Indirect Immunofluorescence Test: EUROPLUS™ Granulocyte Mosaic 23

- EUROPLUS™ Granulocyte Mosaic 23 (granuloc. (EOH), granuloc. (HCHO), PR3, MPO, HEp-2, primate liver): pattern pANCA, formalin-resistant.
- Screening test for the detection of antibodies against granulocyte cytoplasm (ANCA).
- Indications: Wegener's granulomatosis, various forms of glomerulonephritis, primary sclerosing cholangitis, ulcerative colitis, Crohn's disease.
- Initial dilution: serum undiluted and 1 : 10 in parallel; conjugate class anti-human IgG, FITC-labelled.
- Using ethanol-fixed granulocytes, antibodies against granulocyte cytoplasm can be detected. In this case, two fluorescence patterns have to be differentiated: a granular fluorescence which is distributed evenly over the entire cytoplasm, leaving the cell nuclei free (cytoplasmic type, cANCA) or a smooth fluorescence wrapped ribbon-like around the cell nuclei (perinuclear type, pANCA).
- Antibodies against all relevant granulocyte antigens as well as against further, as yet unknown antigens are detected simultaneously:
| Pattern |
| Target antigen |
| Associated diseases |
cANCA | Proteinase 3 | Wegener's granulomatosis | |||
pANCA | Myeloperoxidase | Microscopic arteritis, Churg-Strauss syndrome, polyarteritis nodosa | |||
pANCA | Elastase | Ulcerative colitis, Crohn's disease, primary sclerosing cholangitis, systemic lupus erythematosus | |||
pANCA | Kathepsin G | Ulcerative colitis, primary sclerosing cholangitis, Crohn's disease | |||
pANCA | Lysozym Colitis | Ulcerative colitis, primary sclerosing cholangitis, Crohn's disease | |||
pANCA | Laktoferrin | Ulcerative colitis, primary sclerosing cholangitis, Crohn's disease, systemic lupus erythematosus, rheumatoid arthritis | |||
pANCA o. cANCA | BPI | Primary sclerosing cholangitis, ulcerative colitis, or pANCA Crohn's disease | |||
pANCA | unknown | Ulcerative colitis, Crohn's disease |
- The primate liver enables one to differentiate between pANCA and anti-nuclear antibodies (ANA) which can easily be confused when using ethanol-fixed granulocytes: In the case of a positive ANA result all nuclei of the hepatocytes fluoresce, whereas in the case of pANCA (as well as cANCA) only the granulocytes in the sinusoids of primate liver fluoresce.
- The EUROPLUS™ substrates PR3 and MPO are monospecific tests for the confirmation of results achieved with conventional granulocyte screening tests. They help to facilitate the evaluation of problematic fluorescence patterns (e.g. unspecific fluorescence caused by other cytoplasm antibodies).
Autoantibodies against Granulocyte Cytoplasm (cANCA/pANCA)
EUROLINE MPO/PR3/GBM Profile

- Incubated EUROLINE MPO/PR3/GBM Profile.
- Determination of autoantibodies against neurtrophil antigens and glomerular basement membrane antigens for the serological diagnosis of Wegener's granulomatosis, microscopic polyangiitis, rapid progressive glomerulonephritis, Goodpasture syndrome and other forms of vasculitis.
- Membrane chips printed with individual lines of purified and biochemically characterised antigens. Each antigen is coated onto a separate membrance chip, providing optimal efficiency of antibody detection for each protein.
- Serum dilution 1 : 100; conjugate class anti-human IgG, alkaline phosphatase-labelled.
- The EUROLINE Profile allows the determination of 3 autoantibodies: antibodies against MPO, PR3 and GBM.
- The test strips can be automatically incubated and evaluated using the EUROBlotMaster system and the EUROLineScan programme.
Microplate ELISA: ANCA Profile

- Incubated ELISA ANCA Profile (antigens: proteinase 3, lactoferrin, myeloperoxidase, elastase, cathepsin G, BPI).
- Differentiation of antibodies against granulocyte cytoplasm (ANCA).
- Indications: Wegener's granulomatosis, various forms of glomerulonephritis, primary sclerosing cholangitis, ulcerative colitis, Crohn's disease.
- Serum dilution 1 : 100; conjugate class anti-human IgG, POD-labelled.
- 6 relevant anti-granulocyte antibodies can be detected simultaneously and monospecifically: autoantibodies against proteinase 3, lactoferrin, myeloperoxidase, elastase, cathepsin G, BPI.
- 1-point calibration, semi-quantitative. Calibrator pool and serum sample on the same microplate strip.
- Native antigens, purified by affinity chromatography.
- Available individual ELISA (3-point calibration, quantitative):
| Antigen |
| Order No. |
Proteinase 3 (Capture ELISA) | EA 1201-9601-1 G | ||
Proteinase 3 (PR3-hn-hr: native/recombinant) | EA 1201-9601-2 G | ||
Myeloperoxidase | EA 1211-9601 G |

