THE early detection of serum antibody is one possible means of making a rapid diagnosis of an infectious disease. For this purpose, immunoradiometric assays appear to offer the advantages of high sensitivity and precision. Of the several different principles that can be used as a basis for immunoradiometric assay, two were selected for rigorous assessment. These were, first, competition between antibody in the test sample and added isotopically-labelled homologous antibody for attachment to antigen and, second, attachment of antibody in the test sample to solid-phase antigen, followed by reaction of the resulting complex with isotopically-labelled homologous anti-globulin (Rosenthal, Hayashi and Notkins, 1972;Nielsen, Parratt and White, 1973;Restall, Thomas and Pennant, 1973;Smith, Gehle and McCracken, 1974;Nassau, Parsons and Johnson, 1975). When assay procedures based on the two principles were applied to samples containing known concentrations of immunopurified antibacterial globulins in saline-phosphate buffer, sensitive detection and reproducible results were obtained. However, normal human and rabbit sera interfered in both assay systems, markedly decreasing their sensitivity and precision, Attempts were made to eliminate this interference.We report details of the immunoradiometric assays and their performances, means of decreasing interference by serum, and a comparison of the sensitivities of these assays with the sensitivity of a conventional agglutination test.
MATERIALS AND METHODS
Micro