Keller M A, Heiner D C, Myers A S, Reisinger D M
Pediatr Res. 1985 Jan;19(1):122-6. doi: 10.1203/00006450-198501000-00032.
Simultaneous colostrum (C) and plasma samples (P) from 14 women, 1 to 5 days postpartum, were examined. Total IgD and specific IgD antibodies to beta-lactoglobulin, bovine serum albumin, Bermuda grass, and alpha-gliadin were measured by solid phase radioimmunoassay. The geometric mean concentrations of IgD were 35.8 (range 2.2-410) micrograms/dl for colostrum and 591.3 (range 72-4100) micrograms/dl for plasma. Six subjects had a specific IgD antibody C/P ratio more than 10-fold greater than the total IgD C/P ratio, suggesting enhancement of antibody to a specific antigen in the mammary gland. All six had C/P ratios suggestive of local enhancement of IgD antibody to Bermuda grass, and two met this criterion for enhancement of IgD antibodies to beta-lactoglobulin, bovine serum albumin, or alpha-gliadin. Specimens for these studies were obtained during the peak grass pollen season. Seventeen additional subjects were studied to compare total IgD in colostrum and plasma with total IgG and serum albumin. The mean C/P ratio for IgD (0.055 +/- 0.015) exceeded the C/P ratio for total IgG (0.015 +/- 0.003) or total albumin (0.020 +/- 0.002). For 14 of 17 subjects the colostrum/plasma ratio for IgD exceeded the C/P ratio for albumin or IgG. Data were transformed logarithmically and correlation coefficients calculated. For albumin versus IgG in colostrum, there was a strong correlation, r = 0.865, p = 0.001. This was different from albumin versus IgD, r = 0.489, p = 0.046 and from IgD versus IgG, r = 0.556, p = 0.020. These analyses support a different mechanism of entry of IgD into milk compared to IgG or albumin.(ABSTRACT TRUNCATED AT 250 WORDS)
对14名产后1至5天的女性同时采集初乳(C)和血浆样本(P)进行检测。采用固相放射免疫分析法测定总IgD以及针对β-乳球蛋白、牛血清白蛋白、百慕大草和α-麦醇溶蛋白的特异性IgD抗体。初乳中IgD的几何平均浓度为35.8(范围2.2 - 410)微克/分升,血浆中为591.3(范围72 - 4100)微克/分升。6名受试者的特异性IgD抗体C/P比值比总IgD C/P比值大10倍以上,提示乳腺中针对特定抗原的抗体增强。这6名受试者的C/P比值均提示针对百慕大草的IgD抗体有局部增强,2名受试者符合针对β-乳球蛋白、牛血清白蛋白或α-麦醇溶蛋白的IgD抗体增强这一标准。这些研究的样本是在草花粉季节高峰期采集的。另外对17名受试者进行研究,以比较初乳和血浆中的总IgD与总IgG和血清白蛋白。IgD的平均C/P比值(0.055±0.015)超过总IgG的C/P比值(0.015±0.003)或总白蛋白的C/P比值(0.020±0.002)。17名受试者中有14名的初乳/血浆IgD比值超过白蛋白或IgG的C/P比值。数据进行对数转换并计算相关系数。初乳中白蛋白与IgG之间存在强相关性,r = 0.865,p = 0.001。这与白蛋白与IgD之间(r = 0.489,p = 0.046)以及IgD与IgG之间(r = 0.556,p = 0.020)不同。这些分析支持与IgG或白蛋白相比,IgD进入乳汁的机制不同。(摘要截短于250词)