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Not the usual suspect: Polymeric IgA paraprotein causes false positive results in kinetic interaction of
David J Kemble1, Simon Lamothe1, Lynne Uhl1
1Department of Pathology and Laboratory Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States.
Abstract:
Immunoassays are commonly used by the clinical laboratory, but paraproteins can occasionally produce erroneous results. In this study, we investigated the cause of apparent false positive results for multiple Kinetic Interaction of Microparticles in Solution (KIMS) immunoassays. Patient controls and samples containing the interference were analyzed using automated chemistry platforms, gel electrophoresis, immunofixation, affinity chromatography, and size exclusion chromatography. Our results show that IgA paraprotein caused false positive results for the KIMS measurement of three therapeutic drugs. To our knowledge, this is the first report of IgA paraprotein-causing immunoassay interference. The clinical implications of this interference are discussed.
Insights
Paraproteins can interfere with clinical laboratory immunoassays. This study found that IgA paraprotein caused false positive results in multiple Kinetic Interaction of Microparticles in Solution (KIMS) immunoassays for therapeutic drugs.
Area of Science:
- Clinical Chemistry
- Immunology
- Analytical Biochemistry
Background:
- Immunoassays are vital in clinical diagnostics.
- Paraproteins, abnormal proteins, can cause inaccurate immunoassay results.
- The specific interference of IgA paraproteins in KIMS immunoassays is not well-documented.
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