunoassay were used to measure total and binding TSH-R-Ab concentration, while their functional activity was determined using a stimulatory TSH-R-Ab (TSAb) cellbased bioassay. Results: Compared to the two binding assays (ECLIA p<0.001, bridge p=0.003), the TSAb bioassay was more sensitive pertaining to the positive detection of TSH-R-Ab in TAO patients. No difference (p=0.057) was noted between the ECLIA and bridge assays regarding sensitivity rate. All patients with active and/or moderate-to-severe TAO tested positive in the TSAb bioassay (100% and 100%, respectively), while the positivity rates for bridge and ECLIA binding assays were 89.7% and 82.1% for active TAO, and 90.2% and 86.3% for severe TAO, respectively. Negative predictive values of the bioassay, bridge, and ECLIA assays were 100%, 75%, and 71%, respectively for active TAO, and 100%, 86%, and 71%, respectively for moderate-to-severe TAO. The superiority of the bioassay was most prominent in euthyroid (ET) TAO. Positivity rates of the TSAb bioassay, bridge and ECLIA binding assays were 89.6%, 75%, and 64.6%, respectively for inactive TAO; 86.1%, 69.4%, and 52.8%, respectively for mild TAO; 87.5%, 62.5%, and 12.5%, respectively for euthyroid TAO. The bridge assay correlated better with the ECLIA binding assay (r=0.893, p<0.001), compared to the bioassay (r=0.669, p<0.001). Conclusions: In patients with TAO of various activity and severity, the TSAb bioassay demonstrates a superior clinical performance compared to both ECLIA and bridge binding assays.

Indexed as

bioassaybridge binding assayECLIA binding assaythyroid-associated orbitopathythyrotropin receptor antibodies

Identifiers

PMID35510209
PMCPMC9010037
OpenAlexW4200438199

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Registered trials

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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.