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Heterophilic antibodies: a problem for all immunoassays

Abstract

We verified that antibody-binding substances in serum that interfere in two-site immunoassays involving murine antibodies are heterophilic antibodies. Incubation of serum containing heterophilic antibodies and a murine monoclonal antibody to human choriogonadotropin (hCG) leads to formation of a series of soluble immune complexes. We investigated the recognition of hCG by reagent antibody in the presence of heterophilic antibodies and found this recognition to be diminished. Consequently, about 30% of serum samples containing heterophilic antibodies falsely appear to contain increased concentrations of hCG. The effect on analyte recognition probably results from steric inhibition of hCG binding to complexed antibody. Heterophilic antibodies detected with a murine antibody also bound immunoglobulin from several other species but did not bind all of those tested.

Type Journal
ISBN 0009-9147 (Print)
Authors Boscato, L. M.;Stuart, M. C. :
Publisher Name CLINICAL CHEMISTRY
Published Date 1988-01-01
Published Volume 34
Published Issue 1
Published Pages 27-33
Status Published in-print
URL link to publisher's version http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=3338181
OpenAccess link to author's accepted manuscript version https://publications.gimr.garvan.org.au/open-access/471