Abstract
We have examined the effect of two i.v. immunoglobulin preparations on the metabolic and functional activities of neutrophil granulocytes from the peripheral blood. Production of superoxide anion (O2-) by granulocytes was measured through superoxide dismutase inhibitable reduction of ferricytochrome C after incubation of cells for various times together with immunoglobulin (concentration ranging from 0.25 to 5.0 mg/ml). The results showed dose-dependent response of O2- production independent of the incubation time. Granulocytes containing ingested Staphylococcus aureus released a significantly (P less than 0.001) larger amount of O2- and killed a higher number (P less than 0.001) of viable bacteria in the presence of 5 mg/ml immunoglobulin than did cells incubated in the absence of extracellular i.v. immunoglobulin. These data raise the possibility that immunoglobulin concentrates for i.v. use may enhance the anti-bacterial activities of phagocytic cells through direct stimulation of the respiratory burst. Inflammatory reactions observed during i.v. immunoglobulin infusion in hypo- or agammaglobulinaemic patients may also be related to phagocytic cell activation.
Full text
PDF





Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Babior B. M., Kipnes R. S., Curnutte J. T. Biological defense mechanisms. The production by leukocytes of superoxide, a potential bactericidal agent. J Clin Invest. 1973 Mar;52(3):741–744. doi: 10.1172/JCI107236. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Babior B. M. Oxygen-dependent microbial killing by phagocytes (first of two parts). N Engl J Med. 1978 Mar 23;298(12):659–668. doi: 10.1056/NEJM197803232981205. [DOI] [PubMed] [Google Scholar]
- Bussel J. B., Goldman A., Imbach P., Schulman I., Hilgartner M. W. Treatment of acute idiopathic thrombocytopenia of childhood with intravenous infusions of gammaglobulin. J Pediatr. 1985 Jun;106(6):886–890. doi: 10.1016/s0022-3476(85)80231-6. [DOI] [PubMed] [Google Scholar]
- Bussel J., Lalezari P., Hilgartner M., Partin J., Fikrig S., O'Malley J., Barandun S. Reversal of neutropenia with intravenous gammaglobulin in autoimmune neutropenia of infancy. Blood. 1983 Aug;62(2):398–400. [PubMed] [Google Scholar]
- Chirico G., Rondini G., Plebani A., Chiara A., Massa M., Ugazio A. G. Intravenous gammaglobulin therapy for prophylaxis of infection in high-risk neonates. J Pediatr. 1987 Mar;110(3):437–442. doi: 10.1016/s0022-3476(87)80514-0. [DOI] [PubMed] [Google Scholar]
- De Clerck L. S., Gigase P. L., Bridts C. H., Stevens W. J. Neutrophil activation by IgE-containing circulating immune complexes of patients with connective tissue diseases. J Allergy Clin Immunol. 1988 Jan;81(1):95–99. doi: 10.1016/0091-6749(88)90226-6. [DOI] [PubMed] [Google Scholar]
- Delfraissy J. F., Tchernia G., Laurian Y., Wallon C., Galanaud P., Dormont J. Suppressor cell function after intravenous gammaglobulin treatment in adult chronic idiopathic thrombocytopenic purpura. Br J Haematol. 1985 Jun;60(2):315–322. doi: 10.1111/j.1365-2141.1985.tb07417.x. [DOI] [PubMed] [Google Scholar]
- Engelhard D., Waner J. L., Kapoor N., Good R. A. Effect of intravenous immune globulin on natural killer cell activity: possible association with autoimmune neutropenia and idiopathic thrombocytopenia. J Pediatr. 1986 Jan;108(1):77–81. doi: 10.1016/s0022-3476(86)80772-7. [DOI] [PubMed] [Google Scholar]
- Fasth A. Immunoglobulin for neonatal agranulocytosis. Arch Dis Child. 1986 Jan;61(1):86–87. doi: 10.1136/adc.61.1.86. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Furusho K., Kamiya T., Nakano H., Kiyosawa N., Shinomiya K., Hayashidera T., Tamura T., Hirose O., Manabe Y., Yokoyama T. High-dose intravenous gammaglobulin for Kawasaki disease. Lancet. 1984 Nov 10;2(8411):1055–1058. doi: 10.1016/s0140-6736(84)91504-6. [DOI] [PubMed] [Google Scholar]
- Givner L. B., Edwards M. S., Anderson D. C., Baker C. J. Immune globulin for intravenous use: enhancement of in vitro opsonophagocytic activity of neonatal serum. J Infect Dis. 1985 Feb;151(2):217–220. doi: 10.1093/infdis/151.2.217. [DOI] [PubMed] [Google Scholar]
