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Clinical associations of anti-CENP-B and anti-Scl70 antibody levels measured by multiplexed fluorescent microsphere immunoassay in systemic sclerosis
Rheumatology International, 02/11/09
Volpe A et al. – The findings support the association of high levels of anti-Scl70 antibodies with a worse cutaneous involvement, while high levels of anti-CENP-B antibodies seem to have a protective effect on skin manifestations in systemic sclerosis (SSc).
Methods- Study to assess the association between anti-CENP-B and anti-Scl70 Ab levels, and the clinical features in pts affected by SSc
- Clinical evaluation of 80 scleroderma pts performed to evaluate disease activity and organ involvement
- Scleroderma-specific autoantibodies were detected using multiplexed fluorescent microsphere immunoassay
- 11 pts were positive for both anti-Scl70 and anti-CENP-B antibodies; 6 cases showed a weak positivity for 1 of the two autoantibodies and a stronger positivity for the other one
- 5 cases showed an intense positivity for both autoantibodies
- This latter subgroup was excluded from the analysis of the associations between autoantibody levels and the clinical features
- In the anti-CENP-B positive pts higher Ab levels were associated with a less extensive vs more extensive skin involvement
- In the anti-Scl70 positive pts autoantibody levels were directly correlated with skin involvement; higher levels in pts with a more extensive vs less extensive skin involvement
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