Detection of anti-aquaporin-4 autoantibodies in the sera of Chinese neuromyelitis optica patients

Neural Regen Res. 2013 Mar 15;8(8):708-13. doi: 10.3969/j.issn.1673-5374.2013.08.005.

Abstract

In this study, we recruited 10 neuromyelitis optica patients, two multiple sclerosis patients and two myelitis patients. Chinese hamster lung fibroblast (V79) cells transfected with a human aquaporin-4-mCherry fusion protein gene were used to detect anti-aquaporin-4 antibody in neuromyelitis optica patient sera by immunofluorescence. Anti-aquaporin-4 autoantibody was stably detected by immunofluorescence in neuromyelitis optica patient sera exclusively. The sensitivity of the assay for neuromyelitis optica was 90% and the specificity for neuromyelitis optica was 100%. The anti-aquaporin-4 antibody titers in sera were tested with serial dilutions until the signal disappeared. A positive correlation was detected between Expanded Disability Status Scale scores and serum anti-aquaporin-4 antibody titers. The anti-aquaporin-4 antibody assay is highly sensitive and specific in the sera of Chinese neuromyelitis optica patients. Detection of aquaporin-4 autoantibody is important for the diagnosis and treatment of neuromyelitis optica.

Keywords: Expanded Disability Status Scale; aquaporin-4; autoantibody; autoimmune disease; grants-supported paper; immunofluorescence; multiple sclerosis; neural regeneration; neurodegenerative diseases; neuromyelitis optica; neuroregeneration; photographs-containing paper.