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Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1983 Mar;36(3):312–315. doi: 10.1136/jcp.36.3.312

Antibody synthesis within the central nervous system: comparisons of CSF IgG indices and electrophoresis

EJ Thompson *, PG Riches , J Kohn
PMCID: PMC498203  PMID: 6826780

Abstract

Various laboratories have reported differing success rates in their ability to detect intrathecal synthesis of antibody when comparing the index of [Formula: see text] with electrophoretic analysis. We selected 44 patients in the borderline area of minimal and/or equivocal abnormality by IgG index. Electrophoretic analysis (on polyacrylamide gels for oligoclonal gamma globulin pattern) of parallel specimens was performed at the same time. The number of samples giving a normal index but showing oligoclonal bands varied between 34% and 43% depending on the cut-off point. The views about normal barrier functions underlying such indices are discussed with particular reference to the pathophysiology of the blood-CSF barrier.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Al-Kassab S., Dittmann L., Olesen H. IgG subclasses, barrier function for albumin and production of immunoglobulin G in the central nervous system. Acta Neurol Scand. 1979 Sep;60(3):129–139. doi: 10.1111/j.1600-0404.1979.tb02960.x. [DOI] [PubMed] [Google Scholar]
  2. Christensen O., Clausen J., Fog T. Relationships between abnormal IgG index, oligoclonal bands, acute phase reactants and some clinical data in multiple sclerosis. J Neurol. 1978 Aug 25;218(4):237–244. doi: 10.1007/BF00312879. [DOI] [PubMed] [Google Scholar]
  3. Delpech B., Lichtblau E. Etude quantitative des immunoglobulines G et de l'albumine du liquide cephalo rachidien. Clin Chim Acta. 1972 Mar;37:15–23. doi: 10.1016/0009-8981(72)90410-x. [DOI] [PubMed] [Google Scholar]
  4. Eickhoff K., Heipertz R. Discrimination of elevated immunoglobulin concentrations in CSF due to inflammatory reaction of the central nervous system and blood-brain-barrier dysfunction. Acta Neurol Scand. 1977 Dec;56(6):475–482. doi: 10.1111/j.1600-0404.1977.tb01454.x. [DOI] [PubMed] [Google Scholar]
  5. Felgenhauer K. Protein size and cerebrospinal fluid composition. Klin Wochenschr. 1974 Dec 15;52(24):1158–1164. doi: 10.1007/BF01466734. [DOI] [PubMed] [Google Scholar]
  6. Felgenhauer K., Schliep G., Rapic N. Evaluation of the blood-CSF barrier by protein gradients and the humoral immune response within the central nervous system. J Neurol Sci. 1976 Nov;30(1):113–128. doi: 10.1016/0022-510x(76)90259-8. [DOI] [PubMed] [Google Scholar]
  7. Ganrot-Norlin K. Relative concentrations of albumin and IgG in cerebrospinal fluid in health and in acute meningitis. Scand J Infect Dis. 1978;10(1):57–60. doi: 10.3109/inf.1978.10.issue-1.13. [DOI] [PubMed] [Google Scholar]
  8. Hansen N. E., Karle H., Jensen A., Bock E. Lysozyme activity in cerebrospinal fluid. Studies in inflammatory and non-inflammatory CNS disorders. Acta Neurol Scand. 1977 May;55(5):418–424. doi: 10.1111/j.1600-0404.1977.tb05660.x. [DOI] [PubMed] [Google Scholar]
  9. Laurell C. B. Electroimmuno assay. Scand J Clin Lab Invest Suppl. 1972;124:21–37. doi: 10.3109/00365517209102748. [DOI] [PubMed] [Google Scholar]
  10. Laurenzi M. A., Link H. Comparison between agarose gel electrophoresis and isoelectric focusing of CSF for demonstration of oligoclonal immunoglobulin bands in neurological disorders. Acta Neurol Scand. 1978 Sep;58(3):148–156. doi: 10.1111/j.1600-0404.1978.tb02874.x. [DOI] [PubMed] [Google Scholar]
  11. Olsson J. E., Pettersson B. A comparison between agar gel electrophoresis and CSF serum quotients of IgG and albumin in neurological disease. Acta Neurol Scand. 1976 Apr;53(4):308–322. doi: 10.1111/j.1600-0404.1976.tb04350.x. [DOI] [PubMed] [Google Scholar]
  12. Poloni M., Rocchelli B., Scelsi R., Pinelli P. Intrathecal IgG synthesis in multiple sclerosis and other neurological diseases: a comparative evaluation by IgG-index and isoelectric focusing. J Neurol. 1979 Oct;221(4):245–255. doi: 10.1007/BF00314641. [DOI] [PubMed] [Google Scholar]
  13. Reiber H. Quantitative Bestimmung der lokal im Zentralnervensystem synthetisierten Immunglobulin G-Fraktion des Liquors. J Clin Chem Clin Biochem. 1979 Sep;17(9):587–591. [PubMed] [Google Scholar]
  14. Reiber H. The discrimination between different blood-CSF barrier dysfunctions and inflammatory reactions of the CNS by a recent evaluation graph for the protein profile of cerebrospinal fluid. J Neurol. 1980;224(2):89–99. doi: 10.1007/BF00313347. [DOI] [PubMed] [Google Scholar]
  15. Schliep G., Felgenhauer K. Serum-CSF protein gradients, the blood-GSF barrier and the local immune response. J Neurol. 1978 May 18;218(2):77–96. doi: 10.1007/BF02402169. [DOI] [PubMed] [Google Scholar]
  16. Schuller E., Sagar H. J. Local synthesis of CSF immunoglobulins. A neuroimmunological classification. J Neurol Sci. 1981 Sep;51(3):361–370. doi: 10.1016/0022-510x(81)90114-3. [DOI] [PubMed] [Google Scholar]
  17. Thompson E. J., Kaufmann P., Shortman R. C., Rudge P., McDonald W. I. Oligoclonal immunoglobulins and plasma cells in spinal fluid of patients with multiple sclerosis. Br Med J. 1979 Jan 6;1(6155):16–17. doi: 10.1136/bmj.1.6155.16. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Tibbling G., Link H., Ohman S. Principles of albumin and IgG analyses in neurological disorders. I. Establishment of reference values. Scand J Clin Lab Invest. 1977 Sep;37(5):385–390. doi: 10.1080/00365517709091496. [DOI] [PubMed] [Google Scholar]
  19. Tourtellotte W. W., Potvin A. R., Fleming J. O., Murthy K. N., Levy J., Syndulko K., Potvin J. H. Multiple sclerosis: measurement and validation of central nervous system IgG synthesis rate. Neurology. 1980 Mar;30(3):240–244. doi: 10.1212/wnl.30.3.240. [DOI] [PubMed] [Google Scholar]

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