Rheumatoid factor IgM (RF-IgM) is an autoantibody produced by the immune system that targets the Fc region of immunoglobulin G (IgG), forming immune complexes that can drive inflammation. RF-IgM is the most clinically significant and commonly measured isotype among rheumatoid factors, present in approximately 70–80% of patients with rheumatoid arthritis (RA). Functionally, RF-IgM amplifies inflammatory responses by increasing the recruitment of IgG into immune complexes, which then stimulate macrophages to secrete proinflammatory cytokines such as TNF-α, IL-6, and IL-8, and enhance complement activation, contributing to joint inflammation and tissue damage in RA. High levels of RF-IgM are associated with more severe, progressive disease, greater joint destruction, and increased risk of extra-articular manifestations.
Beyond RA, RF-IgM can be elevated in other autoimmune diseases (e.g., Sjögren’s syndrome, systemic lupus erythematosus) and chronic infections (e.g., hepatitis C, endocarditis)2. Clinically, RF-IgM serves as a diagnostic and prognostic marker in RA and is used alongside anti-cyclic citrullinated peptide (anti-CCP) antibodies to improve diagnostic accuracy and guide disease management.
Common uses include IVD assay standards, calibrators and controls.
None
None - not classified as hazardous
12 - Non Combustible Liquids
Not applicable - not a hazardous mixture. Standard laboratory hygiene practices recommended.