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Evaluation of anti-DFS70 antibodies and DFS pattern in ANA positive individuals and ANA Associated Rheumatic Diseases

Yıl 2021, , 234 - 238, 31.12.2021
https://doi.org/10.30565/medalanya.952813

Öz

Aim: In this study we aimed to find the frequency of anti-DFS70 antibodies and DFS pattern in ANA positive individuals and ANA associated rheumatic diseases (AARDs).

Methods: In this study, 337 subjects who were evaluated in a rheumatology clinic with prediagnosis of rheumatic diseases with positive ANA test and had concurrent anti-extractable nuclear antigen (anti-ENA) antibodies results were retrospectively analyzed. Clinical diagnosis of patients and demographic characteristics were obtained from the patients' medical records.

Results: A total of 337 subjects (305 women, 32 men) were included in this study. The mean age was 49.8 ± 14.2 years. Of the 337 participants, 111 (32.9%) had an IIF-DFS pattern and 226 (67.1%) had a non-DFS pattern. Anti-DFS70 antibodies were positive in 20.1% of individuals. Sixty eight individuals had AARDs. An IIF-DFS pattern was observed in 22.1% and a non-DFS pattern was observed in 77.9% of individuals with AARDs (p <0.05). Anti-DFS70 antibodies were positive in 13.2% of patients with AARDs. The frequency of AARDs was significantly lower in individuals with anti-DFS70 antibodies compared to individuals with other anti-ENAs antibodies (p <0.05).

Conclusion: Anti-DFS70 antibodies may be present in patients with AARDs but AARDs are less prevalent in patients who had anti-DFS70 antibodies, compared with patients who had other anti-ENAs.

