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儿童期针对3型肺炎球菌多糖的IgG抗体亚类的演变。

Evolution of the subclass of IgG antibody to type 3 pneumococcal polysaccharide during childhood.

作者信息

Schatz D A, Barrett D J

机构信息

Department of Paediatrics, University of Florida College of Medicine, Gainesville 32610.

出版信息

Clin Exp Immunol. 1987 Nov;70(2):449-55.

Abstract

Human antibodies to bacterial polysaccharides consist primarily of IgG and are largely restricted to the IgG2 subclass in adults. We examined the ontogeny of the IgG subclass response to pneumococcal polysaccharide type 3 to determine if the poor response of infants to immunization with polysaccharide antigens is due to a diminished capacity to form this subclass of antibodies. Sera from 33 patients aged 2 months to 25 years who had previously been shown to respond to polyvalent pneumococcal polysaccharide vaccine by producing IgG antibodies, were assayed for pneumococcal type 3 specific antibodies of the IgG1, IgG2, IgG3, or IgG4 subclass. IgG1 antibodies to pneumococcal polysaccharide type 3 were uniformly low in all age groups. In contrast, IgG2 antibody activity was lowest in children less than the age of 2 years (170 +/- 20 ng/ml), but rose progressively in the age group 2-5 years (210 +/- 40 ng/ml), 5-10 years (330 +/- 30 ng/ml), and over the age of 10 (390 +/- 30 ng/ml) (differences significant at P less than 0.0005 by ANOVA). Thus, even in infants, pneumococcal polysaccharide responses are confined largely to the IgG2 subclass. Our findings are consistent with the hypothesis that purified bacterial capsular polysaccharide antigens preferentially activate IgG2-committed B cell clones at all ages.

摘要

人类针对细菌多糖的抗体主要由IgG组成,在成年人中很大程度上局限于IgG2亚类。我们研究了对3型肺炎球菌多糖的IgG亚类反应的个体发生情况,以确定婴儿对多糖抗原免疫反应不佳是否是由于形成该亚类抗体的能力降低所致。对33名年龄在2个月至25岁之间的患者的血清进行检测,这些患者此前已被证明通过产生IgG抗体对多价肺炎球菌多糖疫苗有反应,检测其中IgG1、IgG2、IgG3或IgG4亚类的3型肺炎球菌特异性抗体。所有年龄组中针对3型肺炎球菌多糖的IgG1抗体均一致较低。相比之下,IgG2抗体活性在2岁以下儿童中最低(170±20 ng/ml),但在2 - 5岁年龄组(210±40 ng/ml)、5 - 10岁年龄组(330±30 ng/ml)以及10岁以上(390±30 ng/ml)逐渐升高(通过方差分析,P小于0.0005时差异显著)。因此,即使在婴儿中,肺炎球菌多糖反应也主要局限于IgG2亚类。我们的发现与以下假设一致:纯化的细菌荚膜多糖抗原在所有年龄段都优先激活IgG2定向的B细胞克隆。

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