Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia

Primary ciliary dyskinesia (PCD) is an autosomal recessive rare disease caused by an alteration of ciliary structure. Immunofluorescence, consisting in the detection of the presence and distribution of cilia proteins in human respiratory cells by fluorescence, has been recently proposed as a techniq...

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Main Authors: Noelia Baz-Redón, Sandra Rovira-Amigo, Mónica Fernández-Cancio, Silvia Castillo-Corullón, Maria Cols, M. Araceli Caballero-Rabasco, Óscar Asensio, Carlos Martín de Vicente, Maria del Mar Martínez-Colls, Alba Torrent-Vernetta, Inés de Mir-Messa, Silvia Gartner, Ignacio Iglesias-Serrano, Ana Díez-Izquierdo, Eva Polverino, Esther Amengual-Pieras, Rosanel Amaro-Rodríguez, Montserrat Vendrell, Marta Mumany, María Teresa Pascual-Sánchez, Belén Pérez-Dueñas, Ana Reula, Amparo Escribano, Francisco Dasí, Miguel Armengot-Carceller, Marta Garrido-Pontnou, Núria Camats-Tarruella, Antonio Moreno-Galdó
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/11/3603
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author Noelia Baz-Redón
Sandra Rovira-Amigo
Mónica Fernández-Cancio
Silvia Castillo-Corullón
Maria Cols
M. Araceli Caballero-Rabasco
Óscar Asensio
Carlos Martín de Vicente
Maria del Mar Martínez-Colls
Alba Torrent-Vernetta
Inés de Mir-Messa
Silvia Gartner
Ignacio Iglesias-Serrano
Ana Díez-Izquierdo
Eva Polverino
Esther Amengual-Pieras
Rosanel Amaro-Rodríguez
Montserrat Vendrell
Marta Mumany
María Teresa Pascual-Sánchez
Belén Pérez-Dueñas
Ana Reula
Amparo Escribano
Francisco Dasí
Miguel Armengot-Carceller
Marta Garrido-Pontnou
Núria Camats-Tarruella
Antonio Moreno-Galdó
author_facet Noelia Baz-Redón
Sandra Rovira-Amigo
Mónica Fernández-Cancio
Silvia Castillo-Corullón
Maria Cols
M. Araceli Caballero-Rabasco
Óscar Asensio
Carlos Martín de Vicente
Maria del Mar Martínez-Colls
Alba Torrent-Vernetta
Inés de Mir-Messa
Silvia Gartner
Ignacio Iglesias-Serrano
Ana Díez-Izquierdo
Eva Polverino
Esther Amengual-Pieras
Rosanel Amaro-Rodríguez
Montserrat Vendrell
Marta Mumany
María Teresa Pascual-Sánchez
Belén Pérez-Dueñas
Ana Reula
Amparo Escribano
Francisco Dasí
Miguel Armengot-Carceller
Marta Garrido-Pontnou
Núria Camats-Tarruella
Antonio Moreno-Galdó
author_sort Noelia Baz-Redón
collection DOAJ
description Primary ciliary dyskinesia (PCD) is an autosomal recessive rare disease caused by an alteration of ciliary structure. Immunofluorescence, consisting in the detection of the presence and distribution of cilia proteins in human respiratory cells by fluorescence, has been recently proposed as a technique to improve understanding of disease-causing genes and diagnosis rate in PCD. The objective of this study is to determine the accuracy of a panel of four fluorescently labeled antibodies (DNAH5, DNALI1, GAS8 and RSPH4A or RSPH9) as a PCD diagnostic tool in the absence of transmission electron microscopy analysis. The panel was tested in nasal brushing samples of 74 patients with clinical suspicion of PCD. Sixty-eight (91.9%) patients were evaluable for all tested antibodies. Thirty-three cases (44.6%) presented an absence or mislocation of protein in the ciliary axoneme (15 absent and 3 proximal distribution of DNAH5 in the ciliary axoneme, 3 absent DNAH5 and DNALI1, 7 absent DNALI1 and cytoplasmatic localization of GAS8, 1 absent GAS8, 3 absent RSPH9 and 1 absent RSPH4A). Fifteen patients had confirmed or highly likely PCD but normal immunofluorescence results (68.8% sensitivity and 100% specificity). In conclusion, immunofluorescence analysis is a quick, available, low-cost and reliable diagnostic test for PCD, although it cannot be used as a standalone test.
