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Posterske teme Poster topics - Biochemia Medica

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P17-7 Imunologija<br />

ispitanika. Nasuprot tome, razina IL-1 alfa i IL-1 beta nije<br />

bitno povišena (0-28%). Koncentracija ostalih citokina<br />

(IL-4, IL-10, VEGF, EGF, IFN-gama) sporadično je povišena<br />

samo u nekih ispitanika (0-40%), s iznimkom IL-2 koncentracija<br />

kojega je povišena u oko 85% ispitanika. Navedeni<br />

rezultati pokazuju kako istodobno dokazivanje brojnih citokina<br />

može biti vrlo informativno, ali interpretativno vrlo<br />

složeno.<br />

E-mail: tanja18@email.htnet.hr<br />

P17-8<br />

Uspoređivanje testa AtheNA Multi-Lyte ANA<br />

za određivanje autoantitijela s indirektnom<br />

imunofl uorescencijom i testom ELISA<br />

Salamunić I, Pauković Sekulić B, Galetović A, Bilopavlović N<br />

Odjel za medicinsku laboratorijsku dijagnostiku, Klinička bolnica Split,<br />

Split, Hrvatska<br />

Laboratorijski testovi koji se rabe u obradi bolesnika s autoimunim<br />

bolestima služe za dijagnosticiranje bolesti, kliničko<br />

praćenje bolesnika i procjenu uspješnosti liječenja.<br />

Test AtheNA Multi-Lyte ANA rabi metodu homogene fl uoroimunokemije<br />

gdje su polistirenske kuglice obložene s<br />

više različitih antigena. Stoga ovaj test služi za polukvantitativno<br />

dokazivanje IgG klase antitijela za SS-A, SS-B, Sm,<br />

RNP, Scl-70, Jo-1, centromera i histona, te za kvantitativno<br />

dokazivanje IgG klase antitijela na dsDNA i kvalitativno<br />

dokazivanje IgG klase antitijela na ANA. Cilj rada je bio usporediti<br />

test AtheNA Multi-Lyte ANA s konvencionalnim<br />

metodama indirektne imunofl uorescencije (IIF) i enzimimunoanalize<br />

(ELISA) koje rabimo u našem svakodnevnom<br />

radu. Analizirali smo 152 uzorka seruma zaprimljenih u laboratorij<br />

sa zahtjevima za određivanje slijedećih antitijela:<br />

97 ANA, 59 SS-A, 56 SS-B, 11 Sm, 9 Sm/RNP, 39 Scl-70, 17<br />

Jo-1, 39 dsDNA, 16 histona i 19 centromera bez obzira na<br />

dijagnozu. Svi uzorci usporedno su određivani i mjereni<br />

testom AtheNA Multi-Lyte ANA (Zeus Scientifi c, Inc.) na<br />

instrumentu Luminex 100 IS, komercijalnim testom ANA<br />

Hep-2 (BioSystems) na fl uorescentnom mikroskopu, komercijalnim<br />

testom ELISA za dokazivanje ENA antitijela<br />

(SS-A, SS-B, Sm, Sm/RNP, Scl-70, Jo-1), dsDNA (Hycor test)<br />

te histona i centromera (DiaSorin) na automatskom analizatoru<br />

miniBos, Biomedica. Svaki pojedinačni rezultat<br />

<strong>Biochemia</strong> <strong>Medica</strong> 2006;16(Suppl 1):S1–S268<br />

S196<br />

Elevated concentrations of IL-6 and TNF-alfa were found<br />

in 75% of infants and adults. At the same time, the concentrations<br />

of IL-1 alfa and IL-1 beta were not signifi cantly<br />

elevated (0-28%). Plasma levels of other cytokines (IL-4,<br />

IL-10, VEGF, EGF, IFN-gamma) were only sporadically elevated<br />

(0-40%), with the exception of IL-2. Plasma levels<br />

of this cytokine were elevated in 85% of patients. These<br />

data suggest that simultaneous determination of multiple<br />

proinfl ammatory cytokines and growth factors by<br />

biochip array may be very informative but very complex<br />

in terms of interpretation.<br />

E-mail: tanja18@email.htnet.hr<br />

P17-8<br />

Immunology<br />

Comparative analysis of Multiplex AtheNA<br />

Multi-Lyte ANA system with conventional<br />

laboratory methods of autoantibody<br />

detection<br />

Salamunić I, Pauković Sekulić B, Galetović A, Bilopavlović N<br />

Department of <strong>Medica</strong>l Laboratory Diagnosis, Split University Hospital,<br />

Split, Croatia<br />

Measurement of autoantibodies provides supporting<br />

evidence in the diagnosis and monitoring of systemic<br />

autoimmune diseases. The AtheNA Multi-Lyte ANA Test<br />

System (Zeus Scientifi c, Inc.) is a homogeneous, multiplexed,<br />

fl uorescence-based microparticle immunoassay<br />

intended for semi-quantitative detection of IgG class<br />

antibody to 8 separate analytes (SS-A, SS-B, Sm, RNP,<br />

Scl-70, Jo-1, centromere B and histone), quantitative detection<br />

of IgG class antibody to dsDNA, and qualitative<br />

detection of IgG class antibody to ANA in human serum.<br />

The objective of this study was to determine the performance<br />

of the AtheNA Multi-Lyte ANA test relative to the<br />

established, commercial indirect immunofl uorescence<br />

(IIF) and enzyme-linked immunosorbent assay (ELISA)<br />

currently in use in our laboratory. The study population<br />

consisted of 152 serum specimens referred to our laboratory<br />

for autiommune testing: 97 ANA requests, 59 SS-A,<br />

56 SS-B, 11 Sm, 9 Sm/RNP, 39 Scl-70, 17 Jo-1, 39 dsDNA, 16<br />

histone and 19 centromere. Diagnosis was not included<br />

in the study. All specimens were tested on the AtheNA<br />

Multi-Lyte ANA Test System and a multitude of conventional<br />

immunoassays including commercial ANA Hep-2<br />

test systems (BioSystems), commercial ELISA test systems<br />

for detection of antibodies to ENA (SS-A, SS-B, Sm, Sm/<br />

RNP, Scl-70, Jo-1), dsDNA (Hycor test, miniBos analyzer,

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