Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods

Detalhes bibliográficos
Autor(a) principal: Martinelli, Reinaldo
Data de Publicação: 2006
Outros Autores: Santiago, Mittermayer Barreto, Reis, Mitermayer Galvão dos, Reis, Eliana Almeida, Ko, Albert, Fontes, Roberto Dias, Silva, Moacir Paranhos, Nascimento, Eliane Goes, Espinola, Ricardo, Harris, Nigel, Gharavi, Azzudin, Pierangeli, Silvia
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/13836
Resumo: p.13-17
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spelling Martinelli, ReinaldoSantiago, Mittermayer BarretoReis, Mitermayer Galvão dosReis, Eliana AlmeidaKo, AlbertFontes, Roberto DiasSilva, Moacir ParanhosNascimento, Eliane GoesEspinola, RicardoHarris, NigelGharavi, AzzudinPierangeli, SilviaMartinelli, ReinaldoSantiago, Mittermayer BarretoReis, Mitermayer Galvão dosReis, Eliana AlmeidaKo, AlbertFontes, Roberto DiasSilva, Moacir ParanhosNascimento, Eliane GoesEspinola, RicardoHarris, NigelGharavi, AzzudinPierangeli, Silvia2013-11-22T12:01:42Z2013-11-22T12:01:42Z20061676-2444http://repositorio.ufba.br/ri/handle/ri/13836v.42 n. 1p.13-17OBJECTIVE: The standard enzyme-linked immunosorbent assay (ELISA) for anticardiolipin (aCL) antibodies is the most important test for the diagnosis of antiphospholipid syndrome (APS). However, the test is also positive in some infectious diseases and other non-related syndromes. It has been suggested that the detection of antibodies to a mixture of phospholipids or to b2-glycoprotein I (b2-GP I) has higher specificity for APS than the standard aCL ELISA. The aim of the present work is to compare the diagnostic specificity of three different antiphospholipid (aPL) assays in patients with infectious diseases. METHODS: Antiphospholipid antibodies were searched by three ELISA techniques, namely standard aCL, APhL® ELISA kit and anti-b2-GP I, in sera of patients with infectious diseases, including syphilis (69), leptospirosis (33) and visceral leishmaniasis (30). RESULTS: The frequency of positivity of IgG aPL in patients with syphilis, leptospirosis and Kala-azar was 13/69 (19%), 9/33 (27%) and 2/30 (6%), respectively, using standard ELISA, versus only 1/69 (1.4%), 0/33 (0%) and 0/30 (0%) positivity by the APhL® ELISA kit. The positivity of the isotype IgM aPL was 10/69 (14%), 4/33 (12%) and 1/30 (3%), respectively, by the standard ELISA, and 1/69 (1.4%), 0/33 (0%) and 0/30 (0%) by the APhL® ELISA kit. The presence of significant levels of IgG anti-b2GPI was observed in 14/69 cases of syphilis (20%), 6/33 cases of leptospirosis (18%) and 16/30 cases of Kala-azar (53%). The APhL® ELISA kit had superior performance showing the highest specificity: 97% (95% CI: 92%-99%) for IgG compared to 81% (95% CI: 74%-87%) for standard ELISA and 72% (95% CI: 64%-79%) for anti-b2 GPI assay. CONCLUSIONS: The APhL® ELISA kit proved to be significantly more specific than the aCL standard ELISA and the anti-b2GPI ELISA, and it should be used to help in the diagnosis and confirmation of APS.Submitted by Edileide Reis (leyde-landy@hotmail.com) on 2013-08-05T14:53:37Z No. of bitstreams: 1 29911.pdf: 142292 bytes, checksum: a18fa704aa21a9ecc3b406a6dc063ac3 (MD5)Approved for entry into archive by Rodrigo Meirelles (rodrigomei@ufba.br) on 2013-11-22T12:01:42Z (GMT) No. of bitstreams: 1 29911.pdf: 142292 bytes, checksum: a18fa704aa21a9ecc3b406a6dc063ac3 (MD5)Made available in DSpace on 2013-11-22T12:01:42Z (GMT). No. of bitstreams: 1 29911.pdf: 142292 bytes, checksum: a18fa704aa21a9ecc3b406a6dc063ac3 (MD5) Previous issue date: 2006http://dx.doi.org/10.1590/S1676-24442006000100004reponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAAnticardiolipin antibodiesAntiphospholipid antibodiesAntiphospholipid syndromeInfectious diseasesELISAFrequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methodsJornal Brasileiro de Patologia e Medicina Laboratorialinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleenginfo:eu-repo/semantics/openAccessORIGINAL29911.pdf29911.pdfapplication/pdf142292https://repositorio.ufba.br/bitstream/ri/13836/1/29911.pdfa18fa704aa21a9ecc3b406a6dc063ac3MD51LICENSElicense.txtlicense.txttext/plain1762https://repositorio.ufba.br/bitstream/ri/13836/2/license.txt1b89a9a0548218172d7c829f87a0eab9MD52TEXT29911.pdf.txt29911.pdf.txtExtracted texttext/plain25049https://repositorio.ufba.br/bitstream/ri/13836/3/29911.pdf.txt10e5f85f2ba2e854d623694268d0119cMD53ri/138362022-07-05 14:02:58.258oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:02:58Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
dc.title.alternative.pt_BR.fl_str_mv Jornal Brasileiro de Patologia e Medicina Laboratorial
title Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
spellingShingle Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
Martinelli, Reinaldo
Anticardiolipin antibodies
Antiphospholipid antibodies
Antiphospholipid syndrome
Infectious diseases
ELISA
title_short Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
title_full Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
title_fullStr Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
title_full_unstemmed Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
title_sort Frequency of antiphospholipid antibodies in patients with infectious diseases using three different ELISA methods
author Martinelli, Reinaldo
author_facet Martinelli, Reinaldo
Santiago, Mittermayer Barreto
Reis, Mitermayer Galvão dos
Reis, Eliana Almeida
Ko, Albert
Fontes, Roberto Dias
Silva, Moacir Paranhos
Nascimento, Eliane Goes
Espinola, Ricardo
Harris, Nigel
Gharavi, Azzudin
Pierangeli, Silvia
author_role author
author2 Santiago, Mittermayer Barreto
Reis, Mitermayer Galvão dos
Reis, Eliana Almeida
Ko, Albert
Fontes, Roberto Dias
Silva, Moacir Paranhos
Nascimento, Eliane Goes
Espinola, Ricardo
Harris, Nigel
Gharavi, Azzudin
Pierangeli, Silvia
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Martinelli, Reinaldo
Santiago, Mittermayer Barreto
Reis, Mitermayer Galvão dos
Reis, Eliana Almeida
Ko, Albert
Fontes, Roberto Dias
Silva, Moacir Paranhos
Nascimento, Eliane Goes
Espinola, Ricardo
Harris, Nigel
Gharavi, Azzudin
Pierangeli, Silvia
Martinelli, Reinaldo
Santiago, Mittermayer Barreto
Reis, Mitermayer Galvão dos
Reis, Eliana Almeida
Ko, Albert
Fontes, Roberto Dias
Silva, Moacir Paranhos
Nascimento, Eliane Goes
Espinola, Ricardo
Harris, Nigel
Gharavi, Azzudin
Pierangeli, Silvia
dc.subject.por.fl_str_mv Anticardiolipin antibodies
Antiphospholipid antibodies
Antiphospholipid syndrome
Infectious diseases
ELISA
topic Anticardiolipin antibodies
Antiphospholipid antibodies
Antiphospholipid syndrome
Infectious diseases
ELISA
description p.13-17
publishDate 2006
dc.date.issued.fl_str_mv 2006
dc.date.accessioned.fl_str_mv 2013-11-22T12:01:42Z
dc.date.available.fl_str_mv 2013-11-22T12:01:42Z
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dc.identifier.issn.none.fl_str_mv 1676-2444
dc.identifier.number.pt_BR.fl_str_mv v.42 n. 1
identifier_str_mv 1676-2444
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