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- Title
Comparison of radioassay and haemagglutination methods for anti-thyroid microsomal antibodies.
- Authors
Mariotti, S.; Pinchera, A.; Vitti, P.; Chiovato, L.; Marcocci, C.; Urbano, Cecilia; Tosi, Manuela; Baschieri, L.
- Abstract
Parallel measurements of circulating anti-thyroid microsomal (anti-M) antibodies by radioassay and haemagglutinatinn were performed on subjects with or without thyroid disorders. Three quarters (75.4%) of control subjects had undetectable antibody levels (< 10 u/ml) by radioassay and only 3.1% had concentrations of &ges; 75 u/ml. Abnormally elevated levels (&ges; 75 u/ml) were found in most of the patients with Hashimoto's thyroiditis (94.1%) or idiopathic myxoedema (86.7%), in the majority (75.0%) of those with Graves' disease and only in a minority of those with other thyroid disorders. The percentage of positive sera by haemagglutination was verisimilar in all groups to that of abnormal values observed in the radioassay. Direct comparison of parallel tests on a total of 631 sera revealed a highly significant correlation (r = 0.91, P < 0.001) between the two methods, but elevated antibody titres by haemaegglutination were found in some sera with negative radioassays. All these sera were from a single patient with thyroid carcinoma associated with Hashimoto's thyroiditis and had elevated levels of anti-thyroglobulin (anti-Tg) antibodies. Evidence that such discrepancies were due to anti-Tg antibodies reacting with microsomal-bound Tg was provided by the demonstration that the haemagglutination produced by these sera could be completely inhibited by the addition of Tg. A similar inhibition was observed with two rabbit antisera to human Tg, but not with sera from patients with thyroid autoimmune disorders containing high levels of anti-microsomal anti-bodies.
- Subjects
BLOOD plasma; SERUM; IMMUNOGLOBULINS; AUTOIMMUNE diseases; IMMUNE serums; GLOBULINS
- Publication
Clinical & Experimental Immunology, 1978, Vol 34, Issue 1, p118
- ISSN
0009-9104
- Publication type
Article