Abstract
In ankylosing spondylitis (AS) and in yersinia arthritis the main findings in serum immunoglobulin (Ig) studies have been raised IgA in AS and a high anti-yersinia IgA and IgG response and the persistence of IgA class antibodies in yersinia arthritis. In order to study predisposition to high IgA response in AS and yersinia arthritis we measured the in-vitro Ig production in patients with AS and in persons who have once had yersinia arthritis, and we compared it with the Ig production in persons who have had yersiniosis but recovered without getting arthritis and with that in healthy controls. IgA secretion by peripheral blood lymphocytes stimulated by pokeweed mitogen was the same in all 4 groups, and no signs of higher IgA production in AS patients could be found. In AS patients lymphocyte activation by whole yersinia bacteria resulted in higher total IgG production than in healthy controls. The total number of plaque-forming cells in yersinia-stimulated cultures was significantly higher in persons who have had yersiniosis without arthritis than in persons who have suffered from yersinia arthritis or in persons in other groups. AS patients had low IgM production, which reverted to normal when hydrocortisone was added to the culture. The in-vitro Ig production in general did not correlate with the presence of the HLA B27 antigen but rather with the clinical history of the subjects studied.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Amos D. B., Bashir H., Boyle W., MacQueen M., Tiilikainen A. A simple micro cytotoxicity test. Transplantation. 1969 Mar;7(3):220–223. doi: 10.1097/00007890-196903000-00023. [DOI] [PubMed] [Google Scholar]
- Böyum A. Isolation of mononuclear cells and granulocytes from human blood. Isolation of monuclear cells by one centrifugation, and of granulocytes by combining centrifugation and sedimentation at 1 g. Scand J Clin Lab Invest Suppl. 1968;97:77–89. [PubMed] [Google Scholar]
- Calguneri M., Swinburne L., Shinebaum R., Cooke E. M., Wright V. Secretory IgA: immune defence pattern in ankylosing spondylitis and klebsiella. Ann Rheum Dis. 1981 Dec;40(6):600–604. doi: 10.1136/ard.40.6.600. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Conley M. E., Koopman W. J. In vitro regulation of IgA subclass synthesis. I. Discordance between plasma cell production and antibody secretion. J Exp Med. 1982 Dec 1;156(6):1615–1621. doi: 10.1084/jem.156.6.1615. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cowling P., Ebringer R., Ebringer A. Association of inflammation with raised serum IgA in ankylosing spondylitis. Ann Rheum Dis. 1980 Dec;39(6):545–549. doi: 10.1136/ard.39.6.545. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Fauci A. S., Whalen G., Burch C. Activation of human B lymphocytes XVI. Cellular requirements, interactions, and immunoregulation of pokeweed mitogen-induced total-immunoglobulin producing plaque-forming cells in peripheral blood. Cell Immunol. 1980 Aug 15;54(1):230–240. doi: 10.1016/0008-8749(80)90204-x. [DOI] [PubMed] [Google Scholar]
- Granfors K. Measurement of immunoglobulin M (IgM), IgG, and IgA antibodies against Yersinia enterocolitica by enzyme-linked immunosorbent assay: persistence of serum antibodies during disease. J Clin Microbiol. 1979 Mar;9(3):336–341. doi: 10.1128/jcm.9.3.336-341.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Granfors K., Viljanen M., Tiilikainen A., Toivanen A. Persistence of IgM, IgG, and IgA antibodies to Yersinia in yersinia arthritis. J Infect Dis. 1980 Apr;141(4):424–429. doi: 10.1093/infdis/141.4.424. [DOI] [PubMed] [Google Scholar]
- Haynes B. F., Fauci A. S. Mechanisms of corticosteroid action on lymphocyte subpopulations. IV. Effects of in vitro hydrocortisone on naturally occuring and mitogen-induced suppressor cells in man. Cell Immunol. 1979 Apr;44(1):157–168. doi: 10.1016/0008-8749(79)90036-4. [DOI] [PubMed] [Google Scholar]
- Leino R., Vuento R., Koskimies S., Viander M., Toivanen A. Depressed lymphocyte transformation by yersinia and Escherichia coli in yersinia arthritis. Ann Rheum Dis. 1983 Apr;42(2):176–181. doi: 10.1136/ard.42.2.176. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Liyanage S. P., Currey H. L., Vernon-Roberts B. Influence of tubercle aggregate size on severity of adjuvant arthritis in the rat. Ann Rheum Dis. 1975 Feb;34(1):49–53. doi: 10.1136/ard.34.1.49. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Möller E., Ström H., Al-Balaghi S. Role of polyclonal activation in specific immune responses. Relevance for findings of antibody activity in various diseases. Scand J Immunol. 1980;12(3):177–182. doi: 10.1111/j.1365-3083.1980.tb00057.x. [DOI] [PubMed] [Google Scholar]
- Nies K. M., Stevens R. H., Louie J. S. Impaired immunoglobulin M synthesis by peripheral blood lymphocytes in systemic lupus erythematosus: a primary B-cell defect. Clin Immunol Immunopathol. 1981 Apr;19(1):118–130. doi: 10.1016/0090-1229(81)90053-2. [DOI] [PubMed] [Google Scholar]
- Nishinarita S., Takizawa I., Hirai H., Morita K., Amaki I. Suppressor T cell dysfunction and depressed immunoglobulin production by B cells in vitro in patients with SLE. J Rheumatol. 1981 Jan-Feb;8(1):19–30. [PubMed] [Google Scholar]
- Poikonen K., Oka M., Möttönen T., Jokinen I., Arvilommi H. Synthesis of IgM, IgG and IgA in rheumatoid arthritis. Ann Rheum Dis. 1982 Dec;41(6):607–611. doi: 10.1136/ard.41.6.607. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Veys E. M., van Leare M. Serum IgG, IgM, and IgA levels in ankylosing spondylitis. Ann Rheum Dis. 1973 Nov;32(6):493–496. doi: 10.1136/ard.32.6.493. [DOI] [PMC free article] [PubMed] [Google Scholar]