International multicenter examination of MOG antibody assays

<p><strong>Objective</strong> To compare the reproducibility of 11 antibody assays for immunoglobulin (Ig) G and IgM myelin oligodendrocyte glycoprotein antibodies (MOG-IgG and MOG-IgM) from 5 international centers.</p> <p><strong>Methods</strong> The follo...

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Asıl Yazarlar: Reindl, M, Schanda, K, Woodhall, M, Ramberger, M, Leite, MI, Palace, J, Irani, SR, Waters, P
Materyal Türü: Journal article
Dil:English
Baskı/Yayın Bilgisi: Lippincott, Williams and Wilkins 2020
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author Reindl, M
Schanda, K
Woodhall, M
Ramberger, M
Leite, MI
Palace, J
Irani, SR
Waters, P
author_facet Reindl, M
Schanda, K
Woodhall, M
Ramberger, M
Leite, MI
Palace, J
Irani, SR
Waters, P
author_sort Reindl, M
collection OXFORD
description <p><strong>Objective</strong> To compare the reproducibility of 11 antibody assays for immunoglobulin (Ig) G and IgM myelin oligodendrocyte glycoprotein antibodies (MOG-IgG and MOG-IgM) from 5 international centers.</p> <p><strong>Methods</strong> The following samples were analyzed: MOG-IgG clearly positive sera (n = 39), MOG-IgG low positive sera (n = 39), borderline negative sera (n = 13), clearly negative sera (n = 40), and healthy blood donors (n = 30). As technical controls, 18 replicates (9 MOG-IgG positive and 9 negative) were included. All samples and controls were recoded, aliquoted, and distributed to the 5 testing centers, which performed the following antibody assays: 5 live and 1 fixed immunofluorescence cell-based assays (CBA-IF, 5 MOG-IgG, and 1 MOG-IgM), 3 live flow cytometry cell-based assays (CBA-FACS, all MOG-IgG), and 2 ELISAs (both MOG-IgG).</p> <p><strong>Results</strong> We found excellent agreement (96%) between the live CBAs for MOG-IgG for samples previously identified as clearly positive or negative from 4 different national testing centers. The agreement was lower with fixed CBA-IF (90%), and the ELISA showed no concordance with CBAs for detection of human MOG-IgG. All CBAs showed excellent interassay reproducibility. The agreement of MOG-IgG CBAs for borderline negative (77%) and particularly low positive (33%) samples was less good. Finally, most samples from healthy blood donors (97%) were negative for MOG-IgG in all CBAs.</p> <p><strong>Conclusions</strong> Live MOG-IgG CBAs showed excellent agreement for high positive and negative samples at 3 international testing centers. Low positive samples were more frequently discordant than in a similar comparison of aquaporin-4 antibody assays. Further research is needed to improve international standardization for clinical care.</p>
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spelling oxford-uuid:d6511134-a8db-4f3d-b5cb-26ec0118daa32022-03-27T08:32:39ZInternational multicenter examination of MOG antibody assaysJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d6511134-a8db-4f3d-b5cb-26ec0118daa3EnglishSymplectic Elements at OxfordLippincott, Williams and Wilkins2020Reindl, MSchanda, KWoodhall, MRamberger, MLeite, MIPalace, JIrani, SRWaters, P<p><strong>Objective</strong> To compare the reproducibility of 11 antibody assays for immunoglobulin (Ig) G and IgM myelin oligodendrocyte glycoprotein antibodies (MOG-IgG and MOG-IgM) from 5 international centers.</p> <p><strong>Methods</strong> The following samples were analyzed: MOG-IgG clearly positive sera (n = 39), MOG-IgG low positive sera (n = 39), borderline negative sera (n = 13), clearly negative sera (n = 40), and healthy blood donors (n = 30). As technical controls, 18 replicates (9 MOG-IgG positive and 9 negative) were included. All samples and controls were recoded, aliquoted, and distributed to the 5 testing centers, which performed the following antibody assays: 5 live and 1 fixed immunofluorescence cell-based assays (CBA-IF, 5 MOG-IgG, and 1 MOG-IgM), 3 live flow cytometry cell-based assays (CBA-FACS, all MOG-IgG), and 2 ELISAs (both MOG-IgG).</p> <p><strong>Results</strong> We found excellent agreement (96%) between the live CBAs for MOG-IgG for samples previously identified as clearly positive or negative from 4 different national testing centers. The agreement was lower with fixed CBA-IF (90%), and the ELISA showed no concordance with CBAs for detection of human MOG-IgG. All CBAs showed excellent interassay reproducibility. The agreement of MOG-IgG CBAs for borderline negative (77%) and particularly low positive (33%) samples was less good. Finally, most samples from healthy blood donors (97%) were negative for MOG-IgG in all CBAs.</p> <p><strong>Conclusions</strong> Live MOG-IgG CBAs showed excellent agreement for high positive and negative samples at 3 international testing centers. Low positive samples were more frequently discordant than in a similar comparison of aquaporin-4 antibody assays. Further research is needed to improve international standardization for clinical care.</p>
spellingShingle Reindl, M
Schanda, K
Woodhall, M
Ramberger, M
Leite, MI
Palace, J
Irani, SR
Waters, P
International multicenter examination of MOG antibody assays
title International multicenter examination of MOG antibody assays
title_full International multicenter examination of MOG antibody assays
title_fullStr International multicenter examination of MOG antibody assays
title_full_unstemmed International multicenter examination of MOG antibody assays
title_short International multicenter examination of MOG antibody assays
title_sort international multicenter examination of mog antibody assays
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AT schandak internationalmulticenterexaminationofmogantibodyassays
AT woodhallm internationalmulticenterexaminationofmogantibodyassays
AT rambergerm internationalmulticenterexaminationofmogantibodyassays
AT leitemi internationalmulticenterexaminationofmogantibodyassays
AT palacej internationalmulticenterexaminationofmogantibodyassays
AT iranisr internationalmulticenterexaminationofmogantibodyassays
AT watersp internationalmulticenterexaminationofmogantibodyassays