Digeon M, Bach J F
Nouv Presse Med. 1977 Dec 17;6(43):4031-7.
The search for circulating immune complexes (IC) by precipitation tests using polyethylene glycole was performed in a large series of normal (150 subjects) and 1200 pathological sera (over 800 patients). Increased precipitability of IgG and C4 was seen in a great percentage (80%) of pathological sera giving positive PEG precipitation without direct influence of IgG, IgM, C1q, C3 and C4 serum levels. The labeled C1q binding test gave similar results in 90 normal and 640 pathological sera. The C1q binding test could be replaced by the more direct and simple evaluation of the amount of C4 precipitated with IgG by 3.5% PEG. Positive results obtained in the three methods were particularly found in patients with diseases generally presumed to represent immune complexes diseases including acute glomerulonephritis, systemic lupus erythematosus, polyarteritis nodosa, subacute bacterial endocarditis, and acute or chronic hepatitis.
采用聚乙二醇沉淀试验对大量正常血清(150例受试者)和1200份病理血清(800多名患者)进行循环免疫复合物(IC)检测。在很大比例(80%)的病理血清中,IgG和C4的沉淀性增加,这些血清PEG沉淀试验呈阳性,且不受IgG、IgM、C1q、C3和C4血清水平的直接影响。标记C1q结合试验在90份正常血清和640份病理血清中得到了类似结果。C1q结合试验可用3.5%聚乙二醇沉淀的C4量的更直接、简单的评估来替代。在三种方法中获得的阳性结果尤其见于一般认为代表免疫复合物疾病的患者,包括急性肾小球肾炎、系统性红斑狼疮、结节性多动脉炎、亚急性细菌性心内膜炎以及急性或慢性肝炎。