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Table 2 Strengths and Weaknesses of Autoantigen Array Methods

From: Emerging technologies in autoantibody testing for rheumatic diseases

Strengths

Permits screening of many autoantigen targets simultaneously

Uses very small sample volumes

Can make use of stored samples

May detect multiple antibody classes or subclasses

Has high throughput capabilities

Permits exploratory approaches to find new targets Applies unbiased analytics

Carries generally lower cost per specificity than ELISA

Develops insights into autoantibody clusters and relatedness

Weaknesses

Potentially difficult to optimize all targets in one array

Has batch-to-batch variability

Generally lacks standardization between laboratories

Normalization standards are variable

Has diminished sensitivity for low-affinity autoantibodies

May miss autoantibodies present at low concentrations

Some autoantigens are not suitable as targets

Results may be semiquantitative