Detection of anti-erythropoietin antibodies in haemodialysis patients treated with recombinant human-erythropoietin

被引:39
作者
Castelli, G
Famularo, A
Semino, C
Machi, AM
Ceci, A
Cannella, G
Melioli, G
机构
[1] Ist Nazl Ricerca Cancro, Sez Aggregata Immunoterapia Cellulare, I-18132 Genoa, Italy
[2] Azienda Osped S Martino, Div Nefrol & Emodialisi, Genoa, Italy
[3] Azienda Osped S Martino, Lab Anal, Genoa, Italy
[4] Ist Nazl Ricerca Cancro, Serv Nuovi Farm, I-18132 Genoa, Italy
关键词
erythropoietin; immunoglobulins; enzyme-immunoassay;
D O I
10.1006/phrs.1999.0593
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
An enzyme-immunoassay was developed to evaluate the presence of anti-erythropoietin antibodies in:plasma samples obtained from renal failure patients treated with recombinant human erythropoietin (rh-EPO). The assay was specific and reproducible. Normal donors had no antibodies to EPO, while 67% of treated patients were positive to the assay. While the specificity of anti-EPO IgG antibodies was high, their affinity for the antigen was low. This finding can be explained by the very small differences in the structure of rh-EPO compared to that of natural EPO. The assay described could be useful in evaluating the long-term effects of rh-EPO treatment on the control of anaemia in renal failure patients. (C) 2000 Academic Press.
引用
收藏
页码:313 / 318
页数:6
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