Autoantibodies in biological samples such as serum can result from changes to biomolecules (e.g., proteins, polysaccharides, and lipids) that are associated with
disease. Such autoantibodies are useful biomarkers because they frequently appear early in
disease and are readily accessible, particularly in
biological fluids such as blood and serum. CT antigens are particularly useful for detecting autoantibodies correlated with
cancer. Numerous
population-based profiles for pluralities of different
autoantibody species, at least some of which are specifically reactive with CT antigens, allow for simultaneous assessment of multiple
disease-associated analytes is a
single test, which can be more effective in diagnostics and
drug development than individual profiles. The instant invention provides
autoantibody detection array devices that include a plurality of independently selected
autoantibody-reactive
reagent species, such as full-length CT antigens or the antigenic portions thereof, disposed on a substrate. Such arrays can be used to screen biological samples taken from patients or other subjects for diagnostic,
drug development, and other applications.