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spelling doaj.art-d4fb34260b8043478c67cee5c287a4362023-11-20T20:16:16ZengMDPI AGJournal of Clinical Medicine2077-03832020-11-01911360310.3390/jcm9113603Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary DyskinesiaNoelia Baz-Redón0Sandra Rovira-Amigo1Mónica Fernández-Cancio2Silvia Castillo-Corullón3Maria Cols4M. Araceli Caballero-Rabasco5Óscar Asensio6Carlos Martín de Vicente7Maria del Mar Martínez-Colls8Alba Torrent-Vernetta9Inés de Mir-Messa10Silvia Gartner11Ignacio Iglesias-Serrano12Ana Díez-Izquierdo13Eva Polverino14Esther Amengual-Pieras15Rosanel Amaro-Rodríguez16Montserrat Vendrell17Marta Mumany18María Teresa Pascual-Sánchez19Belén Pérez-Dueñas20Ana Reula21Amparo Escribano22Francisco Dasí23Miguel Armengot-Carceller24Marta Garrido-Pontnou25Núria Camats-Tarruella26Antonio Moreno-Galdó27Vall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainPediatric Pulmonology Unit, Hospital Clínico Universitario de Valencia, 46010 Valencia, SpainPediatric Pulmonology Department and Cystic Fibrosis Unit, Hospital Sant Joan de Déu, 08950 Barcelona, SpainPediatric Pulmonology Unit, Department of Pediatrics, Hospital del Mar, 08003 Barcelona, SpainPediatric Pulmonology Unit, Hospital Parc Taulí de Sabadell, 08208 Sabadell, SpainPediatric Pulmonology Unit, Hospital Miguel Servet, 50009 Zaragoza, SpainPediatric Pulmonology Unit, Hospital Germans Trias i Pujol, 08916 Badalona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainDepartment of Pediatrics, Hospital Universitario Son Llàtzer, 07198 Palma de Mallorca, SpainPneumology Department, Hospital Clínic, 08036 Barcelona, SpainPneumology Department, Hospital Josep Trueta, 17007 Girona, SpainPediatric Pulmonology Unit, Consorci Sanitari de Terrassa, 08191 Terrassa, SpainPediatric Pulmonology Unit, Hospital Universitari Sant Joan de Reus, 43204 Tarragona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainGrupo de Biomedicina Molecular, Celular y Genómica, IIS La Fe, 46026 Valencia, SpainPediatric Pulmonology Unit, Hospital Clínico Universitario de Valencia, 46010 Valencia, SpainDepartment of Paediatrics, Obstetrics and Gynecology, Universitat de Valencia, 46010 Valencia, SpainCIBER of Respiratory Diseases (CIBERES), Instituto de Salud Carlos III (ISCIII), 28029 Madrid, SpainDepartment of Pathology, Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainVall d’Hebron Institut de Recerca (VHIR), Vall d’Hebron Hospital Universitari, Vall d’Hebron Barcelona Hospital Campus, 08035 Barcelona, SpainPrimary ciliary dyskinesia (PCD) is an autosomal recessive rare disease caused by an alteration of ciliary structure. Immunofluorescence, consisting in the detection of the presence and distribution of cilia proteins in human respiratory cells by fluorescence, has been recently proposed as a technique to improve understanding of disease-causing genes and diagnosis rate in PCD. The objective of this study is to determine the accuracy of a panel of four fluorescently labeled antibodies (DNAH5, DNALI1, GAS8 and RSPH4A or RSPH9) as a PCD diagnostic tool in the absence of transmission electron microscopy analysis. The panel was tested in nasal brushing samples of 74 patients with clinical suspicion of PCD. Sixty-eight (91.9%) patients were evaluable for all tested antibodies. Thirty-three cases (44.6%) presented an absence or mislocation of protein in the ciliary axoneme (15 absent and 3 proximal distribution of DNAH5 in the ciliary axoneme, 3 absent DNAH5 and DNALI1, 7 absent DNALI1 and cytoplasmatic localization of GAS8, 1 absent GAS8, 3 absent RSPH9 and 1 absent RSPH4A). Fifteen patients had confirmed or highly likely PCD but normal immunofluorescence results (68.8% sensitivity and 100% specificity). In conclusion, immunofluorescence analysis is a quick, available, low-cost and reliable diagnostic test for PCD, although it cannot be used as a standalone test.https://www.mdpi.com/2077-0383/9/11/3603ciliaprimary ciliary dyskinesiaPCDimmunofluorescenceantibody
spellingShingle Noelia Baz-Redón
Sandra Rovira-Amigo
Mónica Fernández-Cancio
Silvia Castillo-Corullón
Maria Cols
M. Araceli Caballero-Rabasco
Óscar Asensio
Carlos Martín de Vicente
Maria del Mar Martínez-Colls
Alba Torrent-Vernetta
Inés de Mir-Messa
Silvia Gartner
Ignacio Iglesias-Serrano
Ana Díez-Izquierdo
Eva Polverino
Esther Amengual-Pieras
Rosanel Amaro-Rodríguez
Montserrat Vendrell
Marta Mumany
María Teresa Pascual-Sánchez
Belén Pérez-Dueñas
Ana Reula
Amparo Escribano
Francisco Dasí
Miguel Armengot-Carceller
Marta Garrido-Pontnou
Núria Camats-Tarruella
Antonio Moreno-Galdó
Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
Journal of Clinical Medicine
cilia
primary ciliary dyskinesia
PCD
immunofluorescence
antibody
title Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
title_full Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
title_fullStr Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
title_full_unstemmed Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
title_short Immunofluorescence Analysis as a Diagnostic Tool in a Spanish Cohort of Patients with Suspected Primary Ciliary Dyskinesia
title_sort immunofluorescence analysis as a diagnostic tool in a spanish cohort of patients with suspected primary ciliary dyskinesia
topic cilia
primary ciliary dyskinesia
PCD
immunofluorescence
antibody
url https://www.mdpi.com/2077-0383/9/11/3603
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