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变应原特异性IgG主要是IgG抗IgE自身抗体吗?

Are allergen-specific IgG mainly IgG anti-IgE autoantibodies?

作者信息

Jensen-Jarolim E, de Weck A L, Stadler B M

机构信息

Institute of Clinical Immunology, Inselspital, Berne, Switzerland.

出版信息

Int Arch Allergy Appl Immunol. 1991;94(1-4):102-3. doi: 10.1159/000235338.

Abstract

A large proportion of specific IgE occurred in immune complexes with anti-IgE autoantibodies in sera from nonhyposensitized allergic patients. These autoantibodies were misinterpreted as 'specific IgG' in different immunoassays such as dot immunoassays and the radioallergosorbent test (RAST), leading to overestimation of specific IgG. Purified immune complexes contained even more IgG than IgE antibodies. Heating of the complexes liberated specific IgE, producing an upwards RAST class shift. Thus anti-IgE autoantibodies are hiding the specific IgE, which is thereby underestimated. It is not known whether the hiding anti-IgE autoantibodies are also effectively neutralizing circulating or cell-bound IgE and might represent the actual blocking antibody.

摘要

在未进行脱敏治疗的过敏患者血清中,很大一部分特异性IgE存在于与抗IgE自身抗体形成的免疫复合物中。在不同的免疫分析方法中,如斑点免疫分析和放射变应原吸附试验(RAST),这些自身抗体被误判为“特异性IgG”,导致特异性IgG被高估。纯化的免疫复合物中IgG抗体甚至比IgE抗体更多。复合物加热后释放出特异性IgE,使RAST分级向上偏移。因此,抗IgE自身抗体掩盖了特异性IgE,从而导致其被低估。目前尚不清楚这种掩盖性抗IgE自身抗体是否也能有效中和循环中的或细胞结合的IgE,以及它是否可能代表实际的封闭抗体。

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