Zang X X, Sun Y, Shen F, Wang D, Zhou L, Wang J, Kung E
Department of Quality Control, Shanghai RAAS Blood Products Co Ltd, China.
Zhongguo Yao Li Xue Bao. 1995 Sep;16(5):415-9.
To study the cause of anticomplementary activities (ACA) of intravenous immunoglobulins (IVIG).
ACA were determined by two assays (limit test and 100CH50 test), distributions of IgG molecular size (polymer, dimer, monomer and fragment) by HPLC, IgG subclasses and IgA contents by radial immunodiffusion, prekallikrein activator (PKA) and kallikrein (KK) activities by chromogenic assay, potency of antibody against hepatitis B surface antigen (Anti-HBs) by enzyme-linked immunosorbent assay (ELISA).
The two ACA assays showed good correlation. However, ACA levels were not associated with distributions of IgG molecular size, IgG subclasses and IgA contents, PKA and KK activities. After heating incubation, ACA levels increased markedly and Anti-HBs decreased notably, distributions of IgG molecular size remained relatively constant.
Molecular structure alteration of IgG increased spontaneous complement activation of IVIG.
研究静脉注射免疫球蛋白(IVIG)抗补体活性(ACA)的原因。
采用两种检测方法(限度试验和100CH50试验)测定ACA,通过高效液相色谱法(HPLC)测定IgG分子大小(聚合物、二聚体、单体和片段)的分布,通过放射免疫扩散法测定IgG亚类和IgA含量,通过显色法测定前激肽释放酶激活剂(PKA)和激肽释放酶(KK)活性,通过酶联免疫吸附测定法(ELISA)测定抗乙型肝炎表面抗原抗体(抗-HBs)的效价。
两种ACA检测方法显示出良好的相关性。然而,ACA水平与IgG分子大小的分布、IgG亚类和IgA含量、PKA和KK活性无关。加热孵育后,ACA水平显著升高,抗-HBs显著降低,IgG分子大小的分布保持相对恒定。
IgG的分子结构改变增加了IVIG的自发补体激活。