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Related Experiment Videos

Interference in immunoassay is an underestimated problem.

A A A Ismail1, P L Walker, M L Cawood

  • 1Department of Clinical Chemistry, Pinderfields General Hospital, Wakefield WF1 4DG, UK. dr.ismail@panp-tr.northy.nhs.uk

Annals of Clinical Biochemistry
|July 16, 2002
PubMed
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Patient antibodies can interfere with immunoassay accuracy, a persistent issue. Understanding antibody-antigen interactions is crucial for clinical laboratories to manage this unpredictable diagnostic challenge.

Area of Science:

  • Immunology
  • Clinical Chemistry
  • Analytical Chemistry

Background:

  • Patient antibodies in serum are a known cause of immunoassay interference.
  • This interference is often observed with new analytes and persists despite manufacturer efforts.
  • Case reports highlight the problem, but a deeper understanding of immunoanalytical principles is needed.

Purpose of the Study:

  • To explain the immunoanalytical basis of antibody interference in assays.
  • To raise awareness among clinical laboratories about this unpredictable issue.
  • To discuss the prevalence, influencing factors, and future trends of antibody interference.

Main Methods:

  • Review of antibody usage as reagents in immunoassays.
  • Analysis of factors governing antibody-antigen binding.

Related Experiment Videos

  • Examination of the immune response mechanisms.
  • Discussion of prevalence studies and their limitations.
  • Main Results:

    • Interference prevalence varies widely (0.05% to >2%), being analyte- and assay-specific.
    • The problem is intrinsic and unpredictable, despite manufacturer compensation attempts.
    • Increased use of monoclonal antibodies may worsen future prevalence and incidence.

    Conclusions:

    • Clinical laboratories must remain vigilant for antibody-mediated immunoassay interference.
    • Immunoassays remain essential diagnostic tools, necessitating awareness of potential interferences.
    • Understanding antibody-antigen interactions is key to managing this diagnostic hurdle.