Summary
An enzyme-linked immunoassay for human C4b-binding protein (concentration range 25–400 ng/ml) was developed using two monoclonal antibodies; the intra- and interassay coefficients of variation were less than 7.2%. In 50 normal subjects, 20 patients with liver cirrhosis and 34 full-term newborns, the plasma levels of C4b-binding protein were very similar to those measured by Laurell electroimmunoassay; in 24 patients with elevated erythrocyte sedimentation rates, levels measured by enzyme-linked immunoassay were higher then those measured by the Laurell method (270±70% vs. 223±67%). In these patients crossed immunoelectrophoresis showed a pattern different from that of normal individuals, which may explain the lower values found with the Laurell method.
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Dahlback B, Smith CA, Muller-Eberhard HJ. Visualization of human C4b-binding protein and its complexes with vitamin K-dependent protein S and complement C4b. Proc Natl Acad Sci USA 1983; 80:3461.
Chung LP, Bentley DR, Reid KBM. Molecular cloning and characterization of the cDNA coding for C4b-binding protein, a regulatory protein of the classical pathway of the human complement system. Biochem J 1985; 230:1414.
Scharfstein J, Ferreira A, Gigli I, Nussenzweig V. Human C4b-binding protein. Isolation and characterization. J Exp Med 1978; 148:207.
Nagasawa S, Stroud RM. Purification and characterization of a macromolecular weight cofactor for C3b inactivator, C4bC3b INA cofactor of human plasma. Mol Immunol 1980; 17:1365.
Hillarp A, Dahlback B. Novel subunit in C4b-binding protein required for protein S binding. J Biol Chem 1988; 263:12759.
Hillarp A, Dahlback B. Cloning of cDNA coding for the beta chain of human complement component C4b-binding protein: sequence homology with the alfa chain. Proc Natl Acad Sci USA 1990; 87:1183.
Comp PC, Nixon RR, Cooper MR, Esmon CT. Familial protein S deficiency is associated with recurrent thrombosis. J Clin Invest 1984; 74:2082.
Dahlback B. Inhibition of protein C cofactor function of human protein S by C4b-BP. J Biol Chem 1986; 261:12022.
Schwalbe RA, Dahlback B, Nelsestuen GL. Independent association of serum amyloid P component, protein S, and complement C4b with complement C4b-binding protein and subsequent association of the complex with membranes. J Biol Chem 1990; 265:21749.
Kusada M, SasaKi J, Takada Y, Soji T. Evidence that C4b-binding protein (proline rich protein) is synthetized by hepatocytes. Biochem Med Metab Biol 1991; 45:450.
Moalic P, Gruel Y, Body G, Foloppe P, Delahousse B, Leroy J. Levels and plasma distribution of free and C4b-BP-bound protein S in human fetuses and full-term newborns. Thromb Res 1988; 49:471.
hafner G, Ehrenthal W, Zimmer E, Lotz J, Schlephorst E, Prellwitz W. Immunonephelometric determination of the C4b-binding protein. Thromb Res 1993; 69:343.
Saeki T, Hirise S, Nakatsuka M, Kusunoki Y, Nagasawa S. Evidence that C4b-binding protein is an acute phase protein. Biochem Biophys Res Commun 1989; 164:1446.
Barnum SR, Dahlback B. C4b-binding protein, a regulatory component of the classical pathway of complement, is an acutephase protein and is elevated in systemic lupus erythematosus. Complement Inflamm 1990; 7:71.
Marcovina SM, Zoppo A, Vigano'-D'Angelo S, Di Cola G, D'Angelo A. Determination of serum levels of complement component C4b-binding protein: influence of age and inflammation. Int J Clin Lab Res 1991; 21:171.
Dahlback B. Purification of human C4b-binding protein and formation of its complex with vitamin K-dependent protein S. Biochem J 1983; 209:847.
Comp PC, Thurnau GR, Welsh J, Esmon CT. Functional and immunologic protein S levels are decreased during pregnancy. Blood 1986; 68:881.
Boerger LM, Morris PC, Esmon CT, Comp PC. Oral contraceptives and gender affect protein S status. Blood 1987; 69:692.
Viganò D'Angelo S, Tombesi S, Marcovina S, Albertini A, Della Valle P, D'Angelo M. Monoclonal antibody based enzyme-linked immunosorbent assays (ELISA) for the measurement of vitamin K-dependent protein S: the effect of antibody immunoreactivity on plasma protein S antigen determinations. Thromb Haemost 1992; 67:631.
Kohler G, Milstein C. Continuous cultures of fused cells secreting antibody of predefined specificity. Nature 1970; 256:680.
Coppola R, Tombesi S, Valentini F, Alborali S, Albertini A, Mannucci PM. Characterization of a Ca(II) independent monoclonal antibody that lacks reactivity with Gla-domainless human factor VII. Thromb Res 1992; 68:269.
Nakane NP, Kawaoi A. Peroxidase-labelled antibody. A new method of conjugation. J Histochem Cytochem 1974; 22:1084.
Coppola R, Tombesi S, Valentini F, Alborali S, Albertini A, Mannucci PM. Enzyme-linked immunosorbent assay of human factor VII based upon a monoclonal antibody that recognizes the native conformation of the protein. Thromb Res 1992; 68:283.
Hillarp A, hessing M, Dahlback B. Protein S binding in relation to the subunit composition of human C4b-binding protein. FEBS Lett 1989; 259:53.
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Coppola, R., Tombesi, S., Cristilli, P. et al. Comparison of two immunoassays for the complement protein C4b-binding protein in health and disease. Int J Clin Lab Res 25, 88–92 (1995). https://doi.org/10.1007/BF02592363
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DOI: https://doi.org/10.1007/BF02592363