Abstract
The serum antibody response in Gambian children with persistent diarrhoea and giardiasis has been studied. Total serum IgG, IgA, and IgM concentrations were increased in these patients as compared with controls from the same area. Determination of the concentrations of Giardia specific antibodies by enzyme linked immuno adsorbent assay (ELISA), however, revealed that only IgM was raised while those of IgA and IgG were similar to the controls. Analysis of the antigenic determinants of the IgG and IgA responses by immunoblotting showed that patients with chronic infection unlike those who clear the infection have no IgA response to a 57 kDa Giardia heat shock antigen. The association of high concentrations of Giardia specific IgM, low concentrations of Giardia specific IgA and IgG and inability to clear the infection suggests that the switch from an IgM to an IgG or IgA response is inefficient.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Briaud M., Morichau-Beauchant M., Matuchansky C., Touchard G., Babin P. Intestinal immune response in giardiasis. Lancet. 1981 Aug 15;2(8242):358–358. doi: 10.1016/s0140-6736(81)90662-0. [DOI] [PubMed] [Google Scholar]
- Char S., Cevallos A. M., Farthing M. J. An immunodominant antigen of Giardia lamblia is a heat shock protein. Biotechnol Ther. 1992;3(3-4):151–157. [PubMed] [Google Scholar]
- Char S., Shetty N., Narasimha M., Elliott E., Macaden R., Farthing M. J. Serum antibody response in children with Giardia lamblia infection and identification of an immunodominant 57-kilodalton antigen. Parasite Immunol. 1991 May;13(3):329–337. doi: 10.1111/j.1365-3024.1991.tb00286.x. [DOI] [PubMed] [Google Scholar]
- Edson C. M., Farthing M. J., Thorley-Lawson D. A., Keusch G. T. An 88,000-Mr Giardia lamblia surface protein which is immunogenic in humans. Infect Immun. 1986 Dec;54(3):621–625. doi: 10.1128/iai.54.3.621-625.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Farthing M. J. Host-parasite interactions in human giardiasis. Q J Med. 1989 Mar;70(263):191–204. [PubMed] [Google Scholar]
- Farthing M. J., Pereira M. E., Keusch G. T. Giardia lamblia: evaluation of roller bottle cultivation. Exp Parasitol. 1982 Dec;54(3):410–415. doi: 10.1016/0014-4894(82)90050-9. [DOI] [PubMed] [Google Scholar]
- Goka A. K., Rolston D. D., Mathan V. I., Farthing M. J. Diagnosis of giardiasis by specific IgM antibody enzyme-linked immunosorbent assay. Lancet. 1986 Jul 26;2(8500):184–186. doi: 10.1016/s0140-6736(86)92487-6. [DOI] [PubMed] [Google Scholar]
- Heyworth M. F. Antibody response to Giardia muris trophozoites in mouse intestine. Infect Immun. 1986 May;52(2):568–571. doi: 10.1128/iai.52.2.568-571.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Snider D. P., Underdown B. J. Quantitative and temporal analyses of murine antibody response in serum and gut secretions to infection with Giardia muris. Infect Immun. 1986 Apr;52(1):271–278. doi: 10.1128/iai.52.1.271-278.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sullivan P. B., Marsh M. N., Phillips M. B., Dewit O., Neale G., Cevallos A. M., Yamson P., Farthing M. J. Prevalence and treatment of giardiasis in chronic diarrhoea and malnutrition. Arch Dis Child. 1991 Mar;66(3):304–306. doi: 10.1136/adc.66.3.304. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Suskind R., Sirishinha S., Vithayasai V., Edelman R., Damrongsak D., Charupatana C., Olson R. E. Immunoglobulins and antibody response in children with protein-calorie malnutrition. Am J Clin Nutr. 1976 Aug;29(8):836–841. doi: 10.1093/ajcn/29.8.836. [DOI] [PubMed] [Google Scholar]
- Taylor G. D., Wenman W. M. Human immune response to Giardia lamblia infection. J Infect Dis. 1987 Jan;155(1):137–140. doi: 10.1093/infdis/155.1.137. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Vinayak V. K., Kumkum, Khanna R. Serum antibodies to giardial surface antigens: lower titres in persistent than in non-persistent giardiasis. J Med Microbiol. 1989 Nov;30(3):207–212. doi: 10.1099/00222615-30-3-207. [DOI] [PubMed] [Google Scholar]
- Zinneman H. H., Kaplan A. P. The association of giardiasis with reduced intestinal secretory immunoglobulin A. Am J Dig Dis. 1972 Sep;17(9):793–797. doi: 10.1007/BF02231148. [DOI] [PubMed] [Google Scholar]

