Objective. To evaluate CENP-A reactivity with anticentromere antibodie
s (ACA) using recombinant protein (rCENP-A). Methods. Human CENP-A ant
igen was overexpressed in insect cells using the baculovirus system. W
e tested for ACA activity against the full-length recombinant polypept
ide by immunoblot and by enzyme-linked immunosorbent assay (ELISA). Re
sults. Of the ACA+ sera studied (n = 38), 95% were positive when teste
d against the rCENP-A in the ELISA system. Of the ACA- sera (n = 100),
only 2% gave false-positive results in the assay. There was good corr
elation between the recombinant and bona fide antigens in assaying for
ACA reactivity. Conclusion. CENP-A is a significant ACA target. The a
vailability of the rCENP-A assay is a valuable adjunct to the previous
ly described rCENP-B assay in analyses of the clinical significance of
ACA.