Anti-plasminogen antibodies in ANCA-associated vasculitis: An optimized anti-plasminogen assay

PLoS One. 2018 Nov 12;13(11):e0207064. doi: 10.1371/journal.pone.0207064. eCollection 2018.

Abstract

Anti-plasminogen antibodies (α-PLG) were previously detected in a subpopulation of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) patients, showing a relation to renal lesions and outcome. Several studies showed different proportions of α-PLG positive AAV patients, possibly due to differences in the assays used. We here present a new, optimized α-PLG Enzyme-Linked Immuno Sorbent Assay (ELISA) and validate the presence of α-PLG in AAV. Different ELISA set-ups were tested regarding plasminogen (PLG) antigen, concentrations, coating buffers, blocking agents, and environmental conditions. Purified lysine-PLG (lys-PLG) showed better differentiation between positive samples and negative samples than glutamic acid-PLG (glu-PLG). Therefore, lys-PLG was used as coating antigen. With the optimized α-PLG ELISA we found α-PLG in 14.3% of the myeloperoxidase (MPO)-ANCA patients, whereas all our proteinase-3 (PR3)-ANCA patients tested in our new assay were negative. Concluding, in this study we have combined important technical findings and methods from previous studies to optimize the α-PLG assay, which can be used for future research purposes and will aid in uniform reporting of α-PLG status of patients.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / immunology*
  • Antibodies / analysis*
  • Antibodies / immunology*
  • Antibody Specificity
  • Case-Control Studies
  • Enzyme-Linked Immunosorbent Assay / methods*
  • Humans
  • Plasminogen / immunology*

Substances

  • Antibodies
  • Plasminogen