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Serological and hematological characteristics of Sjogren’s syndrome and dry eye syndrome patients using a novel immune serology technique

Author

Listed:
  • Hadas Ben-Eli
  • Abraham Solomon
  • Doron J Aframian
  • Eldad Ben-Chetrit
  • Dror Mevorach
  • Geffen Kleinstern
  • Tim Waterboer
  • Martina Willhauck-Fleckenstein
  • Michael Pawlita
  • Ora Paltiel

Abstract

Objectives: To compare hematologic and serological parameters among patients with Sjogren’s syndrome (SS), dry eye syndrome (DES) and controls, and validate a novel multiplex-serology method for identifying auto-antibodies in these populations. Methods: In a clinic-based case-control study a total of 422 participants were recruited, including 91 with SS, 120 DES, and 211 controls (age and sex frequency-matched). We measured blood counts, anti-nuclear-antibodies (ANA), anti-SSA/SSB, anti-ribonucleoprotein (RNP), anti-double-stranded-DNA (DS-DNA), and rheumatoid factor (RF) using the “Immunodot” qualitative-ELISA assay. Immunoglobulins, C3 and C4 were measured by immune-fluorescence. Autoantibodies were also quantified with a newly-developed method using glutathione-S-transferase fusion proteins of SSA/Ro 52 and 60kD and SSB/La (multiplex-serology), measuring median fluorescence intensity (MFI). Results: Among DES patients, only 2% (95%CI: 0.36–6.3) had positive immune serology. SS patients had lower lymphocyte, hemoglobin and C3 levels but higher prevalence of RF, ANA, anti-SSA/B and higher IgG and MFI levels, compared to DES and controls (P

Suggested Citation

  • Hadas Ben-Eli & Abraham Solomon & Doron J Aframian & Eldad Ben-Chetrit & Dror Mevorach & Geffen Kleinstern & Tim Waterboer & Martina Willhauck-Fleckenstein & Michael Pawlita & Ora Paltiel, 2020. "Serological and hematological characteristics of Sjogren’s syndrome and dry eye syndrome patients using a novel immune serology technique," PLOS ONE, Public Library of Science, vol. 15(12), pages 1-13, December.
  • Handle: RePEc:plo:pone00:0244712
    DOI: 10.1371/journal.pone.0244712
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