Circulating immune complexes were detected in 20% of serum samples from pregnant patients by the liquid-phase C1q-binding assay. Two other immune complex assays yielded negative results with the same samples. A careful case study was also carried out in which serum samples from before, during and after a normal pregnancy were analysed. The results are discussed in relation to the contradictory data previously published in this field.
References
1.
MassonPLDeliteMCambiasoCL. Circulating immune complexes in normal human pregnancy. Nature1977; 266: 542–3
2.
StirratGMRedmanCWGLevinskyRJ. Circulating immune complexes in pre-eclampsia. Brit Med J1978; 1: 1450–1
3.
GleicherNTheofilopoulosAN. Immune complexes and pregnancy. Diagn Gynecol Obstet1980; 2: 7–31
4.
BalaschJMirapeixEBorcheL. Further evidence against pre-eclampsia as an immune complex disease. Obstet Gynecol1981; 58: 435–7
5.
KnoxGEStangoSVolanakisJE. A search for antigen-antibody complexes in pre-eclampsia; further evidence against immunologic pathogenesis. Am J Obstet Gynecol1978; 132: 87–9
6.
McLaughlinPJStirratGMRedmanCWG. Immune complexes in normal and pre-eclamptic pregnancy. Lancet1979; 1: 934–5
7.
SchenaFPMannoCSelvaggiL. Immune complexes in normal pregnancy and in pre-eclampsia. Lancet1979; 1: 333
8.
SchenaFPMannoCSelvaggiL. Behaviour of immune complexes and the complement system in normal pregnancy and pre-eclampsia. J Clin Lab Immunol1982; 7: 21–6
9.
TheofilopoulosANDixonFJ. The biology and detection of immune complexes. Avd Immunol1979; 28: 89–220
10.
YonemasuKStroudRM. C1q: Rapid purification method for preparation of monospecific antisera and for biochemical studies. J Immunol1971; 106: 304–13
11.
HeusserCBoesmanMNordinJH. Effect of chemical and enzymatic radioiodination on in vitro human C1q activities. J Immunol1973; 110: 820–8
12.
ZublerRHLangeGLambertPH. Detection of immune complexes in unheated sera by a modified 125.I-C1q binding test. J Immunol1976; 116: 232–5
13.
HayFCNinehamLJRoittIM. Routine assay for the detection of immune complexes of known immunoglobulin class using solid phase C1q. Clin Exp Immunol1976; 24: 396–400
14.
FarrellCBlothBNeilsenH. A survey for circulating immune complexes in patients with acute myocardial infarction. Scand J Immunol1977; 6: 1233–40
15.
KilpatrickDCWestonJIrvineWJ. Some studies on the polyethylene glycol turbidity method for detecting immune complexes in serum. Ann Clin Biochem1981; 18: 373–7
16.
KilpatrickDCYapPLIrvineWJ. Measurement of circulating immune complexes by radioimmunoassay of immunoglobulin in high molecular weight fractions. J Immunol Methods1980; 39: 269–75
17.
ScullionMBalintGWhaleyK. Evaluation of the C1q solid phase binding assay for immune complexes. A clinical and laboratory study. J Clin Lab Immunol1979; 2: 15–22
18.
D'AmelioRSeminoraRGalliE. Circulating immune complexes in infants fed on cow's milk. Nature1982; 298: 72
19.
PaganelliRLevinskyRJBrostoffJ. Immune complexes containing food proteins in normal and atopic subjects after oral challenge and effect of sodium cromogycate on antigen absorption. Lancet1979; 1: 1270–2
20.
MerrettJDHunterRJ. Serum heat labile alkaline phosphatase levels in normal and abnormal pregnancies. J Obstet Gynaecol Brit Commonw1973; 80: 857–965