“…Later it was shown that many RA-derived RFs bind IgG at a discontinuous epitope comprising residues from both the CH2 and CH3 regions [35]. Studies in Waldenström's macroglobulinemia patients revealed that at least three regions, two from CH2 and one from CH3, contribute to the binding epitope [36]. Amongst a panel of monoclonal RFs, Mageed et al [37] observed four specificity profiles, namely reactivity with an epitope expressed on (a) all IgG subclasses, (b) IgG1, IgG2, IgG4 and certain IgG3 molecules, (c) IgG1, IgG2 and IgG4, but not IgG3, (d) some but not all IgG within the subclasses.…”