title: Characterization of a reduction-sensitive factor from human plasma responsible for apparent false activity in competitive assays for antibody to hepatitis B core antigen.
abstract: Addition of reducing agents to competitive assays for antibody to hepatitis B core antigen (anti-HBc) eliminates apparent false reactivity of specimens obtained from individuals with no prior history of hepatitis B virus (HBV) infection and without other serological markers of HBV infection. We have purified and characterized a reduction-sensitive factor (RSF) isolated from the plasma of several volunteer blood donors. Column fractions were assayed fro anti-HBc by using a highly sensitive chemiluminescence assay with a detection of 0.15 Paul Ehrlich Institut units per ml at 50% inhibition. Gel filtration on Sephacryl S-300 indicated that reductant-sensitive samples possessed anti-HBc activity that was associated with immunoglobulin M (IgM), whereas reductant-stable activity was associated with IgG. Gel filtration followed by metal chelate affinity chromatography resulted in a 55-fold purification and demonstrated that RSF activity copurifies with IgM. RSF was recovered from a recombinant hepatitis B core antigen matrix and shown to be an IgM species by immunoblot. In addition, RSF activity coeluted with IgM protein from anti-mu-chain Sepharose. Discrepancies between enzyme immunoassay and radioimmunoassay procedures for anti-HBc (Corzyme and Corab, respectively: Abbott Laboratories, North Chicago, Ill.) appear to be due to the relative sensitivity of the enzyme immunoassay for IgM anti-HBc (sevenfold greater than the radioimmunoassay using a specific panel). The biological basis for the occurrence of low levels of nonspecific IgM anti-HBc reactivity in individuals not previously exposed to HBV remains to be elucidated.
authors.affiliation: Abbott Laboratories, Abbott Park, Illinois 60064.
authors.forename: E F
authors.initials: EF
authors.lastname: Robertson
authors.forename: J A
authors.initials: JA
authors.lastname: Weare
authors.forename: R
authors.initials: R
authors.lastname: Randell
authors.forename: P V
authors.initials: PV
authors.lastname: Holland
authors.forename: G
authors.initials: G
authors.lastname: Madsen
authors.forename: R H
authors.initials: RH
authors.lastname: Decker
mesh_terms: D001667:Binding, Competitive; D001782:Blood Donors; D005189:False Positive Reactions; D006510:Hepatitis B Antibodies / Q000097:blood*; D006512:Hepatitis B Core Antigens; D006801:Humans; D007118:Immunoassay; D007124:Immunoenzyme Techniques; D007075:Immunoglobulin M / Q000032:analysis; D008163:Luminescent Measurements; D010084:Oxidation-Reduction; D011863:Radioimmunoassay
chemical_list: D006510:Hepatitis B Antibodies; D006512:Hepatitis B Core Antigens; D007075:Immunoglobulin M