Newcastle Laboratories

Immunoglobulin G (IgG) Subclasses

Clinical Background:

Measurement of IgG subclasses is only indicated as follows:

In the investigation of suspected primary immunodeficiency, after discussion with an immunologist (adult or paediatric).

In the diagnosis...

Measurement of IgG subclasses is only indicated as follows:

In the investigation of suspected primary immunodeficiency, after discussion with an immunologist (adult or paediatric).

In the diagnosis of suspected Sjogren’s syndrome, where the polyclonal increase in IgG is restricted to IgG1.

In the diagnosis of IgG4-related autoimmune diseases.

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Test Details

  • Discipline:

    Immunology

    Immunology

  • Specimen Container Adult:

    Serum-SST

    Serum-SST

  • Specimen Container Paediatric:

    Serum-Plain tube

    Serum-Plain tube

  • Minimum Volume Adult:

    2 ml

    2 ml

  • Minimum Volume Paediatric:

    2 ml

    2 ml

  • Special Requirement:

    None

    None

  • Sample Stability:

    Stored for 1 year at -80 degrees. Samples should not be freeze thawed prior to testing

    Stored for 1 year at -80 degrees. Samples should not be freeze thawed prior to testing

  • Freq Analysis:

    Weekly

    Weekly

  • Add On Test:

    Cannot be added on due to stability issues.  Please discuss with the Protein Laboratory

    Cannot be added on due to stability issues.  Please discuss with the Protein Laboratory

  • Quality Assurance:

    UK NEQAS for IgG SUBCLASSES, IMMPROVE Subclass Quality Assurance

    UK NEQAS for IgG SUBCLASSES, IMMPROVE Subclass Quality Assurance

  • Interpretation:

    Low levels are associated with HAE.  However due to stability of C1 esterase inhibitor low levels should be discussed with Immunology

    Low levels are associated with HAE.  However due to stability of C1 esterase inhibitor low levels should be discussed with Immunology

  • Reference Ranges:

    Reference ranges:

     

    Age range (years) IgG1 (g/L) IgG2 (g/L) IgG3 (g/L) IgG4 (g/L)
    0 to 2 1.94 – 8.42 0.225-3.0 0.186-0.853  0.005-0.784
    2 to 4 3.15 – 9.45 0.36 – 2.25 0.173-0.676 0.001-0.53...

    Reference ranges:

     

    Age range (years) IgG1 (g/L) IgG2 (g/L) IgG3 (g/L) IgG4 (g/L)
    0 to 2 1.94 – 8.42 0.225-3.0 0.186-0.853  0.005-0.784
    2 to 4 3.15 – 9.45 0.36 – 2.25 0.173-0.676 0.001-0.537 
    4 to 6 3.06 – 9.45 0.605-3.45 0.099-1.221 0.018-1.125
    6 to 8 2.88 – 9.18 0.44 – 3.75 0.155-0.853  0.004-0.992
    8 to 10 4.32 – 10.20 0.72 – 4.30 0.127-0.853  0.019-0.932 
    10 to 12 4.23 – 10.60 0.76-3.5  0.173-1.730 0.016-1.15
    12 to 14 3.42 – 11.50 1.00 – 4.5 0.283 – 1.25 0.037-1.360
    14 to 16 3.15 – 8.55 0.64 – 4.95 0.23 – 1.96 0.11 – 1.57
    >16 3.4 - 10.3 1.1 – 9.1 0.17 – 1.7 0.03 – 1.1

     Please note update to reference range 01/06/2022

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  • Routine Contact Name:

    Proteins Lab

  • Routine Telephone:

    0191 282 4766

    0191 282 4766

  • Routine Email:

Availability:

IgG Subclasses samples are tested on a weekly basis.

Turn Around:

7-10 routine working days

Send To:

Department of Blood Sciences – RVI

Level 3
Leazes Wing
Royal Victoria Infirmary
Queen Victoria Road
Newcastle upon Tyne
NE1 4LP

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