PMID- 31730813 OWN - NLM STAT- MEDLINE DCOM- 20200729 LR - 20200729 IS - 1873-3492 (Electronic) IS - 0009-8981 (Linking) VI - 501 DP - 2020 Feb TI - Evaluation of a novel serum IgG4 assay and determination of reference interval for the Japanese population. PG - 136-141 LID - S0009-8981(19)32097-2 [pii] LID - 10.1016/j.cca.2019.10.032 [doi] AB - BACKGROUND: IgG4-related disease (IgG4-RD) is a new syndrome characterized by elevated serum IgG4 concentration and tissue infiltration of IgG4-positive plasma cells. Here, we evaluated the analytical performance of a new IgG4 assay reagent featuring a wide dynamic range, highly specific monoclonal antibody, and the reversed passive latex agglutination assay and determined the IgG4 reference interval (RI) for the Japanese population. METHODS: Performance evaluations were conducted on precision, linearity, sensitivity, interference, and method comparison with The Binding Site (TBS) and Siemens reagents. The RI was derived by the parametric method from 619 apparently healthy Japanese 18 to 65 years of age. RESULTS: Between-day precisions ranged from 1.99 to 5.52 CV%. Linearity was confirmed up to 5.0 g/l. The limit of quantitation was 0.085 g/l. Interfering substances did not significantly influence values. Method comparison among the 3 reagents yielded correlation coefficients between 0.973 and 0.988. Values for the new reagent matched those of TBS reagent except at a higher concentration range, where reactivity dissociated. The RI was 0.11-1.21 g/l without distinction by sex and age. CONCLUSION: The novel IgG4 assay reagent demonstrated satisfactory analytical performance for clinical use. Because of matched value with TBS reagent at low concentrations, it is possible to use the IgG4-RD cut-off value determined by TBS reagent. CI - Copyright (c) 2019 The Authors. Published by Elsevier B.V. All rights reserved. FAU - Usami, Yoko AU - Usami Y AD - Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Ichihara, Kiyoshi AU - Ichihara K AD - Department of Clinical Laboratory Sciences, Faculty of Health Sciences, Yamaguchi University Graduate School of Medicine, Ube, Japan. FAU - Uehara, Takeshi AU - Uehara T AD - Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan. Electronic address: tuehara@shinshu-u.ac.jp. FAU - Sugano, Mitsutoshi AU - Sugano M AD - Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Ishimine, Nau AU - Ishimine N AD - Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Kawasaki, Kenji AU - Kawasaki K AD - Division of Laboratory Medicine, Chiba University School of Medicine, Chiba, Japan. FAU - Yamauchi, Kazuyoshi AU - Yamauchi K AD - Department of Laboratory Medicine, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan. FAU - Hamano, Hideaki AU - Hamano H AD - Department of Gastroenterology, Shinshu University School of Medicine, Matsumoto, Japan. FAU - Honda, Takayuki AU - Honda T AD - Department of Laboratory Medicine, Shinshu University School of Medicine, Matsumoto, Japan. LA - eng PT - Evaluation Study PT - Journal Article DEP - 20191112 PL - Netherlands TA - Clin Chim Acta JT - Clinica chimica acta; international journal of clinical chemistry JID - 1302422 RN - 0 (Immunoglobulin G) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Autoimmune Diseases/*blood/diagnosis/immunology MH - Female MH - Healthy Volunteers MH - Humans MH - Immunoglobulin G/*blood/immunology MH - Immunologic Tests/*standards MH - Japan MH - Male MH - Middle Aged MH - Reference Values MH - Young Adult OTO - NOTNLM OT - IgG4-related disease OT - Latent abnormal values exclusion method OT - Monoclonal antibody OT - Multiple regression analysis OT - Reversed passive latex agglutination assay EDAT- 2019/11/16 06:00 MHDA- 2020/07/30 06:00 CRDT- 2019/11/16 06:00 PHST- 2019/04/16 00:00 [received] PHST- 2019/10/16 00:00 [revised] PHST- 2019/10/23 00:00 [accepted] PHST- 2019/11/16 06:00 [pubmed] PHST- 2020/07/30 06:00 [medline] PHST- 2019/11/16 06:00 [entrez] AID - S0009-8981(19)32097-2 [pii] AID - 10.1016/j.cca.2019.10.032 [doi] PST - ppublish SO - Clin Chim Acta. 2020 Feb;501:136-141. doi: 10.1016/j.cca.2019.10.032. Epub 2019 Nov 12.