Kaynakça

  • 1. Infantino M, Pregnolato F, Bentow C, Mahler M, Benucci M, Li Gobbi F, et al. Only monospecific anti-DFS70 antibodies aid in the exclusion of antinuclear antibody associated rheumatic diseases: an Italian experience. Clin Chem Lab Med. 2019;57(11):1764-9. doi: 10.1515/cclm-2019-0454.
  • 2. Meroni PL, Schur PH. ANA screening: An old test with new recommendations. Ann Rheum Dis. 2010;69(8):1420-2. doi: 10.1136/ard.2009.127100.
  • 3. Conrad K, Röber N, Andrade LE, Mahler M. The clinical relevance of anti-DFS70 autoantibodies. Clin Rev Allergy Immunol. 2017;52(2):202-16. doi: 10.1007/s12016-016-8564-5.
  • 4. Carbone T, Pafundi V, Tramontano G, Gilio M, Padula MC, Padula AA, et al. Prevalence and serological profile of anti-DFS70 positive subjects from a routine ANA cohort. Sci Rep. 2019;9(1):2177. doi: 10.1038/s41598-019-38686-5.
  • 5. Carter JB, Carter S, Saschenbrecker S, Goeckeritz BE. Recognition and relevance of anti-DFS70 autoantibodies in routine antinuclear autoantibodies testing at a Community Hospital. Front Med (Lausanne). 2018;5:88. doi: 10.3389/fmed.2018.00088.
  • 6. Mariz HA, Sato EI, Barbosa SH, Rodrigues SH, Dellavance A, Andrade LE. Pattern on the antinuclear antibody-HEp-2 test is a critical parameter for discriminating antinuclear antibody-positive healthy individuals and patients with autoimmune rheumatic diseases. Arthritis Rheum. 2011;63(1):191-200. doi: 10.1002/art.30084.
  • 7. Dellavance A, Viana VST, Leon EP, Bonfa ESDO, Andrade LEC, Leser PG. The clinical spectrum of antinuclear antibodies associated with the nuclear dense fine speckled immunofluorescence pattern. J Rheumatol. 2005;32(11):2144-9. PMID: 16265692.
  • 8. Mahler M, Hanly JG, Fritzler MJ. Importance of the dense fine speckled pattern on HEp-2 cells and anti-DFS70 antibodies for the diagnosis of systemic autoimmune diseases. Autoimmun Rev. 2012;11(9):642-5. doi: 10.1016/j.autrev.2011.11.005.
  • 9. Damoiseaux J, von Muhlen CA, Garcia-de la Torre I, Carballo OG, de Melo Cruvinel W, Francescantonio PLC, et al. International consensus on ANA patterns (ICAP): the bumpy road towards a consensus on reporting ANA results. Auto Immun Highlights. 2016;7(1):1. doi: 10.1007/s13317-016-0075-0.
  • 10. Mahler M, Andrade LE, Casiano CA, Malyavantham K, Fritzler MJ. Anti-DFS70 antibodies: an update on our current understanding and their clinical usefulness. Expert Rev Clin Immunol. 2019;15(3):241-50. doi: 10.1080/1744666X.2019.1562903.
  • 11. Miyara M, Albesa R, Charuel JL, El Amri M, Fritzler MJ, GhillaniDalbin P, et al. Clinical phenotypes of patients with anti-DFS70/ LEDGF antibodies in a routine ANA referral cohort. Clin Dev Immunol. 2013;2013:703759. doi: 10.1155/2013/703759.
  • 12. Lee H, Kim Y, Han K, Oh EJ. Application of anti-DFS70 antibody and specific autoantibody test algorithms to patients with the dense fine speckled pattern on HEp-2 cells scand. J Rheumatol. 2016;45(2):122-8. doi: 10.3109/03009742.2015.1060260.
  • 13. La Jeon Y, Kang SY, Lee WI, Kim MH. Clinical aspects of the dense fine speckled pattern in indirect immunofluorescence-antinuclear antibody screening and its association with DFS70 autoantibodies. Ann Clin Lab Sci. 2019;49(4):496-502. PMID: 31471339.
  • 14. Watanabe A, Kodera M, Sugiura K, Usuda T, Tan EM, Takasaki Y, et al. Anti-DFS70 antibodies in 597 healthy hospital workers. Arthritis Rheum. 2004;50(3):892-900. doi: 10.1002/art.20096.
  • 15. Mahler M, Parker T, Peebles CL, Andrade LE, Swart A, Carbone Y, et al. Anti-DFS70/LEDGF antibodies are more prevalent in healthy ındividuals compared to patients with systemic autoimmune rheumatic diseases. J Rheumatol. 2012;39(11):2104-10. doi: 10.3899/jrheum.120598.
  • 16. Muro Y, Sugiura K, Morita Y, Tomita Y. High concomitance of disease marker autoantibodies in anti-DFS70/LEDGF autoantibody-positive patients with autoimmune rheumatic disease. Lupus. 2008;17(3):171-6. doi: 10.1177/0961203307086311.
  • 17. Peker BO, Şener AG, Tarhan EF, Kaya S. Investigation of anti-DFS70 antibody in patients with systemic autoimmune rheumatic diseases. Clin Rheumatol. 2019;38(12):3627-33. doi: 10.1007/s10067-019-04730-y.
  • 18. Türkoğlu G, Berkem R, Karakoç AE. Investigation of the diagnostic value of anti-dense fine speckled 70/lens epithelium derived growth factor p75 autoantibody for autoimmune diseases. Mikrobiyol Bul. 2018;52(4):413-24. doi: 10.5578/mb.67385.

ANA Pozitif Bireylerde ve ANA İlişkili Romatizmal Hastalıklarda Anti-DFS70 Antikorlarının ve DFS paterninin Değerlendirilmesi

Yıl 2021, , 234 - 238, 31.12.2021
https://doi.org/10.30565/medalanya.952813

Öz

Amaç: Bu çalışmada, ANA pozitif bireylerde ve ANA ilişkili romatizmal hastalıklarda anti-DFS70 antikor ve DFS patern sıklığını bulmayı amaçladık.

