Læknablaðið : fylgirit - 01.05.1978, Page 128

Læknablaðið : fylgirit - 01.05.1978, Page 128
<D <D M +» O -rt « 4» Fig.l: Relationship between the Wsialer-Rose titer, th.e RA-Latex titer and the IF-test. + *> IF-test of IgM-Antiglohulin positive - = IF-test of IgM-Antiglobulin negative. serum IgG to some of its bindingplaces. This was further supported by fractionation studies with Sephadex G-200 chromatography of serum. Two fractions were obtained, I) with positive reaction in the IF-test for IgM- and IgG-RFwith titers 1:40 and 1:20. By DTT treatment the reactions became negative. A second fraction II) with negative IgM-RF reaction and positive IgG-RF reaction (titer 1:40) in the IF-test had the IgG-RF titer unchanged after DTT treatm'ent of the fraction. The specificity: To detect the specificity of the reaction of the amboceptor, sera with a known pos. Waller-Rose and RA-Latex reaction and pos. IF-test for IgM- RF (untreated serum) and IgG-RF (DTT treated serum) were used in a series of experiments with varying amboceptor. The amboceptors are: coat I : rabbit IgG, split by pepsin in acetate buffer at pH = 4.0 in 24 hours at 37°C. coat H : rabbit IgG incubated 24 hours with acetate buffer without pepsin at pH = 4.0, 37°C. coat HI: untreated rabbit IgG. The reactions for IgM-RF before DTT treatment and IgG-RF after DTT treatment were all nega- tive when using coat I in the test system, but positive when coat II and HI were used as seen in table H. That the pepsin treatment of the amboceptor lead to destruction of the Fc-fragment of the rabbit-IgG could be shown by S-zoneuItracentri- fugation, which for coat I gave a sedimentation- coefficient S = 4.7 according to the F (ab)2 part(ll). 126
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