Characterization of tissue amyloid by immunofluorescence microscopy

Clin Immunol Immunopathol. 1986 Jun;39(3):479-90. doi: 10.1016/0090-1229(86)90175-3.

Abstract

Immunohistochemical classification of amyloid type was possible in 44 of 50 (88%) patients as judged by the concordance of immunofluorescence, clinical, serum, and urine immunoelectrophoresis, and bone marrow data. In frozen tissue sections incubated with a panel of antisera monospecific for immunoglobulin heavy chains, kappa and lambda light chains, and amyloid-A-related protein, the amyloid was classified as AL in 20 and AA in 24. In 6 patients the amyloid could not be classified because of the absence of reactivity in 2 and overlap staining in 4. The findings indicate that routine immunofluorescence examination of diagnostic biopsies is an important adjunct in the classification of amyloid.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Amyloidosis / classification*
  • Amyloidosis / immunology
  • Bone Marrow / immunology
  • Female
  • Fluorescent Antibody Technique
  • Humans
  • Immunoenzyme Techniques
  • Immunoglobulin Light Chains / metabolism
  • Kidney / immunology
  • Kidney Glomerulus / immunology
  • Male
  • Middle Aged
  • Serum Amyloid A Protein / metabolism

Substances

  • Immunoglobulin Light Chains
  • Serum Amyloid A Protein