Externest D, Meckelein B, Schmidt M A, Frey A
Institut für Infektiologie, Zentrum für Molekularbiologie der Entzündung, Westfälische Wilhelms-Universität Münster, D-48129 Münster, Germany.
Infect Immun. 2000 Jul;68(7):3830-9. doi: 10.1128/IAI.68.7.3830-3839.2000.
Monitoring specific secretory immunoglobulin A (IgA) responses in the intestines after mucosal immunization or infection is impeded by the fact that sampling of small intestinal secretions requires invasive methods not feasible for routine diagnostics. Since IgA plasma cells generated after intragastric immunization are known to populate remote mucosal sites as well, secretory IgA responses at other mucosal surfaces may correlate to those in the intestines and could serve as proxy measures for IgA secretion in the gut. To evaluate the practicability of this approach, mice were immunized intragastrically with 0.2, 2, and 20 mg of ovalbumin plus 10 microg of cholera toxin, and the antigen-specific local secretory IgA responses in duodenal, ileal, jejunal, rectal, and vaginal secretions, saliva, urine, and feces, as well as serum IgG and IgA responses were analyzed by enzyme-linked immunosorbent assay. Correlation analysis revealed significant relationships between serum IgG and IgA, urinary IgA, salivary IgA, and secretory IgA in duodenal, jejunal, ileal, and rectal secretions for the 0.2-mg but not for the 20-mg ovalbumin dose. Fecal samples were poor predictors for intestinal antiovalbumin IgA responses, and no correlations could be established for cholera toxin, neither between local anti-cholera toxin levels nor to the antiovalbumin responses. Thus, specific IgA in serum, saliva, or urine can serve as a predictor of the release of specific IgA at intestinal surfaces after intragastric immunization, but the lack of correlations for high ovalbumin doses and for cholera toxin indicates a strong dependency on antigen type and dosage for these relationships.
由于小肠分泌物采样需要侵入性方法,而这种方法在常规诊断中不可行,因此监测黏膜免疫或感染后肠道中特定分泌型免疫球蛋白A(IgA)的反应受到阻碍。由于已知胃内免疫后产生的IgA浆细胞也会迁移至远端黏膜部位,因此其他黏膜表面的分泌型IgA反应可能与肠道中的反应相关,并可作为肠道中IgA分泌的替代指标。为了评估这种方法的实用性,用0.2毫克、2毫克和20毫克卵清蛋白加10微克霍乱毒素对小鼠进行胃内免疫,并通过酶联免疫吸附测定分析十二指肠、回肠、空肠、直肠和阴道分泌物、唾液、尿液和粪便中的抗原特异性局部分泌型IgA反应,以及血清IgG和IgA反应。相关性分析显示,对于0.2毫克卵清蛋白剂量,血清IgG与IgA、尿IgA、唾液IgA以及十二指肠、空肠、回肠和直肠分泌物中的分泌型IgA之间存在显著相关性,但对于20毫克卵清蛋白剂量则不存在。粪便样本对肠道抗卵清蛋白IgA反应的预测能力较差,对于霍乱毒素,无论是局部抗霍乱毒素水平之间还是与抗卵清蛋白反应之间,均无法建立相关性。因此,血清、唾液或尿液中的特异性IgA可作为胃内免疫后肠道表面特异性IgA释放的预测指标,但高剂量卵清蛋白和霍乱毒素缺乏相关性表明这些关系强烈依赖于抗原类型和剂量。