Preprint Article Version 1 This version is not peer-reviewed

Evaluation of a Ten Immunodot Antigens Test in Autoimmune Hepatitis and Primary Biliary Cholangitis, Lessons Learned for a Tertiary Care Academic Hospital

Version 1 : Received: 26 July 2024 / Approved: 29 July 2024 / Online: 29 July 2024 (08:34:47 CEST)

How to cite: Zorzi, G.; Pokem, P. N.; Dahlqvist, G.; Délire, B.; Lanthier, N.; Starkel, P.; Horsmans, Y.; Aupaix, C.; Jnaoui, S.; Gruson, D. Evaluation of a Ten Immunodot Antigens Test in Autoimmune Hepatitis and Primary Biliary Cholangitis, Lessons Learned for a Tertiary Care Academic Hospital. Preprints 2024, 2024072272. https://doi.org/10.20944/preprints202407.2272.v1 Zorzi, G.; Pokem, P. N.; Dahlqvist, G.; Délire, B.; Lanthier, N.; Starkel, P.; Horsmans, Y.; Aupaix, C.; Jnaoui, S.; Gruson, D. Evaluation of a Ten Immunodot Antigens Test in Autoimmune Hepatitis and Primary Biliary Cholangitis, Lessons Learned for a Tertiary Care Academic Hospital. Preprints 2024, 2024072272. https://doi.org/10.20944/preprints202407.2272.v1

Abstract

Autoimmune diseases of the liver and biliary tract require timely and accurate diagnosis. This study evaluates the D-tek panel (D-Tek, Mons, Belgium) of 10 immunodot antigens for its effectiveness in diagnosing autoimmune hepatitis (AIH) and primary biliary cholangitis (PBC). We retrospectively analysed serum samples from 111 patients who had undergone routine testing, including indirect immunofluorescence (IIF) and enzyme-linked immunosorbent assays (ELISA), to confirm or exclude autoimmune liver or biliary tract disease. The panel tested for M2/nPDC, M2/OGDC-E2, M2/BCOADC-E2, M2/PDC-E2, gp210, sp100, LKM1, LC1, SLA, and F-actin antigens. Results showed that all positive IIF+ELISA results were confirmed by the immunodot panel, except for two samples from patients never diagnosed with AIH. The immunodot test identified over 20 additional autoantibodies in samples initially negative by IIF, corroborated by laboratory imaging and medical history. The immunodot technique proved to be a quick, sensitive, and specific method with high overall accuracy. This study suggests that the immunodot technique may be an effective screening and confirmatory method for autoimmune liver diseases, potentially improving diagnostic efficiency and accuracy in clinical practice.

Keywords

immunodot; antigens; autoantibodies; autoimmune hepatitis; primary biliary cholangitis; diagnostics

Subject

Medicine and Pharmacology, Gastroenterology and Hepatology

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our Diversity statement.

Leave a public comment
Send a private comment to the author(s)
* All users must log in before leaving a comment
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.
We use cookies on our website to ensure you get the best experience.
Read more about our cookies here.