Abstract |
An enzyme immunoassay (Ortho-HCV ELISA) for antibodies against the hepatitis C virus (HCV) was used to test 143 serum samples from 53 patients with autoimmune chronic active hepatitis (AI-CAH). Optical density (OD) values in the assay correlated closely with serum globulin (r = 0.8846, p much less than 0.0005) and IgG (r = 0.6281, p less than 0.0005) concentrations but not with immunosuppressant therapy. OD values were positive in 20 (65%) of 31 with active disease and in only 1 (5%) of 22 in remission (p less than 0.0005). The association between positive results and active disease and high serum globulin levels was confirmed by serial studies in 6 of the patients. In contrast, none of 31 patients with primary biliary cirrhosis and only 2 of 24 with non-hepatic disorders associated with high IgG concentrations were positive, and these controls showed no correlation between OD values and serum globulins or IgG. The findings suggest that serum from AI-CAH patients may contain a component that gives false-positive results in the assay.
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Authors | I G McFarlane, H M Smith, P J Johnson, G P Bray, D Vergani, R Williams |
Journal | Lancet (London, England)
(Lancet)
Vol. 335
Issue 8692
Pg. 754-7
(Mar 31 1990)
ISSN: 0140-6736 [Print] England |
PMID | 1969512
(Publication Type: Journal Article)
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Chemical References |
- Autoantibodies
- Hepatitis Antibodies
- Immunoglobulin G
- Serum Globulins
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Topics |
- Absorption
- Adolescent
- Adult
- Aged
- Autoantibodies
(analysis)
- Child
- Enzyme-Linked Immunosorbent Assay
(methods)
- Evaluation Studies as Topic
- False Positive Reactions
- Female
- Hepatitis Antibodies
(analysis)
- Hepatitis C
(blood, immunology, metabolism, microbiology)
- Hepatitis Viruses
(pathogenicity)
- Hepatitis, Chronic
(blood, immunology, metabolism, microbiology)
- Hepatitis, Viral, Human
(immunology)
- Humans
- Immunoglobulin G
(analysis)
- Male
- Middle Aged
- Serum Globulins
(analysis)
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