Rheumatoid Factor and Its Interference with Cytokine Measurements: Problems and Solutions

被引:23
作者
Bartels, Else Marie [1 ]
Watjen, Inger Falbe [1 ]
Andersen, Eva Littrup [1 ]
Danneskiold-Samsoe, Bente [1 ,2 ,3 ]
Bliddal, Henning [1 ,2 ,3 ]
Ribel-Madsen, Soren [1 ]
机构
[1] Frederiksberg Univ Hosp, Parker Inst, DK-2000 Frederiksberg, Denmark
[2] Univ Copenhagen, Fac Hlth Sci, DK-2200 Copenhagen, Denmark
[3] Aalborg Univ, Ctr Sensory Motor Interact, DK-9220 Aalborg, Denmark
关键词
D O I
10.1155/2011/741071
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Use of cytokines as biomarkers for disease is getting more widespread. Cytokines are conveniently determined by immunoassay, but interference from present antibodies is known to cause problems. In rheumatoid arthritis (RA), interference of rheumatoid factor (RF) may be problematic. RF covers a group of autoantibodies from immunoglobulin subclasses and is present in 65-80% of RA patients. Partly removal of RF is possible by precipitation. This study aims at determining the effects of presence of RF in blood and synovial fluid on cytokine measurements in samples from RA patients and finding possible solutions for recognized problems. IL-1 beta, IL-4, IL-6, and IL-8 were determined with multiplex immunoassays (MIA) in samples from RA patients prior to and after polyethylene glycol (PEG 6000) precipitation. Presence of RF does interfere with MIA. PEG 6000 precipitation abolishes this RF interference. We recommend PEG precipitation for all immunoassay measurements of plasma samples from RA patients.
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页数:7
相关论文
共 35 条
[1]   THE AMERICAN-RHEUMATISM-ASSOCIATION 1987 REVISED CRITERIA FOR THE CLASSIFICATION OF RHEUMATOID-ARTHRITIS [J].
ARNETT, FC ;
EDWORTHY, SM ;
BLOCH, DA ;
MCSHANE, DJ ;
FRIES, JF ;
COOPER, NS ;
HEALEY, LA ;
KAPLAN, SR ;
LIANG, MH ;
LUTHRA, HS ;
MEDSGER, TA ;
MITCHELL, DM ;
NEUSTADT, DH ;
PINALS, RS ;
SCHALLER, JG ;
SHARP, JT ;
WILDER, RL ;
HUNDER, GG .
ARTHRITIS AND RHEUMATISM, 1988, 31 (03) :315-324
[2]   Mannan binding lectin and its interaction with immunoglobulins in health and in disease [J].
Arnold, James N. ;
Dwek, Raymond A. ;
Rudd, Pauline M. ;
Sim, Robert B. .
IMMUNOLOGY LETTERS, 2006, 106 (02) :103-110
[3]  
Blass S, 1999, ARTHRITIS RHEUM, V42, P2499, DOI 10.1002/1529-0131(199912)42:12<2499::AID-ANR1>3.0.CO
[4]  
2-R
[5]  
Bonetti Antonio, 2008, Acta Biomed, V79, P140
[6]  
BOSCATO LM, 1986, CLIN CHEM, V32, P1491
[7]   Structure of human IgM rheumatoid factor Fab bound to its autoantigen IgG Fc reveals a novel topology of antibody-antigen interaction [J].
Corper, AL ;
Sohi, MK ;
Bonagura, VR ;
Steinitz, M ;
Jefferis, R ;
Feinstein, A ;
Beale, D ;
Taussig, MJ ;
Sutton, BJ .
NATURE STRUCTURAL BIOLOGY, 1997, 4 (05) :374-381
[8]   A comparison of ELISA and flow micro sphere-based assays for quantification of immunoglobulins [J].
Dasso, J ;
Lee, J ;
Bach, H ;
Mage, RG .
JOURNAL OF IMMUNOLOGICAL METHODS, 2002, 263 (1-2) :23-33
[9]   Solid-phase and bead-based cytokine immunoassay: A comparison [J].
de Jager, W ;
Rijkers, GT .
METHODS, 2006, 38 (04) :294-303
[10]   Improved multiplex immunoassay performance in human plasma and synovial fluid following removal of interfering heterophilic antibodies [J].
de Jager, W ;
Prakken, BJ ;
Bijlsma, JWJ ;
Kuis, W ;
Rijkers, GT .
JOURNAL OF IMMUNOLOGICAL METHODS, 2005, 300 (1-2) :124-135