Yöntem: Bu çalışmada romatoloji kliniğinde romatizmal hastalık ön tanısı ile değerlendirilen, ANA tetkiki pozitif olan ve eş zamanlı anti-ekstrakte edilebilir nükleer antijen (anti-ENA) antikor sonucu olan 337 kişi retrospektif olarak incelendi. Hastaların klinik tanıları ve demografik özellikleri hasta tıbbi kayıtlarından elde edildi.

Bulgular: Bu çalışmaya toplam 337 (305 kadın, 32 erkek) kişi dahil edildi. Yaş ortalaması 49.8±14.2 yıl idi. 337 katılımcının 111’i (%32.9) IIF-DFS paterne, 226’sı (%67.1) DFS dışı paterne sahipti. Bireylerin %20.1’inde anti-DFS70 antikoru pozitifti. 68 kişide ANA ilişkili romatizmal hastalık vardı. ANA ilişkili romatizmal hastalığa sahip kişilerin %22.1’inde IIF-DFS patern, %77.9’unda DFS dışı patern gözlendi (p<0.05). ANA ilişkili hastalığa sahip kişilerin %13.2’sinde anti-DFS70 antikoru pozitifti. Anti-DFS70 antikoruna sahip kişilerde diğer anti-ENA antikorlarına sahip kişilerle karşılaştırıldığında ANA ilişkili romatizmal hastalık sıklığı anlamlı ölçüde düşüktü (p<0,05).

Sonuç: Anti-DFS70 antikorlar ANA ilişkili romatizmal hastalıklarda bulunabilir ancak ANA ilişkili romatizmal hastalıklar anti-DFS70 antikorlarına sahip kişilerde diğer anti-ENA antikorlarına sahip kişilere kıyasla daha az yaygındır.

