Diagnosis of epidermolysis bullosa acquisita: Multicentre comparison of different assays for serum anti-type VII collagen reactivity

Maike Marleen Holtsche, Nina Van Beek, Takashi Hashimoto, Giovanni Di Zenzo, Detlef Zillikens, Catherine Prost-Squarcioni, Matthias Titeux, Alain Hovnanian, Enno Schmidt, Stephanie Goletz*

*Corresponding author for this work

Abstract

Epidermolysis bullosa acquisita is a pemphigoid disease characterized by autoantibodies against type VII collagen. This study compared the sensitivity and specificity of 6 diagnostic assays: type VII collagen noncollagenous domains enzyme-linked immunoassay (NC1/2 ELISA) (MBL, Nagoya, Japan); type VII collagen NC1 ELISA (Euroimmun, Lübeck, Germany); indirect immunofluorescence (IF) microscopy test based on the expression of recombinant NC1 in a human cell line (NC1 BIOCHIP®; Euroimmun); full-length recombinant type VII collagen ELISA; immunoblotting with full-length type VII collagen in the extract of human dermis; and immunoblotting with recombinant NC1. Immunoblotting with recombinant NC1 showed a sensitivity of 93.1% and specificity of 100%, followed by NC1 BIOCHIP® (sensitivity, 89.1%; specificity, 100%), immunoblotting with human dermis (sensitivity, 87.1%; specificity 100%), NC1-ELISA (sensitivity 82.2%; specificity 98.6%), NC1/NC2 ELISA (sensitivity 88.1%; specificity 93.3%), and full-length type VII collagen ELISA (sensitivity 80.2%; specificity 93.8%).

Original languageEnglish
Article numberadv00420
JournalActa Dermato-Venereologica
Volume101
Issue number3
Pages (from-to)adv00420
ISSN0001-5555
DOIs
Publication statusPublished - 2021

Research Areas and Centers

  • Academic Focus: Center for Infection and Inflammation Research (ZIEL)
  • Centers: Center for Research on Inflammation of the Skin (CRIS)

DFG Research Classification Scheme

  • 2.21-05 Immunology
  • 2.22-19 Dermatology

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  • EXC 2167: Precision Medicine in Chronic Inflammation (PMI)

    Schreiber, S. (Speaker, Coordinator), Baines, J. F. (Project Staff), Bosch, T. C. G. (Project Staff), Buyx, A. (Project Staff), Erdmann, J. (Project Staff), Franke, A. (Project Staff), Huber, R. (Project Staff), Klein, C. (Project Staff), Köhl, J. (Project Staff), König, I. R. (Project Staff), Lange, C. (Project Staff), Laudes, M. (Project Staff), Lieb, W. (Project Staff), Ludwig, R. (Project Staff), Nebel, A. (Project Staff), Niemann, S. (Project Staff), Rabe, K. F. (Project Staff), Riemekasten, G. (Project Staff), Rose-John, S. (Project Staff), Rosenstiel, P. C. (Project Staff), Schulenburg, H. (Project Staff), Schwarz, K. (Project Staff), Traulsen, A. (Project Staff), Weidinger, S. (Project Staff) & Zillikens, D. (Project Staff)

    01.01.19 → …

    Project: DFG ProjectsDFG Cluster of Excellence

  • CRU 303: Pemphigoid Diseases - Molecular Pathways and their Therapeutic Potential

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    01.04.1531.12.23

    Project: DFG ProjectsDFG Joint Research: Research Units/Clinical Research Units

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