Rheumatoid factor isotypes in patients with rheumatoid arthritis and in subjects with "false-positive" reactions.

The appearance of RFs, as detected by standard serological techniques, often precedes the onset of clinical RA by years. This pre-rheumatoid immunological reactivity is not associated with C-reactive protein response or occurrence of antibodies against native type II collagen. The profile of RF isotypes appeared to be similar between pre-rheumatoid and rheumatoid sera. RA sera contained somewhat more frequently IgG and IgA class RFs than "false-positive" sera from a community-based population sample. 7S IgM could be detected at about the same frequency in rheumatoid sera, in RF-positive pre-rheumatoid sera and in sera with "false-positive" RF reactions. The significance of the findings in terms of the pathogenesis of RA will be discussed.