Skip to main content
Journal of Clinical Pathology logoLink to Journal of Clinical Pathology
. 1993 Jan;46(1):45–47. doi: 10.1136/jcp.46.1.45

High incidence of type II autoantibodies in pernicious anaemia.

H M Waters 1, D W Dawson 1, J E Howarth 1, C G Geary 1
PMCID: PMC501112  PMID: 8432887

Abstract

AIMS: To investigate the incidence of type II autoantibodies to intrinsic factor in pernicious anaemia. METHODS: Three hundred and forty four serum samples submitted for intrinsic factor antibody (IFAB) analysis on clinical or laboratory grounds were tested by an established radioassay and a new enzyme linked immunosorbent assay (ELISA) method for type I and total IFAB, respectively. Sixty of these were found to be positive by ELISA; this method was used to test further, 40 samples of adequate volume for types I and II antibodies. RESULTS: Type II antibodies were detected in 39 of the 40 sera tested. A comparative analysis indicated that seven samples contained pure type II antibody, being positive for total and type II by ELISA, but negative for type I by both the ELISA and radioassay technique. CONCLUSIONS: The occurrence of type II antibody, both alone and in combination with type I, seems to be more common than has previously been recognised, and emphasises the advantage of using a technique which will detect both types of antibody.

Full text

PDF
45

Selected References

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

  1. ARDEMAN S., CHANARIN I. ASSAY OF GASTRIC INTRINSIC FACTOR IN THE DIAGNOSIS OF ADDISONIAN PERNICIOUS ANAEMIA. Br J Haematol. 1965 May;11:305–314. doi: 10.1111/j.1365-2141.1965.tb06590.x. [DOI] [PubMed] [Google Scholar]
  2. Carey P. J., Malcolm A. J., Pearson A. D., Kemshead J. T., Reid M. M. Immunocytochemical detection of tumours of neuroectodermal origin. J Clin Pathol. 1988 May;41(5):586–589. doi: 10.1136/jcp.41.5.586. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Conn D. A. Detection of type I and type II antibodies to intrinsic factor. Med Lab Sci. 1986 Apr;43(2):148–151. [PubMed] [Google Scholar]
  4. Conn D. A. Intrinsic factor antibodies in relation to disease. Med Lab Sci. 1986 Jul;43(3):220–224. [PubMed] [Google Scholar]
  5. Conn D. A. Intrinsic factor antibody detection and quantitation. Med Lab Sci. 1986 Jan;43(1):48–52. [PubMed] [Google Scholar]
  6. Lindenbaum J. Status of laboratory testing in the diagnosis of megaloblastic anemia. Blood. 1983 Apr;61(4):624–627. [PubMed] [Google Scholar]
  7. Nakane P. K., Kawaoi A. Peroxidase-labeled antibody. A new method of conjugation. J Histochem Cytochem. 1974 Dec;22(12):1084–1091. doi: 10.1177/22.12.1084. [DOI] [PubMed] [Google Scholar]
  8. Nimo R. E., Carmel R. Increased sensitivity of detection of the blocking (type I) anti-intrinsic factor antibody. Am J Clin Pathol. 1987 Dec;88(6):729–733. doi: 10.1093/ajcp/88.6.729. [DOI] [PubMed] [Google Scholar]
  9. Waters H. M., Smith C., Howarth J. E., Dawson D. W., Delamore I. W. New enzyme immunoassay for detecting total, type I, and type II intrinsic factor antibodies. J Clin Pathol. 1989 Mar;42(3):307–312. doi: 10.1136/jcp.42.3.307. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from Journal of Clinical Pathology are provided here courtesy of BMJ Publishing Group

RESOURCES