Kaynakça

  • 1. Infantino M, Pregnolato F, Bentow C, Mahler M, Benucci M, Li Gobbi F, et al. Only monospecific anti-DFS70 antibodies aid in the exclusion of antinuclear antibody associated rheumatic diseases: an Italian experience. Clin Chem Lab Med. 2019;57(11):1764-9. doi: 10.1515/cclm-2019-0454.
  • 2. Meroni PL, Schur PH. ANA screening: An old test with new recommendations. Ann Rheum Dis. 2010;69(8):1420-2. doi: 10.1136/ard.2009.127100.
  • 3. Conrad K, Röber N, Andrade LE, Mahler M. The clinical relevance of anti-DFS70 autoantibodies. Clin Rev Allergy Immunol. 2017;52(2):202-16. doi: 10.1007/s12016-016-8564-5.
  • 4. Carbone T, Pafundi V, Tramontano G, Gilio M, Padula MC, Padula AA, et al. Prevalence and serological profile of anti-DFS70 positive subjects from a routine ANA cohort. Sci Rep. 2019;9(1):2177. doi: 10.1038/s41598-019-38686-5.
  • 5. Carter JB, Carter S, Saschenbrecker S, Goeckeritz BE. Recognition and relevance of anti-DFS70 autoantibodies in routine antinuclear autoantibodies testing at a Community Hospital. Front Med (Lausanne). 2018;5:88. doi: 10.3389/fmed.2018.00088.
  • 6. Mariz HA, Sato EI, Barbosa SH, Rodrigues SH, Dellavance A, Andrade LE. Pattern on the antinuclear antibody-HEp-2 test is a critical parameter for discriminating antinuclear antibody-positive healthy individuals and patients with autoimmune rheumatic diseases. Arthritis Rheum. 2011;63(1):191-200. doi: 10.1002/art.30084.
  • 7. Dellavance A, Viana VST, Leon EP, Bonfa ESDO, Andrade LEC, Leser PG. The clinical spectrum of antinuclear antibodies associated with the nuclear dense fine speckled immunofluorescence pattern. J Rheumatol. 2005;32(11):2144-9. PMID: 16265692.
  • 8. Mahler M, Hanly JG, Fritzler MJ. Importance of the dense fine speckled pattern on HEp-2 cells and anti-DFS70 antibodies for the diagnosis of systemic autoimmune diseases. Autoimmun Rev. 2012;11(9):642-5. doi: 10.1016/j.autrev.2011.11.005.
  • 9. Damoiseaux J, von Muhlen CA, Garcia-de la Torre I, Carballo OG, de Melo Cruvinel W, Francescantonio PLC, et al. International consensus on ANA patterns (ICAP): the bumpy road towards a consensus on reporting ANA results. Auto Immun Highlights. 2016;7(1):1. doi: 10.1007/s13317-016-0075-0.
  • 10. Mahler M, Andrade LE, Casiano CA, Malyavantham K, Fritzler MJ. Anti-DFS70 antibodies: an update on our current understanding and their clinical usefulness. Expert Rev Clin Immunol. 2019;15(3):241-50. doi: 10.1080/1744666X.2019.1562903.
  • 11. Miyara M, Albesa R, Charuel JL, El Amri M, Fritzler MJ, GhillaniDalbin P, et al. Clinical phenotypes of patients with anti-DFS70/ LEDGF antibodies in a routine ANA referral cohort. Clin Dev Immunol. 2013;2013:703759. doi: 10.1155/2013/703759.
  • 12. Lee H, Kim Y, Han K, Oh EJ. Application of anti-DFS70 antibody and specific autoantibody test algorithms to patients with the dense fine speckled pattern on HEp-2 cells scand. J Rheumatol. 2016;45(2):122-8. doi: 10.3109/03009742.2015.1060260.
  • 13. La Jeon Y, Kang SY, Lee WI, Kim MH. Clinical aspects of the dense fine speckled pattern in indirect immunofluorescence-antinuclear antibody screening and its association with DFS70 autoantibodies. Ann Clin Lab Sci. 2019;49(4):496-502. PMID: 31471339.
  • 14. Watanabe A, Kodera M, Sugiura K, Usuda T, Tan EM, Takasaki Y, et al. Anti-DFS70 antibodies in 597 healthy hospital workers. Arthritis Rheum. 2004;50(3):892-900. doi: 10.1002/art.20096.
  • 15. Mahler M, Parker T, Peebles CL, Andrade LE, Swart A, Carbone Y, et al. Anti-DFS70/LEDGF antibodies are more prevalent in healthy ındividuals compared to patients with systemic autoimmune rheumatic diseases. J Rheumatol. 2012;39(11):2104-10. doi: 10.3899/jrheum.120598.
  • 16. Muro Y, Sugiura K, Morita Y, Tomita Y. High concomitance of disease marker autoantibodies in anti-DFS70/LEDGF autoantibody-positive patients with autoimmune rheumatic disease. Lupus. 2008;17(3):171-6. doi: 10.1177/0961203307086311.
  • 17. Peker BO, Şener AG, Tarhan EF, Kaya S. Investigation of anti-DFS70 antibody in patients with systemic autoimmune rheumatic diseases. Clin Rheumatol. 2019;38(12):3627-33. doi: 10.1007/s10067-019-04730-y.
  • 18. Türkoğlu G, Berkem R, Karakoç AE. Investigation of the diagnostic value of anti-dense fine speckled 70/lens epithelium derived growth factor p75 autoantibody for autoimmune diseases. Mikrobiyol Bul. 2018;52(4):413-24. doi: 10.5578/mb.67385.
Toplam 18 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm Araştırma Makalesi
Yazarlar

Sevcan Uğur 0000-0001-5617-629X

Tuğba Kula Atik 0000-0002-2433-1977

Yayımlanma Tarihi 31 Aralık 2021
Gönderilme Tarihi 15 Haziran 2021
Kabul Tarihi 25 Temmuz 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

Vancouver Uğur S, Kula Atik T. Evaluation of anti-DFS70 antibodies and DFS pattern in ANA positive individuals and ANA Associated Rheumatic Diseases. Acta Med. Alanya. 2021;5(3):234-8.

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