DETECTION OF PATIENTS AT RISK FOR DEVELOPING INTEGRIN ANTAGONIST/ AGONIST MEDIATED DISEASE STATES
申请人:——
公开号:US20020081624A1
公开(公告)日:2002-06-27
This invention relates to the detection of patients at risk for developing integrin antagonist/agonist mediated disease states. This invention relates to assays useful for the detection in a patient bodily fluid sample of drug-dependent antibodies which bind to integrins, or intergrin-associated proteins or complexes thereof in the presence of an integrin antagonist/agonist. This invention also relates to assays useful for the detection in a patient bodily fluid sample of drug-dependent antibodies (DDABS) that bind to integrins, including the platelet glycoprotein IIb/IIIa (GPIIb/IIIa), in the presence of a integrin agonist and/or antagonist. This invention also relates to procedures for identifying integrin antagonists/agonists that are less prone to elicit integrin antagonist/agonist mediated disease states.
This invention also relates to procedures which increase the recovery of integrin-directed antibodies in body fluids, resulting in an increased sensitivity and specificity of DDAB detection assays. This invention also relates to procedures for treating blood samples, which dissociate antibodies to GPIIb/IIIa from the platelet surface, thereby increasing the recovery from the platelet supernatant. This invention also relates to the use of different GPIIb/IIIa preparations to identify patients at risk for early-onset thrombocytopenia upon treatment with GPIIb/IIIa antagonist/agonists, thereby increasing the specificity of antibody detection.
This invention also relates to the use of DDABs as a positive control and calibration standard for DDAB assays.
Such methods, procedures and assays are useful for identifying patients who may be at risk to develop disease states mediated by treatment with integrin antagonists/agonists.
本发明涉及对有可能患整合素拮抗剂/激动剂介导的疾病的患者进行检测。本发明涉及在整合素拮抗剂/激动剂存在的情况下,检测患者体液样本中与整合素或整合素相关蛋白或其复合物结合的药物依赖性抗体的检测方法。本发明还涉及在整合素激动剂和/或拮抗剂存在的情况下,在患者体液样本中检测与整合素(包括血小板糖蛋白 IIb/IIIa (GPIIb/IIIa))结合的药物依赖性抗体(DDABS)的检测方法。本发明还涉及鉴定不易引起整合素拮抗剂/拮抗剂介导的疾病状态的整合素拮抗剂/拮抗剂的程序。
本发明还涉及提高体液中整合素定向抗体的回收率,从而提高 DDAB 检测试验的灵敏度和特异性的程序。本发明还涉及处理血液样本的程序,该程序可将 GPIIb/IIIa 抗体从血小板表面解离,从而提高血小板上清液的回收率。本发明还涉及使用不同的 GPIIb/IIIa 制剂来鉴定在使用 GPIIb/IIIa 拮抗剂/激动剂治疗时有早发血小板减少风险的患者,从而提高抗体检测的特异性。
本发明还涉及将 DDAB 用作 DDAB 检测的阳性对照和校准标准。
这些方法、程序和检测有助于确定哪些患者可能会因整合素拮抗剂/拮抗剂的治疗而诱发疾病。