Type of Antibody |
Molecular Weight,
(kD) |
Specificity of the antigens |
anti-Sa |
55 kD *
* The
50 kD
antigen is a degradation product of the 55 kD |
The
specificity of anti-Sa antibodies for
Rheumatoid
Arthritis
was 98.9%, the positive predictive value was 96.7%, while its negative
predictive value was 69.8%.
Anti-Sa
antibodies occurred independently from rheumatoid factor (RF).
Testing of
anti-Sa plus HLA class II DRB alleles (DRB1*01 and DRB1*04 subtypes) was
the best combination of immunologic markers for the diagnosis of
destructive adult RA. |
anti- SS-A |
60 kD,
52 kD |
Demonstration
of only 60kD SS-A antibodies suggest
SLE, whereas 60kD plus 52kD SS-A
antibodies are indicative of
SLE
or
Sjögren's syndrome. |
anti-SS-B |
45 kD |
SS-B
antibodies usually - with rare exceptions - appear in combination with
SS-A 52kD antibodies. SS-B antibodies are present in 45% of sera from SLE
patients and in 90% of those from patients with
Sjögren's syndrome. |
not defined
RA-associated antigen |
~43 kD |
In addition
to the
rheumatoid
arthritis
specific
Sa-55 and Sa-50kD antigen bands a further not yet defined antigen band
with a MW of ~43kD, only reacting with sera from patients with RA could
be observed (Personal findings). Its relevance still has to be
evaluated. |