Department of Molecular Genetics, Microbiology and Immunology, University of Medicine and Dentistry of New Jersey, Piscataway, 08854, USA.
Autoimmunity. 2010 Mar;43(2):164-71. doi: 10.3109/08916930903277329.
Selective immunoglobulin A deficiency (sIgAD) is the most common immunodeficiency in humans. Auto-reactive antibodies to human immunoglobulin A (IgA) are found in the serum of 20-40% of individuals with sIgAD. It is unknown whether these antibodies play a role in the pathogenesis of this immunodeficiency and although the prevailing thought is that they are secondary to the onset of sIgAD, there is very little, if any, support for this notion. Here, we propose that anti-IgA antibodies are in fact responsible for the removal of IgA from serum, and that the inducing antigen is most probably a xenogeneic IgA. This hypothesis is based on data obtained from an sIgAD patient in whom changes in dietary consumption of beef and/or bovine dairy products resulted in changes in anti-IgA levels in the serum. To test the hypothesis, the presence of anti-bovine IgA antibodies was tested by a highly specific enzyme-linked immunosorbent assay in serum samples from IgA-deficient and control individuals. All 13 sIgAD individuals with anti-IgA antibodies had a higher titer against bovine IgA than against human IgA. Of 23 control individuals, a surprisingly high proportion (65%) was also found to have IgG anti-bovine IgA antibodies. These results support the hypothesis that the anti-human IgA antibodies found in IgA-deficient individuals are originally produced against bovine IgA. These antibodies are found in many normal individuals, but only in cases where they cross react with endogenous human IgA, sIgAD may develop.
选择性免疫球蛋白 A 缺乏症(sIgAD)是人类最常见的免疫缺陷症。在 20-40%的 sIgAD 患者的血清中发现了针对人免疫球蛋白 A(IgA)的自身反应性抗体。目前尚不清楚这些抗体是否在这种免疫缺陷的发病机制中起作用,尽管普遍认为它们是 sIgAD 发病后的继发现象,但几乎没有任何证据支持这一观点。在这里,我们提出抗 IgA 抗体实际上负责将 IgA 从血清中清除,而诱导抗原很可能是异种 IgA。这一假设是基于从一名 sIgAD 患者获得的数据,该患者改变了牛肉和/或牛乳制品的饮食摄入,导致血清中抗 IgA 水平发生变化。为了验证这一假设,通过高度特异性的酶联免疫吸附试验检测了 IgA 缺乏症和对照个体血清样本中抗牛 IgA 抗体的存在。所有 13 名具有抗 IgA 抗体的 sIgAD 个体对牛 IgA 的滴度均高于对人 IgA 的滴度。在 23 名对照个体中,令人惊讶的是,相当大的比例(65%)也被发现具有 IgG 抗牛 IgA 抗体。这些结果支持了这样一种假设,即在 IgA 缺乏症患者中发现的抗人 IgA 抗体最初是针对牛 IgA 产生的。这些抗体在许多正常个体中都存在,但只有在它们与内源性人 IgA 发生交叉反应的情况下,sIgAD 才可能发展。
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