1983
DOI: 10.1128/jcm.18.3.652-657.1983
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Use of monoclonal antibodies to human immunoglobulin M in "capture" assays for measles and rubella immunoglobulin M

Abstract: Monoclonal antibodies to human immunoglobulin M (IgM) were used in a fourphase enzyme immunofluorescence "capture" assay for determination of IgM antibodies to measles and rubella viruses. Little or no background reactivity was seen in the test system, and interfering effects of rheumatoid factor were avoided by preabsorption of test sera with aggregated human IgG. Virus-specific IgM antibody was demonstrable in 23 of 24 patients with serological evidence of measles virus infections and in 36 of 36 patients wi… Show more

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Cited by 17 publications
(13 citation statements)
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“…The sensitivity of these assays depends upon a high proportion of virus-specific IgM antibody in sera, since other IgM-class antibody, including RF, can reduce the sensitivity of antibody capture EIAs by competing with virus-specific IgM for binding sites on the solid phase. RF bound to the solid phase has been shown to produce false-positive results in a number of different assays (11,15,20,32). This may occur as a result of RF binding enzyme-labeled antiviral antibodies directly or by complexing with serum antiviral IgG antibodies which bind viral antigen (11).…”
Section: Discussionmentioning
confidence: 99%
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“…The sensitivity of these assays depends upon a high proportion of virus-specific IgM antibody in sera, since other IgM-class antibody, including RF, can reduce the sensitivity of antibody capture EIAs by competing with virus-specific IgM for binding sites on the solid phase. RF bound to the solid phase has been shown to produce false-positive results in a number of different assays (11,15,20,32). This may occur as a result of RF binding enzyme-labeled antiviral antibodies directly or by complexing with serum antiviral IgG antibodies which bind viral antigen (11).…”
Section: Discussionmentioning
confidence: 99%
“…This may occur as a result of RF binding enzyme-labeled antiviral antibodies directly or by complexing with serum antiviral IgG antibodies which bind viral antigen (11). RF interference has therefore necessitated the removal of IgG antibody by treatment with either staphylococcal protein A, aggregated IgG, or IgG-coated latex particles prior to testing (4,11,29,32). Additional approaches for improving specificity have included the use of purified viral antigen to eliminate false-positive IgM results obtained with crude antigens (11,28,29) antigen to allow identification of false-positive reactions in antibody capture assays (11).…”
Section: Discussionmentioning
confidence: 99%
“…Diagnosis of measles may be confirmed by virus isolation, by the demonstration of a significant increase in specific immunoglobulin G (IgG) titers, or by the detection of anti-measles virus (MV) IgM antibodies by using radioimmunoassays (2,18,37), enzyme-linked immunosorbent assays (ELISAs) (27,34), and direct or indirect fluorescence-antibody techniques (20,24). MV IgM appears at the same time as rash (12,21,34) and can be detected 3 days after the onset of rash in most individuals (29,32). IgM peaks on days 7 to 10 and wanes within weeks (28).…”
mentioning
confidence: 99%
“…Since IgM is transient, the demonstration of spe-cific IgM corresponds to a recent primary measles infection (14,21). A single serum specimen collected at the appropriate time (14) is now generally accepted to be sufficient to diagnose measles (10,12,14,17,26,32,34,37).…”
mentioning
confidence: 99%
“…Indirect EIAs-in which viral antigen is coated directly onto the solid phase-are particularly popular because of their sensitivity and simplicity of design (9), but they have also been criticized for their susceptibility to nonspecific reactions (11). To address these problems, reverse or capture EIAs-in which the solid phase is first coated with an anti-human immunoglobulin class-specific antibody and then with patient serum-have been developed to detect specific IgM antibodies (10,16,18). These assays are noted for their enhanced specificity and resistance to interference from rheumatoid factor (RF) (27).…”
mentioning
confidence: 99%