[43] Isolation of soluble immune complexes from human serum: Combined use of polyethylene glycol precipitation, gel filtration, and affinity chromatography on protein A-sepharose

Author(s):  
Gabriel Virella ◽  
J. Michael Kilpatrick ◽  
Francoise Chenais ◽  
H. Hugh Fudenberg
1981 ◽  
Author(s):  
J Colwell ◽  
J Van Zile ◽  
M Kilpatrick ◽  
G Virella

Soluble immune complexes (IC) can be detected in the serum of diabetic patients in frequencies ranging from 25 to 46%, depending on the screening technique used. Insulin-treated diabetics show a high frequency of insulin- anti-insulin IC (61% vs 4% in non-insulin treated patients) while other non-specific screening techniques show similar positivity frequencies in these two populations of diabetics. Soluble IC were isolated from the sera of 6 patients (5 under insulin treatment) using several combinations of polyethylene glycol precipitation, gel filtration and affinity chromatography. Sera from two normal donors was processed similarly and trace amounts of protein were recovered and used as controls. Platelet aggregation and release of ATP were studied with a Chronolog Lumi- aggregometer using platelet-rich plasma and low concentrations of ADP. All preparations of purified IC were found to induce platelet aggregation and ATP release of ADP sensitized platelets, while similarly obtained preparations from normal sera were inactive. Previous investigations had shown that sera from some diabetic patients contain factor(s) with platelet-activating properties. The present experiments suggest that soluble IC may be at least one of the factors.


2020 ◽  
Vol 66 (3) ◽  
pp. 445-454 ◽  
Author(s):  
Leo Lam ◽  
Lisa Aspin ◽  
Robert Campbell Heron ◽  
Leah Ha ◽  
Campbell Kyle

Abstract Background Despite well-described analytical effects of autoantibodies against cardiac troponin (cTn) I on experimental assays, no study has systematically examined their impact on cTn assays in clinical use. We determined the effects of endogenous antibodies on 5 different cTnI assays and a cTnT assay. Methods cTn was measured by 6 methods: Siemens hs-cTnI Centaur, Siemens hs-cTnI Vista, Abbott hs-cTnI Architect, Beckman hs-cTnI Access, Beckman cTnI Access, and Roche hs-cTnT Elecsys. Measurements were repeated on 5 assays (all except Siemens hs-cTnI Vista) following immunoglobulin depletion by incubation with protein A. Low recovery of cTnI (<40%) following immunoglobulin depletion was considered positive for macro-cTnI. Protein A findings were validated by gel filtration chromatography and polyethylene glycol precipitation. Results In a sample of 223 specimens selected from a community laboratory that uses the Siemens hs-cTnI Centaur assay and from which cTn was requested, 76% of samples demonstrated increased cTnI (median, 88 ng/L; interquartile range, 62–204 ng/L). Macro-cTnI was observed in 123 (55%) of the 223 specimens. Comparisons of cTnI assays markedly improved once patients with macro-cTnI were removed. Passing-Bablok regression analysis between hs-cTnI assays demonstrated different slopes for patients with and without macro-cTnI. In patients with macro-cTnI, 89 (72%) showed no effect on the recovery of cTnT, whereas 34 (28%) had reduced recovery of cTnT. The proportion of results above the manufacturers' 99th percentile varied with the cTn assay and macro-cTnI status. Conclusion We suggest that the observed discrepancy between hs-cTnI assays may be attributed in part to the presence of macro-cTnI.


1977 ◽  
Vol 38 (02) ◽  
pp. 0494-0503 ◽  
Author(s):  
D. S Pepper ◽  
D Banhegyi ◽  
J. D Cash

SummaryAntithrombin III (AT III) complexes were isolated from human serum by affinity chromatography and gel filtration. In the first step of the preparation, using heparin-agarose chromatography, we observed that the complexed form of AT III bound less strongly to the gel than the free form and that about half of the AT III was free. With further purification a 2.5 × 105 molecular weight complex was isolated. Using 125I labelled human thrombin, this complex was radioactive indicating the presence of thrombin. Only in a synthetic thrombin-AT III system was a 9 × 104 molecular weight complex detected, but not in serum. These facts suggest that in serum AT III complexes may exist in a polymeric form. Also, an AT III antigen derived from the original AT III molecule, but not complexed, was isolated which may be a degradation product.Abbreviations used: AT-III, antithrombin III. Hepes, N-2-Hydroxyethylpiperazine-N-2-Ethanesulphonic acid.


