a new immunoprecipitation-real time quantitative pcr assay for anti-thto and anti-u3rnp antibody detection in systemic sclerosis定量pcr试验一个新的immunoprecipitation-real时间anti-thto和anti-u3rnp抗体检测在系统性硬化症.pdfVIP

Ceribelli et al. Arthritis Research Therapy 2012, 14:R128 /content/14/3/R128 RESEARCH ARTICLE Open Access A new immunoprecipitation-real time quantitative PCR assay for anti-Th/To and anti- U3RNP antibody detection in systemic sclerosis 1 2 1* Angela Ceribelli , Minoru Satoh and Edward KL Chan Abstract Introduction: Classic anti-nucleolar antibodies anti-Th/To and U3 ribonucleoprotein (-U3RNP) can help in the diagnosis, prediction of organ involvement and prognosis in systemic sclerosis (SSc); however, no validated commercial assay is available. We aimed at establishing a novel quantitative real time PCR (qPCR) method to detect these antibodies. Methods: Standard immunoprecipitation (IP) was performed using K562 cell extract and RNA components were extracted. cDNA was reverse transcribed from RNA components and Th RNA and U3 RNA were detected by qPCR using custom primers. Cycle threshold (Ct) values were compared in a titration experiment to determine the assay efficacy. The new assay was evaluated by testing 22 anti-Th/To and 12 anti-U3RNP positive samples in addition to 88 controls, and the results were compared with IP as a gold standard. Results: By testing serial 1:8 dilutions of cell lysate as the substrate in the IP step, RNA extracted after IP, and its derived cDNA, linear dose response curves were noted for both anti-Th/To and -U3RNP. With every dilution, Ct values changed approximately three as expected, reflecting the eight-fold difference of cDNA. The Ct difference between positive and negative samples was 8 to 13, which was similar throughout the dilutions. In the specificity analysis, the Ct values of positive samples were clearly different from the negative groups and the results by qPCR had a near perfect correlation with