ACS. (A) MFI (NMDAR-CD2 IgG). (B) MFI of IgG binding to NMDAR only. (C) MFI IgG binding to CD2 only (note that the scale of the y-axis has changed). Medians are indicated by horizontal bars. MFI and MFI values were CCX282-B site Trichostatin A web compared using a non-parametric test (Mann-Whitney U test). p<0.01 CBA = cell-based assay. ()MFI = (delta) median fluorescence intensity. FACS = fluorescence activated cell sorting. NMDAR = N-methyl-D-aspartate receptor. ns = not significant. (TIF) S4 Fig. APC fluorescence according to cell size of an NMDAR-IgG positive (A) and negative (B) sample. Left column: gating of (Em)GFP-positive NMDAR expressing HEK293A cells (excluding dead cells) to discriminate small (Q1-UL) and large (Q1-UR) cells. Middle column: relative APC fluorescence signal of small cells (Q1-UL). A second population with lower APC fluorescence signal is highlighted in blue (P1). Right column: relative APC fluorescence signal of large cells (Q1-UR). P1 decreased from 51.2 to 19.1 in the NMDAR-IgG positive sample. Overall MFI values are shown in the respective graphs. APC-A = allophycocyanin (area). (Em) GFP-A = (emerald) green fluorescent protein (area). FSC-A = forward scatter (area). MFI = median fluorescence intensity. NMDAR = N-methyl-D-aspartate receptor. Q1-UL/ R = upper left/right quadrant. (TIF)PLOS ONE | DOI:10.1371/journal.pone.0122037 March 27,15 /A Live Cell Based Assay for Detection of NMDAR AntibodiesS5 Fig. Correlation of (Em)GFP and APC fluorescence signal in the FACS based assay. NMDAR transfected HEK293A cells (EmGFP/GFP positive) were incubated with human serum negative for NMDAR antibodies (A), or human serum high (B; CBA titer 1:20,480) and medium (C; CBA titer 1:640) positive for NMDAR antibodies which were detected by an APC-conjugated secondary antibody. The population within the upper right quadrant ((Em)GFPposAPCpos) represents the cell population expressing NMDAR with bound NMDAR antibodies. (D) shows the cells incubated with a serum negative in the FACS based assay, but positive in the CBA (1:640). Consider that positivity was not determined by the percentage of double positive cells, but the MFI (A: -1,835; B: 290,060; C: 75,976; D: 8,160). APC-A = allophycocyanin (area). CBA = cell-based assay. MFI = delta median fluorescence intensity. (Em)GFP(-A) = (emerald) green fluorescent protein (area). FACS = fluorescence activated cell sorting. NMDAR = N-methyl-D-aspartate receptor. (TIF) S6 Fig. Inter-assay variation of MFI obtained from two independent analysis batches. (A) Individual MFI variability of the nine samples positive for NMDAR antibodies in the CBA. Means are shown as horizontal lines, standard deviations are indicated by grey bars. (B) Correlation of individual MFI variability (CV) and respective NMDAR-IgG titers in the CBA. The correlation was calculated using non-parametric Spearman correlation. Correlation coefficient (R) and the p-value are shown in the graph. Symbols represent matching samples in (A) and (B). Sample Nos. 6 and 7 (A) have the same CV and NMDAR-IgG titer (B). CBA = cell-based assay. CV = coefficient of variation. MFI = delta median fluorescence intensity. NMDAR = N-methyl-D-aspartate receptor. (TIF)AcknowledgmentsWe thank the biooptics facility of the Medical University of Innsbruck for their technical support and Claudia Siemon for critically reading the manuscript.Author ContributionsConceived and designed the experiments: M. Ramberger M. Reindl. Performed the experiments: M. Ramberger PP KS RI M.ACS. (A) MFI (NMDAR-CD2 IgG). (B) MFI of IgG binding to NMDAR only. (C) MFI IgG binding to CD2 only (note that the scale of the y-axis has changed). Medians are indicated by horizontal bars. MFI and MFI values were compared using a non-parametric test (Mann-Whitney U test). p<0.01 CBA = cell-based assay. ()MFI = (delta) median fluorescence intensity. FACS = fluorescence activated cell sorting. NMDAR = N-methyl-D-aspartate receptor. ns = not significant. (TIF) S4 Fig. APC fluorescence according to cell size of an NMDAR-IgG positive (A) and negative (B) sample. Left column: gating of (Em)GFP-positive NMDAR expressing HEK293A cells (excluding dead cells) to discriminate small (Q1-UL) and large (Q1-UR) cells. Middle column: relative APC fluorescence signal of small cells (Q1-UL). A second population with lower APC fluorescence signal is highlighted in blue (P1). Right column: relative APC fluorescence signal of large cells (Q1-UR). P1 decreased from 51.2 to 19.1 in the NMDAR-IgG positive sample. Overall MFI values are shown in the respective graphs. APC-A = allophycocyanin (area). (Em) GFP-A = (emerald) green fluorescent protein (area). FSC-A = forward scatter (area). MFI = median fluorescence intensity. NMDAR = N-methyl-D-aspartate receptor. Q1-UL/ R = upper left/right quadrant. (TIF)PLOS ONE | DOI:10.1371/journal.pone.0122037 March 27,15 /A Live Cell Based Assay for Detection of NMDAR AntibodiesS5 Fig. Correlation of (Em)GFP and APC fluorescence signal in the FACS based assay. NMDAR transfected HEK293A cells (EmGFP/GFP positive) were incubated with human serum negative for NMDAR antibodies (A), or human serum high (B; CBA titer 1:20,480) and medium (C; CBA titer 1:640) positive for NMDAR antibodies which were detected by an APC-conjugated secondary antibody. The population within the upper right quadrant ((Em)GFPposAPCpos) represents the cell population expressing NMDAR with bound NMDAR antibodies. (D) shows the cells incubated with a serum negative in the FACS based assay, but positive in the CBA (1:640). Consider that positivity was not determined by the percentage of double positive cells, but the MFI (A: -1,835; B: 290,060; C: 75,976; D: 8,160). APC-A = allophycocyanin (area). CBA = cell-based assay. MFI = delta median fluorescence intensity. (Em)GFP(-A) = (emerald) green fluorescent protein (area). FACS = fluorescence activated cell sorting. NMDAR = N-methyl-D-aspartate receptor. (TIF) S6 Fig. Inter-assay variation of MFI obtained from two independent analysis batches. (A) Individual MFI variability of the nine samples positive for NMDAR antibodies in the CBA. Means are shown as horizontal lines, standard deviations are indicated by grey bars. (B) Correlation of individual MFI variability (CV) and respective NMDAR-IgG titers in the CBA. The correlation was calculated using non-parametric Spearman correlation. Correlation coefficient (R) and the p-value are shown in the graph. Symbols represent matching samples in (A) and (B). Sample Nos. 6 and 7 (A) have the same CV and NMDAR-IgG titer (B). CBA = cell-based assay. CV = coefficient of variation. MFI = delta median fluorescence intensity. NMDAR = N-methyl-D-aspartate receptor. (TIF)AcknowledgmentsWe thank the biooptics facility of the Medical University of Innsbruck for their technical support and Claudia Siemon for critically reading the manuscript.Author ContributionsConceived and designed the experiments: M. Ramberger M. Reindl. Performed the experiments: M. Ramberger PP KS RI M.
