DIAGNOSTIC ELISA FOR PARIETAL-CELL AUTOANTIBODY USING TOMATO LECTIN-PURIFIED GASTRIC H+/K+-ATPASE (PROTON PUMP)

被引:20
作者
CHUANG, JS
CALLAGHAN, JM
GLEESON, PA
TOH, BH
机构
[1] Department of Pathology and Immunology, Monash University Medical School, Monash University, Prahan, VIC
基金
英国医学研究理事会;
关键词
AUTOIMMUNE GASTRITIS; PERNICIOUS ANEMIA; PARIETAL CELL AUTOANTIBODIES; ELISA; TOMATO LECTIN-AFFINITY CHROMATOGRAPHY; GASTRIC H+/K+-ATPASE (PROTON PUMP);
D O I
10.3109/08916939209146123
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Circulating parietal cell auto antibodies, a useful diagnostic marker for autoimmune gastritis and pernicious anaemia, are currently routinely tested by serum immune of luorescence reactivity with frozen sections of rodent stomach. The major molecular targets of these parietal cell autoantibodies have recently been demonstrated to be the α and the βsubunits of the gastric H+/K+-ATPase (proton pump)1,2. We have demonstrated that tomato lectin binds specifically to the βsubunit of the proton pump and concomitantly co-purifies the αsubunit3 4. In the present study, we have exploited the latter observation for the development of a diagnostic ELISA for the detection of parietal cell autoantibodies and compared the performance of this assay with an ELISA using crude gastric membranes. The ELISAs were tested on 72 parietal cell autoantibody-positive sera, 72 parietal cell autoantibody-negative sera and 72 disease-control sera. The ELISA using lectin-purified canine proton pump was superior to that using crude canine gastric membranes in that it was about two-fold more sensitive (82% vs. 43% With an assay sensitivity of 82% and a specificity of 90% we propose that the ELISA using the lectin-purified proton pump is a rapid, simple, sensitive and specific diagnostic immunoassay for parietal cell autoantibodies. © 1992 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
引用
收藏
页码:1 / 7
页数:7
相关论文
共 21 条
  • [1] Gleeson P.A., Toh BH. Molecular targets in pernicious anaemia, Immunol Today, 12, pp. 233-238, (1990)
  • [2] Toh B.H., Gleeson P.A., Simpson R.J., Mortiz R.L., Callaghan J.M., Goldkorn I., Jones C.M., Martinelli T.M., Mu F.-T., Humphris D.C., Pettitt J.M., Mori Y., Masuda T., Sobieszczuk P., Weinstock J., Mantamadiotis T., Baldwin G.S., The 60–90 kDa parietal cell autoantigen associated with autoimmune gastritis is a b˜ subunit of the gastric H<sup>+</sup>/K<sup>+</sup>–ATPase, Proc Natl Acad Sci USA, 87, pp. 6418-6422, (1990)
  • [3] Callaghan J.M., Toh B.H., Pettitt J., Humphris D., Gleeson P.A., Poly–N–actyllactosamine–specific tomato lectin interacts with gastric parietal cells, J Cell Sci, 95, pp. 563-576, (1989)
  • [4] Callaghan J.M., Toh B.H., Simpson R.J., Baldwin G.S., Gleeson P.A., Biochem J
  • [5] Whittingham S., Mackay I.R., The Autoimmune Diseases., pp. 243-266, (1985)
  • [6] Strickland R., Gastritis. Springer Seminars in lmmunopathology, 12, pp. 203-217, (1990)
  • [7] Irvine W.J., Davies S.H., Delamore I.W., Williams A.W., Immunological relationship between pernicious anaemia and thyroid disease, Br Med J, 2, pp. 454-456, (1962)
  • [8] Taylor K.B., Roitt I.M., Doniach D., Couchman K.G., Shapland C., Autoimmune phenomena in pernicious anemia: gastric antibodies, Br Med J, 2, pp. 1347-1354, (1962)
  • [9] Masala C., Smurra G., Di Prima M.A., Amendolea M.A., Celestino D., Salsano F., Gastric parietal cell antibodies: demonstration by immunofluorescence of their reactivity with the surface of gastric parietal cells, Clin Explmmunol, 41, pp. 271-280, (1980)
  • [10] De Aizpurua H.J., Toh B.H., Ungar B., Parietal surface–reactive in pernicious anaemia demonstrated by indirect membrane immunofluorescence, Clin Exp Immunol, 52, pp. 341-349, (1983)