Systemic sclerosis & Raynaud's

Development of an enzyme-linked immunosorbent assay for the efficient detection of autoantibodies against nuclear valosin-containing protein-like protein (NVL) 2 using its manipulated cDNA

RMD OpenPublished Diagnostic accuracy study

Authors' conclusion

We found more anti-NVL2 antibody-positive cases than any previous study, as far as we know.

Study context

Population
Sera from patients with various conditions, examined by an anti-mNVL2 ELISApatients' sera included
Participants
1,676 participants
Comparison
Anti-nucleolar antibody (ANoA)-positive vs ANoA-negative vs Healthy control
  • ANoA-positiven = 167
  • ANoA-negativen = 120
  • Healthy controln = 17reference
Outcome
Anti-mNVL2 ELISA positivity
Methodological detailsELISA using recombinant modified NVL2 (mNVL2), confirmation by immunoprecipitation-Western blotting
  • ELISA using recombinant modified NVL2 (mNVL2)
  • Confirmation by immunoprecipitation-Western blotting

Performance

As reported in the abstract

ANoA-positive

18

events

ANoA-negative

1

events

ANoA-negative serum judged false positive
1
Anti-NVL2 antibodies in homogeneous nucleolar (AC-8) indirect immunofluorescence (IIF) patterns
17.0%

Further findings

OutcomeP value
Anti-mNVL2 ELISA titres, anti-NVL2-positive SSc vs non-SScTitres significantly higher in SScP < 0.042

Anti-NVL2 antibody-positive patients by diagnosis

Systemic sclerosis (SSc)
6
Idiopathic interstitial pneumonia
5
Other diseases
7

Original publication

Development of an enzyme-linked immunosorbent assay for the efficient detection of autoantibodies against nuclear valosin-containing protein-like protein (NVL) 2 using its manipulated cDNA. RMD Open. Published 7 August 2025. doi:10.1136/rmdopen-2025-005679

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