A solid-phase kinetic enzyme-linked immunosorbent assay has been developed
to measure binding of antibodies to purified or synthetic blood group antigens and tested in
the Lewis blood group system. Chemically synthesized Lewis α antigen is used as the target
for the binding of serum antibody in this sandwich-type assay. Kinetic, rather than endpoint,
determinations are used to calculate the amount of specific antibody. Data are presented
showing the assay to be quantitative, sensitive, and specific. It can separately quantitate the
amount of IgG or IgM anti-Lewis a present in patient sera. The assay uses commercially
available reagents and is semiautomated. Thus, it will be useful for studies in quantitative
immunohematology as other blood group antigens become available in purified form.