2. ACA is form of antibody directed against CARDIOLIPIN.
Cardiolipin is an important component of the inner
mitochondrial membrane, where it constitutes about 20% of
the total lipid composition.
when immune system recognize cardiolipin as a foreign
substance, ACA is produced and results in auto immune
disorder.
3. The ACA test detects the autoantibodies
present in an individual’s blood serum.
The common test used for detecting and
quantifying ACAs is ENZYME LINKED
IMMUNOSORBANT ASSAY(ELISA).
4. 1st step :
Sample addition – 490µl diluent +
10µl sample
Incubation – 30 minutes at room
temperature.
Washing – 3 times with wash buffer
either manually or automatically.
5. 2nd step :
Addition of conjugate – 100µl conjugate
Incubation – 30 minutes at room
temperature.
Washing – washed with wash buffer.
8. Qualitative results provide a simple positive or negative
result.
In quantitative ELISA, measured at 420nm in colorimeter.
9. oAnti cardiolipin antibodies are found in several diseases,
including syphilis, antiphospholipid syndrome, livedoid
vasculitis, vertebrobasilar insufficiency, and Systemic
Lupus Erythematosus(SLE).
oThey are form of anti-mitochondrial antibody.
oIn SLE, anti-DNA antibodies and anti-cardiolipin
antibodies may be present individually or together