From:  Generation and pathogenicity of autoantibodies associated to thrombosis and hemostasis

Main laboratory exploration methods for autoantibodies associated with hemostasis disorders

Laboratory testingAssay principleMeasurement type
Functional assaysInhibition of activityMeasurement 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 activityDilution inhibiting 50% of activity (corresponds to 1 unit)
Flow cytometryDetection of circulating autoantibodies through their binding to Plt or blood cell GPsDetection of bound antibodies to specific GPs
ELISAAutoantigen capture-based assaysDetection of autoantibody by ELISA
MAIPAImmunocapture of Plt GP and reactive autoantibodiesIdentification of specific anti-GP autoantibodies
Coombs test Detection of cell-bound antibodiesDetection of global anti-cell autoantibodies