SUMMARY Two monoclonal antibodies CH6 and Cl E3 were used in an antibody class capture assay for the detection of IgM antibodies specific for Toxoplasma gondii. CH6 was used on the solid phase to capture human IgM. After a Toxoplasma gondii antigen had been added, specifically bound material was detected using Cl E3 coupled to horseradish peroxidase. The assay was compared with an established system using polyclonal antisera at both the capture and antigen detection stages. A good correlation was found, with 97 3% (125 of 128) of sera giving the same classification in both assays. Three sera were positive only in the polyclonal system. No false positive results were found when 118 negative sera were examined.The These problems can be overcome by the antibody class capture assay (ACCA).6 Antisera bound to a solid phase is used to capture IgM from the test serum and the remaining serum components washed away. The specificity of the bound IgM can then be assayed by the addition of the antigen of interest, followed by an enzyme labelled antibody against this antigen. Standardisation of both the capture antibody and the enzyme labelled antibody of specific interest is important to ensure that the sensitivity, specificity, and reproducibility of the assay are optimised.Although an antihuman IgM monoclonal antibody Tibi 82 has been used in a radioimmunoassay and in Accepted for publication 9 March 1987 two reverse immunosorbent methods for specific IgM detection, it was not used in an enzyme linked immunosorbent assay (ELISA) system.7 8 In this study an antihuman IgM monoclonal antibody CH6 was used in an ACCA ELISA to detect IgM antibodies specific for Toxoplasma gondii and a second monoclonal antibody, C1E3, used at the antigen detection stage. Cl E3 recognises a major membrane protein antigen of Tgondii and will induce complement mediated cell lysis of the organism. This assay was evaluated and compared with an established ACCA ELISA in which polyclonal antisera were used.
Material and methodsSera routinely submitted for toxoplasma serology were titrated in both the dye test and the indirect haemagglutination test (IHAT).9 A total of 128 sera with a dye test titre of > 32 were subsequently tested in the two ACCA enzyme linked immunoabsorbent assay (ELISA) systems for specific IgM. A further 118 sera with no detectable antibody were used to test the specificity of the monoclonal assay.