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Acta veterinaria Scandinavica2021; 63(1); 10; doi: 10.1186/s13028-021-00575-1

Prevalence of heterophilic antibodies in serum samples from horses in an equine hospital, and elimination of interference using chicken IgY.

Abstract: Heterophilic antibodies in serum and plasma can interfere with mammalian antibodies in immunoassays and result in false test results, usually false positive. Although studies screening for heterophilic antibodies as well as elimination studies have been conducted in dogs and cats, knowledge of the presence of heterophilic antibodies in other species in veterinary medicine is limited. In this study, a 2-site sandwich-type interference assay that detects anti-mouse antibodies was used to detect heterophilic antibodies in a population of horses treated in an animal hospital. Results: A total of 194 serum samples from 127 individual horses were analyzed. There were 11/127 (8.7%) interference-positive horses, and these were analyzed in an assay exchanging the capture mouse IgG with chicken IgY. The positive samples were negative in the chicken IgY assay, indicating elimination of a possible interference, with the chicken-based assay. Four interference-positive samples were from geldings, and anti-Müllerian hormone (AMH) was analyzed from these samples. AMH concentrations were negative in these samples as expected in geldings, indicating that the heterophilic antibodies did not cause interference in the AMH assay. Conclusions: The present study shows that there are heterophilic antibodies in horse serum samples like in samples from humans, dogs, and cats. The use of chicken-based reagents, such as chicken IgY, which do not cross-react with mammalian IgG, eliminates the effects of interfering antibodies in the samples. Equine heterophilic antibodies do not necessarily cause interference in commercial immunoassays.
Publication Date: 2021-03-12 PubMed ID: 33712042PubMed Central: PMC7953668DOI: 10.1186/s13028-021-00575-1Google Scholar: Lookup
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  • Journal Article

Summary

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The research article discusses the prevalence of heterophilic antibodies in horse serum samples and the elimination of interference during testing, using chicken IgY. It also clarifies that these antibodies do not always interfere with results from immunoassays.

Research Background

  • Heterophilic antibodies are components of the immune system that can react with antibodies from other species. These can interfere with immunoassays and lead to incorrect results, often false positives.
  • Many studies have investigated the presence of these interfering antibodies in dogs and cats, but less work has been done on other animal species.

Study Objectives and Methodology

  • This research aimed to expand knowledge in this area by identifying heterophilic antibodies in horses. The team employed a 2-site sandwich-type interference assay to detect these antibodies in horses treated at a veterinary hospital.
  • As part of this work, the team also explored methods to reduce or eliminate these interferences in test results. They tested an approach which replaced the regular mouse IgG used in tests with chicken IgY.

Key Findings

  • Analysis of 194 serum samples from 127 different horses showed that about 8.7% had positive interference.
  • The samples that tested positive for interference were negative when tested using the chicken IgY process. This result suggests that using chicken-based reagents, like IgY, successfully removes potential interference.
  • The team also confirmed that the detected horse heterophilic antibodies did not interfere with the concentration findings of the anti-Müllerian hormone (AMH), as expected in geldings (castrated horses).

Conclusions and Implications

  • The study demonstrates the presence of heterophilic antibodies in horse serum samples, similar to those previously detected in samples from humans, dogs, and cats.
  • The findings show that chicken-based reagents can effectively remove the effects of interfering antibodies without impacting the accuracy of the test results.
  • Importantly, the presence of these equine heterophilic antibodies does not necessarily lead to interference in commercial immunoassays. Thus, this opens an avenue for more precise and reliable diagnostic procedures in veterinary medicine.

Cite This Article

APA
Dong B, Bergman D, Holst BS. (2021). Prevalence of heterophilic antibodies in serum samples from horses in an equine hospital, and elimination of interference using chicken IgY. Acta Vet Scand, 63(1), 10. https://doi.org/10.1186/s13028-021-00575-1

Publication

ISSN: 1751-0147
NlmUniqueID: 0370400
Country: England
Language: English
Volume: 63
Issue: 1
Pages: 10
PII: 10

Researcher Affiliations

Dong, Bo
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden.
  • College of Life Science of Longyan University, Longyan, 364012, China.
Bergman, Daniel
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden.
Holst, Bodil Ström
  • Department of Clinical Sciences, Swedish University of Agricultural Sciences, Box 7054, 750 07, Uppsala, Sweden. Bodil.Strom-Holst@slu.se.

MeSH Terms

  • Animals
  • Antibodies, Heterophile / blood
  • Chickens
  • Enzyme-Linked Immunosorbent Assay / veterinary
  • Horse Diseases / immunology
  • Horses
  • Immunoassay / veterinary
  • Immunoglobulin G
  • Immunoglobulins
  • Mice
  • Prevalence

Grant Funding

  • 2019J01804 / Natural Science Foundation of Fujian Province

Conflict of Interest Statement

The authors declare that they have no competing interests.

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Citations

This article has been cited 3 times.
  1. Dai S, Li J, Li J, Li L, Shi L, Cao L, Zhong X, Liu W, Wang Y, Ma L. Analysis of 4 cases of children with false-positive results of novel coronavirus-specific antibody. BMC Pediatr 2022 Jun 28;22(1):372.
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  2. Luo M, Wu Y, Lin Q, Zhang C. False-positive treponemal syphilis serology linked to EBV-related heterophile antibodies: Insights from a multi-platform diagnostic. IDCases 2025;42:e02403.
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  3. Nolen-Walston RD, Kulp JC, Stefanovski D, van Eps AW. Evaluation of an Automated Fluorescence Enzyme Immunoassay for Quantification of Equine Insulin and Comparison to Five Other Immunoassays. J Vet Intern Med 2025 Mar-Apr;39(2):e70038.
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