Pope R M, McDuffy S J
J Lab Clin Med. 1981 Jun;97(6):842-53.
IgM RF is known to react with many species of IgG. This study examined nine species of IgG to determine which was the most sensitive and specific to detect IgG RF by radioimmunoassay. For 19 IgM RF-positive sera, horse IgG was significantly more sensitive than all IgG preparations tested except rabbit IgG. The IgG used include sheep, swine, goat, bovine, and chicken as well as human and baboon Fc. For 22 IgM RF-negative sera from patients with rheumatoid arthritis, only one was positive for IgG RF with rabbit IgG, whereas five were positive with horse IgG. Analysis after preparative ultracentrifugation of a variety of sera positive and negative for IgM RF indicated that horse IgG was more sensitive, whereas rabbit IgG was more specific for the detection of IgG RF by our radioimmunoassay. IgM RF, on the other hand, was more sensitively detected by human Fc than by any preparation other than whole human IgG.
已知IgM类风湿因子(RF)可与多种IgG发生反应。本研究检测了九种IgG,以确定哪种IgG在放射免疫测定中检测IgG RF最为敏感和特异。对于19份IgM RF阳性血清,除兔IgG外,马IgG比所有测试的IgG制剂都更敏感。所用的IgG包括绵羊、猪、山羊、牛和鸡的IgG,以及人和狒狒的Fc片段。对于22份来自类风湿性关节炎患者的IgM RF阴性血清,只有一份用兔IgG检测IgG RF呈阳性,而用马IgG检测时有五份呈阳性。对多种IgM RF阳性和阴性血清进行制备性超速离心后的分析表明,在我们的放射免疫测定中,马IgG更敏感,而兔IgG对检测IgG RF更具特异性。另一方面,与除整个人IgG以外的任何制剂相比,人Fc片段检测IgM RF更为灵敏。