抗IgM的长期持续存在:潜在机制是什么?

Anti- IgM Long Persistence: What Are the Underlying Mechanisms?

作者信息

Vargas-Villavicencio José Antonio, Cañedo-Solares Irma, Correa Dolores

机构信息

Laboratorio de Inmunología Experimental, Instituto Nacional de Pediatría, Mexico City 04530, Mexico.

Dirección de Investigación/Centro de Investigación en Ciencias de la Salud, FCS, Universidad Anáhuac México Campus Norte, Av Universidad Anáhuc 46, Lomas Anáhuac, Huixquilucan 52786, Mexico.

出版信息

Microorganisms. 2022 Aug 17;10(8):1659. doi: 10.3390/microorganisms10081659.

Abstract

Diagnosis of acute infection was first attempted by detection of specific IgM antibodies, as for other infectious diseases. However, it was noted that this immunoglobulin declines slowly and may last for months or even years. Apart from the diagnostic problem imposed on clinical management, this phenomenon called our attention due to the underlying phenomena that may be causing it. We performed a systematic comparison of reports studying IgM antibody kinetics, and the data from the papers were used to construct comparative plots and other graph types. It became clear that this phenomenon is quite generalized, and it may also occur in animals. Moreover, this is not a technical issue, although some tests make more evident the prolonged IgM decay than others. We further investigated biological reasons for its occurrence, i.e., infection dynamics (micro-reactivation-encystment, reinfection and reactivation), parasite strain relevance, as well as host innate, natural B cell responses and Ig class-switch problems inflicted by the parasite. The outcomes of these inquiries are presented and discussed herein.

摘要

与其他传染病一样,最初试图通过检测特异性IgM抗体来诊断急性感染。然而,人们注意到这种免疫球蛋白下降缓慢,可能会持续数月甚至数年。除了给临床管理带来诊断问题外,这种现象因其潜在原因引起了我们的关注。我们对研究IgM抗体动力学的报告进行了系统比较,并利用论文中的数据构建了比较图和其他图表类型。很明显,这种现象相当普遍,在动物身上也可能发生。此外,这不是一个技术问题,尽管有些检测比其他检测更能明显显示IgM衰变延长。我们进一步研究了其发生的生物学原因,即感染动态(微再激活-包囊化、再感染和再激活)、寄生虫菌株相关性,以及宿主的先天、天然B细胞反应和寄生虫造成的Ig类别转换问题。本文展示并讨论了这些探究的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4571/9415799/28b0b490048f/microorganisms-10-01659-g001.jpg

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