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serum immunological test
immunoglobulin

Laboratory：Akiruno

○immunoglobulin

TEST NAME	SPECIMEN REQUIREMENT （ｍL）	CONTAINER	CAP COLOR	STORE TEMPERATURE (STABILITY)	TURNAROUND TIME (DAY)	METHODOLOGY	REFERENCE RANGE (UNIT)
IgG	Serum 0.4	S09 ↓ A00			2-4	immunoturbidimetric method TIA (Turbidimetric immnoassay) Immunoturbidimetry A method in which light is irradiated onto a turbid substance caused by an antigen-antibody reaction and the transmittance is measured.	870-1700(mg/dL)
IgA	Serum 0.4	S09 ↓ A00			2-4	immunoturbidimetric method TIA (Turbidimetric immnoassay) Immunoturbidimetry A method in which light is irradiated onto a turbid substance caused by an antigen-antibody reaction and the transmittance is measured.	110-410(mg/dL)
IgM	Serum 0.4	S09 ↓ A00			2-4	immunoturbidimetric method TIA (Turbidimetric immnoassay) Immunoturbidimetry A method in which light is irradiated onto a turbid substance caused by an antigen-antibody reaction and the transmittance is measured.	M33-190 F46-260(mg/dL)
IgG subclass fractionation (TIA)	Serum 0.5	S09 ↓ A00			2-6	Immunoturbidimetry and latex immunonephelometry	IgG1 351-962 IgG2 239-838 IgG3 8.5-140 IgG4 4.5-117(mg/dL)
IgG2	Serum 0.5	S09 ↓ A00		（28 days）	2-6	immunoturbidimetric method TIA (Turbidimetric immnoassay) Immunoturbidimetry A method in which light is irradiated onto a turbid substance caused by an antigen-antibody reaction and the transmittance is measured.	239-838(mg/dL)
IgG4	Serum 0.5	S09 ↓ A00		（28 days）	2-4	Latex immunoturbidimetry	11-121 (mg/dL)
Immunoelectrophoresis 〔Identification using specific antiserum〕	Serum 0.4	S09 ↓ A00			4-6	immunofixation method
Immunoelectrophoresis[immunofixation method] (ADIRA) for daratumumab	Serum 0.4	S09 ↓ A00		（28 days）	4-6	immunofixation method
Immunoglobulin free L chain κ/λ ratio (free light chain)	Serum 0.8	S09 ↓ A00			2-4	Latex turbidimetry	κ type 3.3-19.4(mg/L) λ type 5.7-26.3(mg/L) κ/λ ratio 0.26-1.65
Urinary immunoelectrophoresis 〔identification of urinary Bence-Johns protein〕	Partial urine 0.4	U00			4-6	immunofixation method
Oligoclonal bands	Serum and cerebrospinal fluid Each 1.0	S09 ↓ A00 and A00			10-14	isoelectric focusing method Electrophoresis method A method that uses the phenomenon that when electricity is applied to an electrolyte solution in which charged particles are suspended, the particles move toward the polarity opposite to the charge on each particle, and the target substance is measured from its mobility. Cellulose acetate membrane, agarose gel, polyacrylamide gel, etc. are used as the aqueous support.	Not detected
Cryoglobulin qualitative	Serum 1.0	S09 ↓ A00			4-6	Cryoprecipitation method	Negative
Immunoelectrophoresis 〔Identification using specific antiserum〕 (DIRA)（Suspended beyond orders placed 12-06-2024）	Serum 0.4	S09 ↓ A00			4-8	immunofixation method
Immunoelectrophoresis 〔Identification using anti-human whole serum〕（Suspended beyond orders placed 10-03-2024）	Serum 0.2	S09 ↓ A00			4-6	immunoelectrophoresis method Electrophoresis method A method that uses the phenomenon that when electricity is applied to an electrolyte solution in which charged particles are suspended, the particles move toward the polarity opposite to the charge on each particle, and the target substance is measured from its mobility. Cellulose acetate membrane, agarose gel, polyacrylamide gel, etc. are used as the aqueous support.
IgD（Suspended beyond orders placed 12-06-2018）	Serum 0.4	S09 ↓ A00			2-4	Latex agglutination immunoassay	9.0 or less (mg/dL)
IgG4（Suspended beyond orders placed 03-29-2019）	Serum 0.5	S09 ↓ A00		（21 days）	2-4	Latex immunoturbidimetry	4.5-117(mg/dL)
IgG subclass fractionation（Suspended beyond orders placed 04-03-2017）	Serum 0.4	S09 ↓ A00				Nephelometry Nephelometry A method for measuring the intensity of light scattering by irradiating a mixture resulting from an antigen-antibody reaction with light.	IgG1 320-748 IgG2 208-754 IgG3 6.6-88.3 IgG4 4.8-105 (mg/dL)
Oligoclonal bands（Suspended beyond orders placed 12-01-2017）	Cerebrospinal fluid 0.5	A00				Agarose gel electrophoresis Electrophoresis A method using the phenomenon that, when electricity is applied to an electrolyte solution with suspended charged particles, the particles migrate toward the polarity opposite to the charge on each particle, to measure the analyte based on its mobility. For the aqueous solution support, cellulose acetate membrane, agarose gel, polyacrylamide gel, etc. are used.	Not detected