Review Article

Current Concepts and Future Directions for the Assessment of Autoantibodies to Cellular Antigens Referred to as Anti-Nuclear Antibodies

Table 2

Anti-nuclear antibodies (ANA) in different ANA associated autoimmune rheumatic diseases and healthy individuals.

AntibodyAARD
SLESScSjSIIMMCTDHI

dsDNA40–70%<3%<3%<3%<3%<3%
Chromatin40–70%<3%<3%<3%5–18%<3%
RNP10–40%5–15%<3%5–15%100%5<3%
Sm5–20%<2%<1%<1%<2%2<1%
SS-A/Ro6040–70%3–10%60–90%<3%<3%<3%
Ro52/
TRIM21
40–70%15–30%70–90%25–50%<3%<3%
SS-B/La15–30%1–5%60–80%5–15%<3%<3%
Scl-70 (topo I)0–5%20–40%4<3%<3%<3%<1%
Jo-11–3%1–3%<2%15–30%<2%<1%
Centromere2–5%20–40%45–10%1–3%2–5%<3%
RNA Pol III<1%5–25%4<1%<1%<1%<1%
Ribosomal P10–30%<2%<2%<2%<2%<1%
PM/Scl1–3%5–10%<2%5–10%<2%<3%
Mi-2<1%3–8%<1%5–15%1<1%<3%
Ku 5–20% 3–8%<3%3–10%3<3%<3%
PCNA<5%<1%<1%<1%<1%<3%
Th/To<1%3–10%<1%<1%<1%<1%

1Rare in PM, higher prevalence in DM; mild form of disease; early during development.
2Prevalence depends if antigen contains SmBB′ (cross-reactive with RNP).
3Very high titer in PM.
4Anti-Scl-70, anti-centromere, anti-RNA Pol III antibodies tend to be mutually exclusive.
5Part of the classification criteria, therefore should be 100%; however, depending on assay used, some patients might be negative.
Note: Prevalence values were established based on literature and consensus of authors.
Abbreviations: DM: dermatomyositis; IIM: idiopathic inflammatory myopathy (polymyositis/dermatomyositis); MCTD: mixed connective tissue disease; PCNA: proliferating cell nuclear antigen; PM: polymyositis; RA: rheumatoid arthritis; RNA pol III: RNA polymerase III; RNP: ribonucleoprotein; Sm: Smith antigens (U2-U6 RNP); SjS: Sjögren’s syndrome; SLE: systemic lupus erythematosus; SPA: Solid phase assay; SSc: systemic sclerosis; TRIM: tripartite motif.