An ELISA was developed for quantitating red-cell-bound IgG and IgA and
its feasibility assessed on 50 blood donations and 32 clinical specim
ens with raised cell-bound IgG. Test and quality control samples and i
mmunoglobulin standards (in red-cell lysate buffer) were assayed toget
her. Calibration curves were derived from the standards, test values b
eing read off and related to cell count, The working range was around
5-70 ng/ml, the upper limit being indefinitely extendable by dilution
with lysate buffer. Ranges of results (and medians) in molecules per r
ed cell were <26-240 (40) for IgG and <29-94 (<29) for IgA in the dona
tions with 240-62,700 (1,200) for IgG and <29-4,500 (73) for IgA in th
e clinical specimens. The method which can be adapted for any cell-bou
nd immunoprotein should be particularly valuable in investigating auto
immune haemolysis.