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Updated: Jul 30, 2026

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Determining the Reactivity and Titre of Serum using a Haemagglutination Assay
Published on: January 29, 2010
Variation of cold agglutinin levels
Vox Sanguinis
|January 1, 1978
Summary
This study found that cold agglutinin levels are higher in females and decrease with age after 25 years. These findings offer insights into the biological role of cold agglutinins.
Area of Science:
- Immunology
- Hematology
Background:
- Cold agglutinins are antibodies that bind to red blood cells at cold temperatures.
- Understanding normal cold agglutinin levels is crucial for diagnosing and managing related conditions.
Purpose of the Study:
- To determine normal cold agglutinin levels in a diverse age group.
- To investigate factors influencing cold agglutinin levels, including sex and age.
Main Methods:
- Quantified cold agglutinin titers in 120 individuals (ages 1-64) using untreated and ficin-treated group O erythrocytes.
- Analyzed correlations between cold agglutinin titers, blood groups, serum IgM concentration, sex, and age.
Main Results:
- Geometric mean titers were 5.7 (untreated) and 18.7 (ficin-treated).
- Higher cold agglutinin levels were observed in females compared to males (p < 0.001).
- A significant decrease in cold agglutinins was noted in individuals aged 26-64 compared to those aged 11-25 (p < 0.01).
Conclusions:
- Cold agglutinin levels show significant variation based on sex and age.
- Serum IgM concentration is a key correlate of cold agglutinin titers.
- These findings enhance understanding of cold agglutinin biology and normal ranges.

