Evaluation of the new Behring Nephelometer in the measurement of M proteins

Am J Clin Pathol. 1989 Jul;92(1):93-6. doi: 10.1093/ajcp/92.1.93.

Abstract

The Behring Nephelometer is a new automatic analyzer designed for the measurement of specific proteins. The authors evaluated the nephelometer in the determination of M proteins as compared with immunodiffusion and cellulose acetate electrophoresis. In addition, the effects of sample dilution and antigen excess on the nephelometric measurement of M proteins were studied in 24 patient samples containing a single monoclonal IgG, IgA, or IgM M component. Immunodiffusion cannot be recommended for the determination of M proteins. Nephelometry and protein electrophoresis gave similar results with few exceptions. Sera with immunoglobulin monomer-oligomer pairs involve difficulties in serum electrophoresis. In certain cases, special care must be taken to adjust the nephelometric measurement of the M protein to the most accurate part of the calibration curve. All in all, the new Behring Nephelometer proved precise and reliable in M protein determination without risk of antigen excess.

Publication types

  • Comparative Study

MeSH terms

  • Blood Proteins / analysis*
  • Electrophoresis, Cellulose Acetate
  • Humans
  • Immunodiffusion
  • Immunoglobulin A / analysis
  • Immunoglobulin G / analysis
  • Immunoglobulin M / analysis
  • Immunoglobulins*
  • Myeloma Proteins / analysis
  • Nephelometry and Turbidimetry / instrumentation*

Substances

  • Blood Proteins
  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M
  • Immunoglobulins
  • M-proteins (Myeloma)
  • Myeloma Proteins