PMID- 18501920 OWN - NLM STAT- MEDLINE DCOM- 20080908 LR - 20111117 IS - 0022-1759 (Print) IS - 0022-1759 (Linking) VI - 336 IP - 2 DP - 2008 Jul 31 TI - Detection and characterization of antibodies against recombinant human erythropoietin by RIPA, ELISA and neutralization assay in patients with renal anemia. PG - 152-8 LID - 10.1016/j.jim.2008.04.009 [doi] AB - The aim of the present study was to analyze the relations between the serum anti-erythropoietin antibody (AEAb) levels and the antibodies' neutralizing activity in 20 patients with renal anemia and rhEPO-induced antibodies. AEAb levels were determined by the enzyme-linked immunosorbent assay (ELISA, double antigen-bridging) and by radioimmunoprecipitation assay (RIPA). The bone marrow neutralization test was used to determine the neutralizing activity of the antibodies. RIPA and ELISA data resulted in closely correlated measurements. The relations between AEAb levels and the neutralizing activity of the antibodies are variable as shown by follow-up and cross-sectional evaluations of the data. Serum samples with a high antibody level (>1000 ng/ml) are associated with 100% neutralizing activity, whereas serum samples with lower AEAb levels show partial neutralizing activities or have no effect. Determining the neutralizing activity might be helpful when it comes to deciding of whether or not rhEPO therapy should be continued, specifically in patients who have low antibody levels. The apparent affinity of the AEAb as defined by inhibition of the binding of rhEPO (IC(50)) did not change in the course of the disease, nor did it correlate to the AEAb levels or the neutralizing activities. FAU - Gross, Johann AU - Gross J AD - Molecular Biology Research Laboratory, Department of Otorhinolaryngology, University Medicine Charite, Berlin, Germany. johann.gross@charite.de FAU - Moller, Renate AU - Moller R FAU - Bischoff, Steffen AU - Bischoff S FAU - Canaan-Kuhl, Sima AU - Canaan-Kuhl S FAU - Fromme, Manfred AU - Fromme M FAU - Henke, Wolfgang AU - Henke W LA - eng PT - Journal Article DEP - 20080505 PL - Netherlands TA - J Immunol Methods JT - Journal of immunological methods JID - 1305440 RN - 0 (Antibodies) RN - 0 (Recombinant Proteins) RN - 11096-26-7 (Erythropoietin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Anemia/blood/*immunology MH - Antibodies/*blood/immunology MH - Antibody Affinity MH - Enzyme-Linked Immunosorbent Assay/*methods MH - Erythropoietin/*immunology MH - Female MH - Humans MH - Kidney Diseases/*immunology MH - Male MH - Middle Aged MH - Neutralization Tests/*methods MH - Radioimmunoprecipitation Assay/*methods MH - Recombinant Proteins MH - Renal Insufficiency/immunology EDAT- 2008/05/27 09:00 MHDA- 2008/09/09 09:00 CRDT- 2008/05/27 09:00 PHST- 2007/11/22 00:00 [received] PHST- 2008/04/09 00:00 [revised] PHST- 2008/04/10 00:00 [accepted] PHST- 2008/05/27 09:00 [pubmed] PHST- 2008/09/09 09:00 [medline] PHST- 2008/05/27 09:00 [entrez] AID - S0022-1759(08)00140-3 [pii] AID - 10.1016/j.jim.2008.04.009 [doi] PST - ppublish SO - J Immunol Methods. 2008 Jul 31;336(2):152-8. doi: 10.1016/j.jim.2008.04.009. Epub 2008 May 5.