Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0024141 (systemic lupus erythematosus)
 44,322 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A beaded pattern of immunofluorescence (IF) occasionally occurs in routine FTA-ABS testing. This phenomenon strongly correlates with false-positive reactions in patients with SLE. We report on this IF finding in association with carcinoma of the colon.
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PMID:Beaded fluorescence pattern of FTA-ABS test associated with malignancy. 37 36

The objective of this study was to investigate the false-positive reactions in the Kline, FTA200 and FTA-ABS tests in acute disseminated lupus erythematosus, polyarthritis and controls. Though the false-positive Kline tests are frequent in autoimmune diseases, false-positive FTA200 when made on non lyophilised treponema are uncommon. On the other hand, when lyophilised treponema are used as substrate for the immunofluorescence, false-positive FTA200 and FTA-ABS are more common in the patients with autoimmune diseases than in controls. The false-positives had two patterns of fluorescence "beaded" or "homogeneous". The present investigation suggests that the false-positive reactions of the beaded type are due to the presence of anti-DNA antibodies in the sera.
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PMID:Laboratoire d'Hygi'ene de la Facult'e de M'edecine de Lyon Universit'e Claude-Bernard, Domaine Rockefeller, 8, avenue Rockefeller, 69373 Lyon Cedex 2 France. 78 44

Sera of patients with lupus erythematosus can produce false-positive reactions in most serologic tests for syphilis, including the FTA-ABS test. False-positive reactions in the FTA-ABS test can exhibit beaded, borderline or reactive patterns of fluorescence. Beaded fluorescence is commonly associated with anti-DNA antibody and other correlates of lupus activity. Borderline and reactive results are common in both systemic and discoid lupus erythematosus, and are usually not associated with increased clinical activity. TPI and MHA-TP tests appear helpful in detecting false-positive FTA-ABS results.
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PMID:Lupus erythematosus and reactive tests for syphilis: update. 101 53

The effects of 10% fetal calf serum (10% FCS), 10% adult bovine serum (10% ABS) and 1% bovine serum albumin (1% BSA) buffers on the reactivity of samples with or without IgM anticardiolipin antibodies (ACA IgM) were studied on cardiolipin-coated wells (target wells) and cardiolipin-free wells (control wells) in an ELISA test. With 1% BSA, target well reactivity was very low for samples containing ACA IgM. The 10% FCS induced a moderate but significant binding of polyclonal IgM on target wells particularly in the case of IgM hypergammaglobulinemia. With 10% ABS, whatever the IgM serum level, this non-specific binding did not occur on the solid phase either in the presence or in the absence of cardiolipin. Using 10% ABS, the study of 35 SLE sera showed that non-specific binding of IgM on control-wells occurred only with ACA IgM positive samples. Thus with the use of 10% ABS, we propose that subtraction of control well from target well values must not be performed for the detection of ACA IgM. The significance of cardiolipin-free well IgM reactivity of ACA IgM positive sera is discussed.
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PMID:Methodological approach for the detection of IgM anticardiolipin antibodies. 158 79

We have used an ELISA procedure to compare the reactivity of samples with or without IgG anticardiolipin antibodies (ACA) on cardiolipin-coated wells (target wells) and cardiolipin-free wells (control wells), using 10% fetal calf serum (10% FCS), 10% adult bovine serum (10% ABS) or 1% bovine serum albumin (1% BSA) as buffer. With 1% BSA, ACA reactivity was very low which suggests that this buffer would be inappropriate for use in ELISA procedures for ACA. 10% FCS induced non-specific binding of normal IgG only on target wells, particularly in the case of IgG hypergammaglobulinemia. With 10% ABS, this non-specific binding occurred on the solid phase with and without cardiolipin and could be accurately evaluated by subtracting the absorbance of control wells. Results of assays on 35 systemic lupus erythematosus sera using 10% ABS as buffer showed that highly specific results-could be obtained only if non-specific binding was systematically subtracted.
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PMID:ELISA for the detection of anticardiolipin antibodies. High specificity based on the use of adult bovine serum as buffer and systematic subtraction of non-specific binding. 203 75