1981 ◽  
Vol 111 (2) ◽  
pp. 336-342 ◽  
Author(s):  
Bert W. Maidment ◽  
Lawrence D. Papsidero ◽  
Marie Gamarra ◽  
Takuma Nemoto ◽  
T.Ming Chu

1984 ◽  
Vol 30 (5) ◽  
pp. 741-742 ◽  
Author(s):  
C A Isham ◽  
N A Ridgeway ◽  
R Hedrick ◽  
J C Cate

Abstract We evaluated the polyethylene glycol precipitation test (Gastroenterology 83: 378-382, 1982), looking for macroamylase in the serum of 66 patients whose values for serum amylase were above normal. Three patients (4.5%) were identified by this method as having macroamylase , and this was confirmed by gel-filtration chromatography and electrophoresis. We find this to be the test of choice as a screening procedure for macroamylasemia because of its speed, simplicity, and apparent reliability. Diagnosis of macroamylasemia is important in preventing needless treatment and investigation for pancreatitis.


1990 ◽  
Vol 171 (5) ◽  
pp. 1581-1595 ◽  
Author(s):  
P Boros ◽  
J M Chen ◽  
C Bona ◽  
J C Unkeless

We demonstrate, using a recombinant truncated Fc gamma RII molecule as a probe, the presence of anti-Fc gamma R antibodies in several strains of autoimmune mice. Affinity chromatography on a truncated Fc gamma R column of pooled sera from aged NZB females resulted in isolation of 16 micrograms of IgM per ml of serum, approximately 2% of the total IgM; no anti-Fc gamma R IgM was found in sera from C58/J mice. Mice with high titers of anti-Fc gamma R IgM also had anti-Fc gamma R IgG. Affinity-purified anti-Fc gamma R IgG bound to Fc gamma R-bearing cells. A good correlation was found between the presence of anti-Fc gamma R Ig and impaired phagocytosis of immune complexes in autoimmune strains such as NZB or NZB/NZW F1. Sera with high titers of anti-Fc gamma R Ig from NZB and motheaten mice inhibited the binding of soluble immune complexes. Furthermore, BXSB, a lupus-prone mouse strain that does not produce anti-Fc gamma R Ig, shows normal macrophage binding and phagocytosis of immune complexes. A set of four IgM mAbs that bind to Fc gamma R was identified. These antibodies were polyspecific; some were directed against DNA, and others recognized a wide variety of antigens including histones, thyroglobulin, and transferrin, but all anti-Fc gamma R IgM antibodies effectively inhibited the binding of IgG1 anti-DNP/DNP20BSA complexes to J774 macrophages. The role of anti-Fc gamma R Ig in autoimmunity remains to be established. It may act to crosslink and activate Fc gamma Rs on neutrophils, macrophages, NK, and mesangial cells, or it may desensitize Fc gamma R function of Fc gamma R-bearing cells.


2002 ◽  
Vol 126 (5) ◽  
pp. 606-609
Author(s):  
Ronald J. Knoblock ◽  
Christopher M. Lehman ◽  
Ruth A. Smith ◽  
Fred S. Apple ◽  
William L. Roberts

Abstract A number of classes of endogenous antibodies, including heterophile, rheumatoid factor, and autoantibodies, can interfere with immunoassay measurements of many different analytes. Heterophile and rheumatoid factor antibody interferences have been described previously for the AxSYM cardiac troponin I assay. Several commercial products have been developed to neutralize heterophile antibody interferences. We describe a patient with multiple apparently falsely elevated cardiac troponin I results that were unique to the AxSYM analyzer. These cardiac troponin I results diluted linearly. When treated with 2 different heterophile-blocking reagents, the magnitudes of the falsely elevated results increased 17- and 26-fold, and these results also demonstrated dilution linearity. This interfering substance could be removed by passage through an immobilized protein A column and by polyethylene glycol precipitation. It does not appear to be a classic heterophile antibody, nor is it a paraprotein. Laboratorians must remain constantly vigilant for immunoassay interferences that lead to clinically significant inaccurate results and must recognize that accepted methods for detecting and neutralizing the interference may be ineffective.


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