Two recent techniques using xylene and chloroform for antibody elution from
red blood cells (RBC) were compared with the most widely used ether and heat elution by
means of a quantitative 125 I-antiglobulin test. Free serum alloantibodies and cell-bound
alloantibodies from in vivo sensitization of delayed hemolytic transfusion reactions and of
hemolytic disease of the newborn as well as autoantibodies in autoimmune hemolytic
disease were studied. With alloantibodies, xylene proved more efficient than chloroform
(p<0.025), while both methods were superior to heat or ether elution (p<0.005). Autoantibody
elution was equally effective with xylene and chloroform (p>0.1) but again better
than heat or ether elution (p<0.02). However, no single method produced the strongest
eluate with all antibodies studied. We conclude that xylene and/or chloroform elution are
valuable implementations in RBC serology, but, in selected instances, the classical elution
methods will retain their importance.