Ohshio G, Furukawa F, Khine M, Yoshioka H, Kudo H, Hamashima Y
Department of Pathology, Faculty of Medicine, Kyoto University.
Microbiol Immunol. 1987;31(9):891-8. doi: 10.1111/j.1348-0421.1987.tb03150.x.
Sera of patients with Kawasaki disease were studied for the levels of IgA-containing (C3-fixing) circulating immune complexes (IgA-CIC), IgG-containing (IgG-)CIC, total IgA, secretory IgA, and complement component (C3) by means of enzyme-linked immunosorbent assays or single radial immunodiffusion methods. There was significantly high level of IgA-CIC, but not IgG-CIC. The levels of total IgA, secretory IgA, and C3 were significantly elevated. Significantly high levels of secretory IgA were found in 22 (51%) of 43 patients. The proportion of secretory IgA to total IgA also increased. These abnormalities in the IgA system may play a role in Kawasaki disease.
采用酶联免疫吸附测定法或单向免疫扩散法,对川崎病患者血清中的含IgA(补体C3结合型)循环免疫复合物(IgA-CIC)、含IgG循环免疫复合物(IgG-CIC)、总IgA、分泌型IgA及补体成分(C3)水平进行了研究。结果发现,IgA-CIC水平显著升高,而IgG-CIC水平无明显变化。总IgA、分泌型IgA及C3水平均显著升高。43例患者中有22例(51%)的分泌型IgA水平显著升高。分泌型IgA占总IgA的比例也有所增加。IgA系统的这些异常可能在川崎病中发挥作用。