Cross-Reaction of SARS-CoV Antigen with Autoantibodies in Autoimmune Diseases

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To investigate the significance of the SARS-associated coronavirus (SARS-CoV) antibody,detected by ELISAand indirect immunofluorescence assays (IFA) for the SARS-CoV Vero E6 cell lysates,in non-SARS subjects,114 serum samples from healthy controls and 104 serum specimens from autoimmune disease patients werecollected.The results of ELISA showed that among 114 sera from healthy controls,4 (3.5%) were positive ofSARS-CoV-IgG antibody and 114 (100%) were all negative of SARS-CoV-IgM antibody;the specificity ofSARS-CoV-IgG antibody for SARS patients was 96.5%,but the specificity of both SARS-CoV-IgG and -IgMantibodies for SARS patients was 100%.In 58 cases with SLE,positive rates of SARS-CoV-IgG and -IgMantibodies were 32.8% (19/58) and 8.6% (5/58),respectively,in which 11 cases (19%) were positive of bothSARS-CoV-IgG and -IgM antibodies;in 10 cases with SS,positive rate of both SARS-CoV-IgG and -IgMantibodies was 10% (1/10);in 16 cases with MCTD,positive rate of SARS-CoV-IgG was 37.5% (6/16),positiverate of both SARS-CoV-IgG and -IgM antibodies was 6.3% (1/16);in 20 cases with RA,one case was positive(5%) of SARS-CoV-IgG.However,of all samples with positive SARS-CoV-IgG and -IgM antibodies forautoimmune diseases and healthy controls,SARS-CoV RNA and antibodies were all negative by RT-PCR andIFA.All sera for negative or positive ELISA results were also negative or positive results using ELISA withVero E6 cells lysates.These studies showed that SARS-CoV Vero E6 cell lysates for the ELISA to detectSARS-CoV antibodies could lead to the false-positive reactions or cross-reactions of SARS-CoV antibodies innon-SARS diseases and healthy controls,and the false-positive reactions or cross-reactions were related to VeroE6 cell lysates and autoantibodies in non-SARS population.Cellular & Molecular Immunology.2004;1(4):304-307. To investigate the significance of the SARS-associated coronavirus (SARS-CoV) antibody, detected by ELISA and indirect immunofluorescence assays (IFA) for the SARS-CoV Vero E6 cell lysates, in non-SARS subjects, 114 serum samples from healthy controls and 104 serum specimens from autoimmune disease patients werecollected.The results of ELISA showed among 114 sera from healthy controls, 4 (3.5%) were positive of SARS-CoV-IgG antibody and 114 (100%) were all negative of SARS- CoV-IgM antibody ; the specificity of SARS-CoV-IgG antibody for SARS patients was 96.5%, but the specificity of both SARS-CoV-IgG and -IgMantibodies for SARS patients was 100% .In 58 cases with SLE, positive rates of SARS-CoV-IgG in 19 cases with positive results for bothSARS-CoV-IgG and -IgM antibodies; in 10 cases with SS, positive (18%) and 8.6% (5/58) rate of both SARS-CoV-IgG and -IgMantibodies was 10% (1/10); in 16 cases with MCTD, positive rate of SARS- CoV-IgG was 37.5% (6 / 16), positiverate of both SARS-CoV-IgG and -IgM antibodies was 6.3% (1/16); in 20 cases with RA, one case was positive (5%) of SARS- CoV- IgG.However, of all samples with positive SARS-CoV-IgG and -IgM antibodies forautoimmune diseases and healthy controls, SARS-CoV RNA and antibodies were all negative by RT-PCR and IFA. All se for negative or positive ELISA results were also negative or positive results using ELISA with Vero E6 cells lysates.These studies showed that SARS-CoV Vero E6 cell lysates for the ELISA to detectSARS-CoV antibodies could lead to the false-positive reactions or cross-reactions of SARS-CoV antibodies innon-SARS diseases and healthy controls, and the false -positive reactions or cross-reactions were related to Vero E6 cell lysates and autoantibodies in non-SARS population. Cellular & Molecular Immunology. 2004; 1 (4): 304-307.
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