The Venereal Disease Research Laboratory (VDRL) test for syphilis was used to screen 19,067 Jamaican sera, and positive were confirmed with the fluorescent Treponema pallidum haemagglutination assay (FTA-ABS). The group included 15,876 persons applying for emigration, 3039 pregnant women attending prenatal care, and 152 patients with systemic lupus erythematosus (SLE). 2.8% of the general population were VDRL positive, and of these 21.3% had titers 1:4. 4.7% of the pregnant women were positive, 48.2% with titers 1:4. 27.1% of the VDRL positive in the general population and 30.9% of the pregnant women were false positive, i.e.negative on the FTA-ABS test. 78.2% of the SLE patients were false positive on the VDRL, including 1 patient with a titer of 1:128. Thus the percentage of false positive taking the whole group as denominator was 0.59% in the general population, 0.72% in the pregnant women, but 11.8% among SLE patients. The overall seroprevalence of syphilis was 2.2%. These results are atypical in that pregnant women are usually considered to have a high rate of false positive results on the VDRL.
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PMID:Biological false positive serological tests for syphilis in the Jamaican population. 218 94

Four hundred and forty-nine syphilis sera, positive in VDRL and FTA-ABS tests, were studied for the presence of circulating immune complexes (CIC) by means of anti-antibody (AA) neutralization test. Ninety-three (20.7%) sera had demonstrable CIC. Subsequently, dispersion of CIC by saline suspension of cardiolipin and by extract of rabbit testicular syphiloma was examined. Of 40 CIC-containing sera tested with cardiolipin, dispersion of CIC was noted in 16 instances; of 32 CIC-containing sera examined with syphiloma extract, dispersion was noted in 16 cases. Significantly, CIC that showed definite dispersion by cardiolipin were not dispersed by syphiloma extract and vice versa. Some studies were also performed on lepromatous leprosy and SLE. None of 27 cIC-containing lepromatous leprosy sera were affected by cardiolipin, but in 2 of 9 CIC-containing SLE sera, cardiolipin dispersed the complexes. Cardiolipin-anti-cardiolipin complexes that neutralized AA were frequently observed when cardiolipin was added to sera containing its corresponding antibodies but not CIC. Similar reactions were noted between the syphiloma extract and anti-treponemal antibodies.
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PMID:Immune complexes in syphilis sera. 719 25

Enzyme-linked immunoabsorbent assay (ELISA) techniques for the detection of antibodies to the Venereal Disease Research Laboratories (VDRL) antigen as well as for the estimation of antibodies to cardiolipin (aCL) in cerebrospinal fluid (CSF) were performed in several groups of patients, including those with definite paretic neurosyphilis (DPNS, 10 patients), probable paretic neurosyphilis (PPNS, 19 patients), systemic lupus erythematosus (SLE, 71 patients), and miscellaneous neurologic disorders (30 patients), and normal subjects (11 patients). In the DPNS group, all demonstrated positive VDRL by ELISA, and 7 also had positive aCL tests, whereas only 7 of the 10 had positive CSF fluorescent treponemal antibody absorption (FTA-ABS) and Treponema pallidum hemagglutination assay (TPH A) tests. Three had positive VDRL tests by flocculation. In the PPNS group, no patients had positive FTA-ABS, TPH A, or VDRL flocculation tests in CSF. However, 18 of the 19 had positive CSF VDRL by ELISA; two of these also had positive aCL tests. Four SLE patients had positive CSF aCL tests (three with positive ELISA VDRL). Only one patient in the miscellaneous group had positive CSF aCL (Guillain-Barre syndrome), and one had positive IgM VDRL tests (bacterial meningitis). The value of VDRL ELISA in the diagnosis of neurosyphilis in the face of other negative conventional tests is established by our study and had important therapeutic consequences in patients with possible/probable neurosyphilis. The aCL test often may be positive in patients with DPNS but is less useful in the PPNS group.
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PMID:Anti-VDRL antibodies by ELISA in cerebrospinal fluid and its value in the differential diagnosis of abnormalities of the cerebrospinal fluid. 2648 30