Publisher Summary This chapter discusses the various aspects of particle counting immunoassay (PACIA). The PACIA is based on the principle that the number of free particles decreases during the agglutination reaction. It is found that, by counting the unagglutinated particles, with a blood cell counter, it is possible to evaluate the extent of the reaction in a much more sensitive and precise way, than by the naked eye. The PACIA is automated on the basis of the continuous-flow system. The rather strong agitation required to accelerate the agglutination process can be obtained in a mixing coil submitted to continuous vibration. The intra- and interassay precisions were determined, using four or five samples, with concentrations, covering most of the range of the calibration curve. The Ab content of a rabbit antimyelin basic protein (MBP) antiserum used as a calibrator for both PACIA and a solid phase radioimmunoassay was estimated, by the Farr precipitation technique, using 125I-labeled MBP. The sensitivity of PACIA to the small changes in the levels of immune complexes is described, by the results of a study performed on 486 samples of human cord blood, using only rheumatoid factor (RF) inhibition.
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