Husmann K, Lakomek H J, Richter O, Jacobi E, Krüskemper H L
J Clin Chem Clin Biochem. 1981 Nov;19(11):1125-30.
The laser-nephelometric test (Latex RF test) detects rheumatoid factor activity, and is based on immune complex formation between IgG coated latex particles and rheumatoid factor. This test requires little time and gives qualitative results in good precision. The latex nephelometric test and the frequently used agglutination tests (Waaler-Rose, Latex agglutination test) give the same qualitative results. In the quantitative assay higher nephelometric results correlate on average with higher titers in the Waaler-Rose and Latex agglutination test. The high standard deviation could be explained by the fact that other factors (IgG rheumatoid factor, IgG and IgG-IGM immune complexes), in addition to the IgM rheumatoid factor concentration, influence the immune complex formation in vitro.
激光散射比浊法检测(乳胶类风湿因子检测)可检测类风湿因子活性,其基于包被IgG的乳胶颗粒与类风湿因子之间形成免疫复合物。该检测耗时短,定性结果精度高。乳胶散射比浊法与常用的凝集试验(瓦勒-罗斯试验、乳胶凝集试验)给出的定性结果相同。在定量分析中,较高的散射比浊结果平均而言与瓦勒-罗斯试验和乳胶凝集试验中较高的滴度相关。较高的标准差可能是由于除IgM类风湿因子浓度外,其他因素(IgG类风湿因子、IgG和IgG-IGM免疫复合物)也会影响体外免疫复合物的形成。