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The serum antibodies are detected by enzyme-linked immunosorbent
assay (ELISA) which is more specific and faster than immunofluor-
escence. These ganglioside antigens (GM1, etc.) are applied to wells
of an ELISA plate. Serially diluted patient's serum is added. After
washing, alkaline phosphatase conjugated antibodies to human
IgG and IgM are added, washing is repeated, then ezyme substrate
is added. Results are expressed as antibody titer, ie, the greatest
dilution at which the optical density (405) reading of the reaction
product is positive (values >2.0 times the mean value of 4 normal
sera are considered positive). (Pestronk A, Cornblath DR, Ilyas AA,
et al: A treatable multifocal motor neuropathy with antibodies to GM1
ganglioside. Ann Neurol 1988;24:73-78)

