Main laboratory exploration methods for autoantibodies associated with hemostasis disorders
Laboratory testing | Assay principle | Measurement type |
---|---|---|
Functional assays | Inhibition of activity | Measurement of factor activity; mixing studies. |
Titration of inhibitor titer (Bethesda method) | Incubation of a normal sample with serial dilutions of patient sample and testing residual activity | Dilution inhibiting 50% of activity (corresponds to 1 unit) |
Flow cytometry | Detection of circulating autoantibodies through their binding to Plt or blood cell GPs | Detection of bound antibodies to specific GPs |
ELISA | Autoantigen capture-based assays | Detection of autoantibody by ELISA |
MAIPA | Immunocapture of Plt GP and reactive autoantibodies | Identification of specific anti-GP autoantibodies |
Coombs test | Detection of cell-bound antibodies | Detection of global anti-cell autoantibodies |