Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study

Abstract Elevated serum IgG4 is a useful marker of IgG4-related disease (IgG4-RD) activity. However, there is no uniformity in the cut-off values of IgG4 among the various reagents. The aim of this study was to compare the measured and cut-off values of IgG4 assessed using three different reagents....

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Autores principales: Yoko Usami, Mitsutoshi Sugano, Takeshi Uehara, Masayoshi Koinuma, Nau Ishimine, Kenji Kawasaki, Kazuyoshi Yamauchi, Hideaki Hamano, Takayuki Honda
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:c3d99f3a5cb94f7faf69d081f1d616272021-12-02T14:25:03ZCut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study10.1038/s41598-021-86024-52045-2322https://doaj.org/article/c3d99f3a5cb94f7faf69d081f1d616272021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86024-5https://doaj.org/toc/2045-2322Abstract Elevated serum IgG4 is a useful marker of IgG4-related disease (IgG4-RD) activity. However, there is no uniformity in the cut-off values of IgG4 among the various reagents. The aim of this study was to compare the measured and cut-off values of IgG4 assessed using three different reagents. This study enrolled 466 IgG4-RD and non-IgG4-RD patients who required measurement of serum IgG4 levels to diagnose or treat IgG4-RD. Serum IgG4 was measured using three reagents: N-assay LA IgG4 Nittobo (Nittobo), BS-NIA IgG4 (TBS), and N Latex IgG4 (Siemens). The values obtained using the three reagents were compared, and cut-off values were calculated for each. Although there was good correlation among the results with the three reagents, the measured and cut-off values were all different. The Nittobo values were 1.4 times the TBS values and the TBS values were almost half those of the Siemens values. ROC curve analysis showed cut-off values for the Nittobo, TBS, and Siemens reagents of 1.42, 1.31, and 2.38 g/L, respectively. The measured and cut-off values of serum IgG4 vary depending on the reagents used for the assay, although there is good correlation among the values measured by the three reagents.Yoko UsamiMitsutoshi SuganoTakeshi UeharaMasayoshi KoinumaNau IshimineKenji KawasakiKazuyoshi YamauchiHideaki HamanoTakayuki HondaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yoko Usami
Mitsutoshi Sugano
Takeshi Uehara
Masayoshi Koinuma
Nau Ishimine
Kenji Kawasaki
Kazuyoshi Yamauchi
Hideaki Hamano
Takayuki Honda
Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
description Abstract Elevated serum IgG4 is a useful marker of IgG4-related disease (IgG4-RD) activity. However, there is no uniformity in the cut-off values of IgG4 among the various reagents. The aim of this study was to compare the measured and cut-off values of IgG4 assessed using three different reagents. This study enrolled 466 IgG4-RD and non-IgG4-RD patients who required measurement of serum IgG4 levels to diagnose or treat IgG4-RD. Serum IgG4 was measured using three reagents: N-assay LA IgG4 Nittobo (Nittobo), BS-NIA IgG4 (TBS), and N Latex IgG4 (Siemens). The values obtained using the three reagents were compared, and cut-off values were calculated for each. Although there was good correlation among the results with the three reagents, the measured and cut-off values were all different. The Nittobo values were 1.4 times the TBS values and the TBS values were almost half those of the Siemens values. ROC curve analysis showed cut-off values for the Nittobo, TBS, and Siemens reagents of 1.42, 1.31, and 2.38 g/L, respectively. The measured and cut-off values of serum IgG4 vary depending on the reagents used for the assay, although there is good correlation among the values measured by the three reagents.
format article
author Yoko Usami
Mitsutoshi Sugano
Takeshi Uehara
Masayoshi Koinuma
Nau Ishimine
Kenji Kawasaki
Kazuyoshi Yamauchi
Hideaki Hamano
Takayuki Honda
author_facet Yoko Usami
Mitsutoshi Sugano
Takeshi Uehara
Masayoshi Koinuma
Nau Ishimine
Kenji Kawasaki
Kazuyoshi Yamauchi
Hideaki Hamano
Takayuki Honda
author_sort Yoko Usami
title Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
title_short Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
title_full Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
title_fullStr Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
title_full_unstemmed Cut-off values of serum IgG4 among three reagents, including a novel IgG4 reagent: a multicenter study
title_sort cut-off values of serum igg4 among three reagents, including a novel igg4 reagent: a multicenter study
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/c3d99f3a5cb94f7faf69d081f1d61627
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