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Test Code LAB5122 Mumps Virus Antibody, IgM and IgG, Serum

Important Note

Mayo's test code: MMPGM

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Reporting Name

Mumps Ab, IgM and IgG, S

Specimen Type

Serum


Specimen Required


Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube:

Preferred: Serum gel

Acceptable: Red top

Submission Container/Tube: Plastic vial

Specimen Volume: 1 mL Serum

Collection Instructions: Centrifuge and aliquot serum into plastic vial.


Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Heat-inactivated specimen Reject

Specimen Stability Information

Specimen Type Temperature Time
Serum Refrigerated (preferred) 14 days
  Frozen  14 days

Specimen Minimum Volume

Serum: 0.9 mL

Day(s) Performed

MMPM: Tuesday

MPPG: Monday through Friday

Specimen Retention Time

14 days

Report Available

1 to 7 days

Reference Values

IgM:

Negative: Index value 0.00-0.79

Reference value applies to all ages.

 

IgG:

Vaccinated: Positive (≥1.1 AI)

Unvaccinated: Negative (≤0.8 AI)

Reference values apply to all ages.

Useful For

Diagnosis of mumps virus infection

 

Determination of postimmunization immune response of individuals to the mumps vaccine

 

Documentation of previous infection with mumps virus in an individual with no previous record of immunization to mumps virus

CPT Code Information

86735-Mumps, IgG

86735-Mumps, IgM

LOINC Code Information

Test ID Test Order Name Order LOINC Value
MMPGM Mumps Ab, IgM and IgG, S 77250-9

 

Result ID Test Result Name Result LOINC Value
MUMP1 Mumps Ab, IgM, S 6478-2
MUMG Mumps Ab, IgG, S 6476-6
DEXG5 Mumps IgG Antibody Index 25418-5

Method Description

IgM:

The ASI Mumps IgM EIA (enzyme immunoassay) is based on the principle of the capture of serum immunoglobulins by anti-human IgM monoclonal antibodies found on the solid phase. A subsequent incubation with mumps antigen in a complex with monoclonal antibodies conjugated to horse radish peroxidase selects the IgM antibodies specific for the antigen. Peroxidase substrate is added and the enzymatic reaction is stopped by the addition of a sulfuric acid solution which results in a yellow color change. The intensity of the yellow color is proportional to the amount of specific antibodies present in the sample and is read in an enzyme-linked immunosorbent assay microplate reader.(Package insert: ASI Mumps IgM EIA test. Arlington Scientific Inc; 860096AM Rev 03/14/2025)

 

IgG:

The BioPlex 2200 Mumps IgG assay uses multiplex flow immunoassay technology. Briefly, serum samples are mixed and incubated at 37° C with sample diluent and dyed beads coated with mumps antigen. After a wash cycle, antihuman-IgG antibody conjugated to phycoerythrin (PE) is added to the mixture and incubated at 37° C. Excess conjugate is removed in another wash cycle, and the beads are resuspended in wash buffer. The bead mixture then passes through a detector that identifies the bead based on dye fluorescence and determines the amount of antibody captured by the antigen by the fluorescence of the attached PE. Raw data is calculated in relative fluorescence intensity. Three additional dyed beads, an internal standard bead, a serum verification bead, and a reagent blank bead are present in each reaction mixture to verify detector response, the addition of serum to the reaction vessel, and the absence of significant nonspecific binding in serum.(Package insert: BioPlex 2200 System MMRV IgG. Bio-Rad Laboratories; 02/2019)

Profile Information

Test ID Reporting Name Available Separately Always Performed
MMPM Mumps Ab, IgM, S Yes Yes
MPPG Mumps Ab, IgG, S Yes Yes

Supportive Data

IgG:

To evaluate the accuracy of the BioPlex Mumps IgG multiplex flow immunoassay (MFI), 500 prospective serum samples were analyzed in a blinded fashion by the SeraQuest Mumps IgG enzyme immunoassay (EIA) and the BioPlex Mumps IgG assay. Specimens with discordant results after initial testing were repeated using both assays during the same freeze/thaw cycle. Further discrepancies were evaluated by the Mumps IgG VIDAS enzyme-linked fluorescent immunoassay (ELFA; bioMerieux, Inc). The results are summarized below:

 

 

SeraQuest Positive

SeraQuest Negative

SeraQuest Equivocal

BioPlex Positive

412

4(a)

8

BioPlex Negative

3(b)

48

3

BioPlex Equivocal

5

6

11

(a) All 4 samples tested positive by VIDAS Mumps IgG ELFA

(b) One of 3 samples tested negative by the VIDAS Mumps IgG ELFA

 

Sensitivity: 98.1% (412/420); 95% CI: 96.2%-99.1%

Specificity: 82.8% (48/58); 95% CI: 70.9%-90.6%

Overall percent agreement: 94.2% (471/500); 95% CI: 91.8%-96.0%

Forms

If not ordering electronically, complete, print, and send Infectious Disease Serology Test Request (T916) with the specimen.