Bemark Mats, Angeletti Davide
Department of Microbiology and Immunology, Institute of Biomedicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Clinical Immunology and Transfusion Medicine, Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden.
Immunol Rev. 2021 Sep;303(1):83-102. doi: 10.1111/imr.13014. Epub 2021 Jul 30.
Most antibodies produced in the body are of the IgA class. The dominant cell population producing them are plasma cells within the lamina propria of the gastrointestinal tract, but many IgA-producing cells are also found in the airways, within mammary tissues, the urogenital tract and inside the bone marrow. Most IgA antibodies are transported into the lumen by epithelial cells as part of the mucosal secretions, but they are also present in serum and other body fluids. A large part of the commensal microbiota in the gut is covered with IgA antibodies, and it has been demonstrated that this plays a role in maintaining a healthy balance between the host and the bacteria. However, IgA antibodies also play important roles in neutralizing pathogens in the gastrointestinal tract and the upper airways. The distinction between the two roles of IgA - protective and balance-maintaining - not only has implications on function but also on how the production is regulated. Here, we discuss these issues with a special focus on gut and airways.
体内产生的大多数抗体属于IgA类。产生它们的主要细胞群体是胃肠道固有层内的浆细胞,但在气道、乳腺组织、泌尿生殖道和骨髓中也发现了许多产生IgA的细胞。大多数IgA抗体作为粘膜分泌物的一部分被上皮细胞转运到管腔中,但它们也存在于血清和其他体液中。肠道内大部分共生微生物群都覆盖有IgA抗体,并且已经证明这在维持宿主与细菌之间的健康平衡中发挥作用。然而,IgA抗体在中和胃肠道和上呼吸道中的病原体方面也发挥着重要作用。IgA的两种作用——保护和维持平衡——之间的区别不仅对功能有影响,而且对其产生的调节方式也有影响。在这里,我们特别关注肠道和气道来讨论这些问题