title: Heterophilic antibodies: a problem for all immunoassays.
abstract: We verified that antibody-binding substances in serum that interfere in two-site immunoassays involving murine antibodies are heterophilic antibodies. Incubation of serum containing heterophilic antibodies and a murine monoclonal antibody to human choriogonadotropin (hCG) leads to formation of a series of soluble immune complexes. We investigated the recognition of hCG by reagent antibody in the presence of heterophilic antibodies and found this recognition to be diminished. Consequently, about 30% of serum samples containing heterophilic antibodies falsely appear to contain increased concentrations of hCG. The effect on analyte recognition probably results from steric inhibition of hCG binding to complexed antibody. Heterophilic antibodies detected with a murine antibody also bound immunoglobulin from several other species but did not bind all of those tested.
authors.affiliation: Garvan Institute of Medical Research, St. Vincent's Hospital, Sydney, NSW, Australia.
authors.forename: L M
authors.initials: LM
authors.lastname: Boscato
authors.forename: M C
authors.initials: MC
authors.lastname: Stuart
mesh_terms: D000818:Animals; D000910:Antibodies, Heterophile / Q000032:analysis / Q000276:immunology*; D000911:Antibodies, Monoclonal; D000941:Antigens / Q000276:immunology; D006063:Chorionic Gonadotropin / Q000097:blood* / Q000276:immunology; D004591:Electrophoresis, Polyacrylamide Gel; D005189:False Positive Reactions; D006801:Humans; D007118:Immunoassay; D007074:Immunoglobulin G / Q000032:analysis / Q000276:immunology; D007457:Iodine Radioisotopes; D051379:Mice; D008970:Molecular Weight; D011863:Radioimmunoassay; D013045:Species Specificity
chemical_list: D000910:Antibodies, Heterophile; D000911:Antibodies, Monoclonal; D000941:Antigens; D006063:Chorionic Gonadotropin; D007074:Immunoglobulin G; D007457:Iodine Radioisotopes