The invention discloses an AQP4-IgG
molecular typing detection method and kit for predicting
glucocorticoid treatment prognosis of an NMOSD patient, and belongs to the technical field of
autoimmune disease diagnosis. The detection method comprises the following steps: preparing patient serum AQP4-IgG, co-incubating the patient serum AQP4-IgG and primary astroglia cells, detecting C3
gene and
protein expression quantity through RT-PCR and
Western Blot double levels, and comparing with an rAb-53
monoclonal antibody, and judging that the type is a high pathogenic type when the expression quantity is greater than or equal to 1.5 times. The kit comprises an Asian race high-
pathogenicity AQP4-IgG standard substance, an rAb-53 reference substance, a C3 detection
reagent and an auxiliary
reagent. The
typing system with 'C3 inductivity' as the core is established for the first time, 20 clinical samples and 12-month follow-up visit
verification show that the prognosis reject ratio of patients with high
pathogenicity typing is 75%, the prognosis reject ratio of patients with low
pathogenicity typing is only 8.3%, early accurate prediction of treatment prognosis is achieved, the blank that existing detection is only qualitative and has no prognosis guidance value is filled, a tool is provided for accurate diagnosis and treatment of NMOSD, and the application prospect is wide.