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  4. Antibody profiling identifies novel antigenic targets in spinal cord injury patients

Antibody profiling identifies novel antigenic targets in spinal cord injury patients

Journal of Neuroinflammation, 2016 · DOI: 10.1186/s12974-016-0713-5 · Published: September 7, 2016

Spinal Cord InjuryImmunology

Simple Explanation

This study used a technique called serological antigen selection (SAS) to find new antibody targets in patients with spinal cord injury (SCI). A cDNA phage display library from human spinal cord tissue was created and screened for antibody reactivity in plasma samples from SCI patients. The SAS approach identified a panel of 19 antigenic targets to which antibodies in the SCI patients' plasma reacted. Further validation in additional SCI patients and healthy controls confirmed elevated antibody levels to several of these targets in a significant portion of the SCI cohort. The identification of these novel antigenic targets may provide new insights into the disease processes of SCI and could lead to the development of antibody biomarkers for SCI patients.

Study Duration
Not specified
Participants
51 SCI patients and 49 age- and gender-matched healthy subjects
Evidence Level
Not specified

Key Findings

  • 1
    Nineteen antigenic targets with increased reactivity in SCI patients were identified using serological antigen selection (SAS).
  • 2
    Antibody reactivity against 9 of the 19 novel targets was validated in an additional cohort of SCI patients.
  • 3
    A panel of 6 targets showed immunoreactivity in approximately half of the SCI patients (47 %) with a specificity of 82 %.

Research Summary

The study explored the antibody signature of SCI patients using SAS, identifying 19 distinct antigenic targets with increased reactivity in SCI patients compared to healthy controls. Reactivity toward 9 of the 19 targets was confirmed in an additional cohort, with 51 % of the total SCI patient cohort showing antibody reactivity to at least 1 of the 9 validated targets. A panel of 6 antigenic targets showed relevant immunoreactivity in 47 % of the SCI patients with a specificity of 82 %, indicating their potential as diagnostic markers.

Practical Implications

Diagnostic Potential

The identified antigenic targets could be used to develop diagnostic tests for SCI, allowing for earlier and more accurate diagnosis.

Therapeutic Development

Understanding the role of these antibodies in SCI pathology may lead to the development of targeted therapies to modulate the immune response and improve patient outcomes.

Prognostic Biomarkers

The antibody responses could serve as prognostic biomarkers to predict the severity and long-term outcomes of SCI.

Study Limitations

  • 1
    Heterogeneous SCI patient population
  • 2
    Limited sample size screened
  • 3
    Association of novel antibodies with clinical parameters could not be determined

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