Kanemitsu F
Clinical Laboratories, Kurashiki Central Hospital, Okayama, Japan.
Clin Chim Acta. 1987 Aug 14;167(2):147-54. doi: 10.1016/0009-8981(87)90367-6.
Lactate dehydrogenase (L-lactate: NAD oxidoreductase, EC 1.1.1.27, LD) specific immunoglobulins were isolated from LD-immunoglobulin complexes in sera from 11 patients and the isoenzyme specificity of the immunoglobulins was studied by sandwich electroimmunofixation (SEIF). The immunoglobulins differed in isoenzyme specificity, depending on the heavy and/or light chains. IgA kappa recombined with LD2 and LD3, and was thought to be the antibody to common structures (H2M) in LD2 (H3M) and LD3 (H2M2). IgA kappa in a IgA/G kappa lambda case recombined with LD3-5, so that the IgA kappa might be an antibody to M2 dimer in the isoenzymes. IgA lambda recombined only with LD3, and was thought to recognize the H2M2 structure of LD3. As IgG kappa and/or lambda recombined with all LD isoenzymes of LD1-5, the immunoglobulins might react with common structures in H and M subunits. IgG lambda recombined with LD2-5, particularly with LD5, so that the IgG lambda was thought to be an antibody to the M subunit in LD2-5. From the above findings and the tetrameric structure of the LD molecule, 18 types of antibodies to different antigenic determinants on LD molecules can be theoretically derived. Each of the present 11 cases of immunoglobulin corresponded to one of the 18 types, respectively. A formula which can theoretically determine the percent LD activity recombined with immunoglobulins is described.
从11例患者血清中的乳酸脱氢酶(L-乳酸:NAD氧化还原酶,EC 1.1.1.27,LD)特异性免疫球蛋白复合物中分离出特异性免疫球蛋白,并通过夹心电免疫固定法(SEIF)研究了这些免疫球蛋白的同工酶特异性。这些免疫球蛋白在同工酶特异性上存在差异,具体取决于重链和/或轻链。IgA κ与LD2和LD3重组,被认为是针对LD2(H3M)和LD3(H2M2)中共同结构(H2M)的抗体。在IgA/G κλ病例中的IgA κ与LD3 - 5重组,因此该IgA κ可能是针对同工酶中M2二聚体的抗体。IgA λ仅与LD3重组,被认为识别LD3的H2M2结构。由于IgG κ和/或λ与LD1 - 5的所有LD同工酶重组,这些免疫球蛋白可能与H和M亚基中的共同结构发生反应。IgG λ与LD2 - 5重组,特别是与LD5重组,因此IgG λ被认为是针对LD2 - 5中M亚基的抗体。根据上述发现以及LD分子的四聚体结构,理论上可以推导出针对LD分子上不同抗原决定簇的18种抗体类型。目前这11例免疫球蛋白病例分别对应于这18种类型中的一种。描述了一个理论上可以确定与免疫球蛋白重组的LD活性百分比的公式。