Sensitivity and specificity of viral immunoglobulin M determination by indirect enzyme-linked immunosorbent assay.

Abstract:

:Four sources of error associated with virus-specific immunoglobulin M (IgM) determination by indirect enzyme-linked immunosorbent assay were recognized and analyzed. First, competitive inhibition due to specific IgG was demonstrated by experiments involving addition and subtraction of rubella-specific IgG. Second, the interference due to rheumatoid factors (RFs) of the IgM class (IgM-RFs) was studied thoroughly, and it appeared that the level of false positivity was more dependent on specific IgG titers than on IgM-RF titers. Third, it was found that some IgM-RFs, differing from conventional IgM-RFs in that they reacted only with isologous IgG, were responsible for further cases of false positivity. Fourth, the interference of an IgM reacting with some virus-unmasked cellular antigens was demonstrated for some uninfected individuals. All four interfering factors could be readily eliminated by simply premixing serum samples with a sheep anti-human gamma-chain serum. This single pretreatment was shown to eliminate false-negatives as well as false-positives in a further 2,004 sera tested for six viruses. These results also emphasize the frequency of RFs and their heterogeneity.

journal_name

J Clin Microbiol

authors

Champsaur H,Fattal-German M,Arranhado R

doi

10.1128/JCM.26.2.328-332.1988

subject

Has Abstract

pub_date

1988-02-01 00:00:00

pages

328-32

issue

2

eissn

0095-1137

issn

1098-660X

journal_volume

26

pub_type

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