Comparison of a novel micro-assay for insulin autoantibodies with the conventional radiobinding assay

H. E. Naserke, N. Dozio, A. G. Ziegler, E. Bonifacio

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73 Scopus citations

Abstract

Measurement of insulin autoantibodies (IAA) with a novel micro radiobinding assay which requires only 20 μl of serum was compared with that in a conventional radiobinding assay which uses 600 μl of serum. IAA were measured with both assays in samples from 94 new onset insulin-dependent diabetes mellitus (IDDM) patients, 97 control subjects, and 48 first degree relatives of IDDM patients selected for having IAA in the conventional radiobinding assay. Overall, 227 (95%) of 239 samples tested were concordant, and IAA levels correlated well (r2 = 0.7) between the two assays. Discordant results were obtained in 7 new onset patients, 4 control subjects, and 1 first degree relative, and these had low IAA levels in the respective assays. Sensitivity and specificity in the new onset IDDM patients and control subjects were 69% and 98% for the micro radiobinding assay and 72% and 98% for the conventional radiobinding assay. The use of the micro radiobinding assay should greatly facilitate islet related antibody screening, particularly in children.

Original languageEnglish
Pages (from-to)681-683
Number of pages3
JournalDiabetologia
Volume41
Issue number6
DOIs
StatePublished - 1998
Externally publishedYes

Keywords

  • Insulin autoantibodies
  • Insulin-dependent diabetes mellitus
  • Prediction
  • Radiobinding assay

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