- Gonzalez L. A., Hill H. R. The current status of intravenous gamma-globulin use in neonates. Pediatr Infect Dis J. 1989 May;8(5):315–322. [PubMed] [Google Scholar]
- Imbach P., Barandun S., d'Apuzzo V., Baumgartner C., Hirt A., Morell A., Rossi E., Schöni M., Vest M., Wagner H. P. High-dose intravenous gammaglobulin for idiopathic thrombocytopenic purpura in childhood. Lancet. 1981 Jun 6;1(8232):1228–1231. doi: 10.1016/s0140-6736(81)92400-4. [DOI] [PubMed] [Google Scholar]
- Johnston R. B., Jr, Godzik C. A., Cohn Z. A. Increased superoxide anion production by immunologically activated and chemically elicited macrophages. J Exp Med. 1978 Jul 1;148(1):115–127. doi: 10.1084/jem.148.1.115. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Johnston R. B., Jr, Keele B. B., Jr, Misra H. P., Lehmeyer J. E., Webb L. S., Baehner R. L., RaJagopalan K. V. The role of superoxide anion generation in phagocytic bactericidal activity. Studies with normal and chronic granulomatous disease leukocytes. J Clin Invest. 1975 Jun;55(6):1357–1372. doi: 10.1172/JCI108055. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Joseph M., Tonnel A. B., Capron A., Voisin C. Enzyme release and superoxide anion production by human alveolar macrophages stimulated with immunoglobulin E. Clin Exp Immunol. 1980 May;40(2):416–422. [PMC free article] [PubMed] [Google Scholar]
- Kaplan H. B., Edelson H. S., Friedman R., Weissmann G. The roles of degranulation and superoxide anion generation in neutrophil aggregation. Biochim Biophys Acta. 1982 Sep 13;721(1):55–63. doi: 10.1016/0167-4889(82)90023-4. [DOI] [PubMed] [Google Scholar]
- Maródi L., Leijh P. C., Van Furth R. A micromethod for the separate evaluation of phagocytosis and intracellular killing of Staphylococcus aureus by human monocytes and granulocytes. J Immunol Methods. 1983 Feb 25;57(1-3):353–361. doi: 10.1016/0022-1759(83)90095-9. [DOI] [PubMed] [Google Scholar]
- Maródi L., Szabó I., Kalmár A. Immunoglobulin deficiency with increased immunoglobulin M in three siblings: effect of long-term immunoglobulin therapy. Eur J Pediatr. 1988 Dec;148(3):215–217. doi: 10.1007/BF00441406. [DOI] [PubMed] [Google Scholar]
- Medgyesi G. A., Kovács J., Füst G., Merétey K. Safety aspects of intravenous immunoglobulins. Immunol Invest. 1988 Apr;17(2):121–133. doi: 10.3109/08820138809055724. [DOI] [PubMed] [Google Scholar]
- Meretey K., Böhm U., Falus A., Bozsoky S. Radioimmune double PEG precipitation technique for detecting complexed IgE. J Immunol Methods. 1979;26(3):223–228. doi: 10.1016/0022-1759(79)90247-3. [DOI] [PubMed] [Google Scholar]
- Newburger J. W. U.S. gamma globulin trial. Prog Clin Biol Res. 1987;250:441–443. [PubMed] [Google Scholar]
- Rossi F., Romeo D., Patriarca P. Mechanism of phagocytosis-associated oxidative metabolism in polymorphonuclear leucocytes and macrophages. J Reticuloendothel Soc. 1972 Aug;12(2):127–149. [PubMed] [Google Scholar]
- Rouzer C. A., Scott W. A., Hamill A. L., Liu F. T., Katz D. H., Cohn Z. A. IgE immune complexes stimulate arachidonic acid release by mouse peritoneal macrophages. Proc Natl Acad Sci U S A. 1982 Sep;79(18):5656–5660. doi: 10.1073/pnas.79.18.5656. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Salama A., Mueller-Eckhardt C., Kiefel V. Effect of intravenous immunoglobulin in immune thrombocytopenia. Lancet. 1983 Jul 23;2(8343):193–195. doi: 10.1016/s0140-6736(83)90175-7. [DOI] [PubMed] [Google Scholar]
- Sultan Y., Kazatchkine M. D., Maisonneuve P., Nydegger U. E. Anti-idiotypic suppression of autoantibodies to factor VIII (antihaemophilic factor) by high-dose intravenous gammaglobulin. Lancet. 1984 Oct 6;2(8406):765–768. doi: 10.1016/s0140-6736(84)90701-3. [DOI] [PubMed] [Google Scholar]
- Tsubakio T., Kurata Y., Katagiri S., Kanakura Y., Tamaki T., Kuyama J., Kanayama Y., Yonezawa T., Tarui S. Alteration of T cell subsets and immunoglobulin synthesis in vitro during high dose gamma-globulin therapy in patients with idiopathic thrombocytopenic purpura. Clin Exp Immunol. 1983 Sep;53(3):697–702. [PMC free article] [PubMed] [Google Scholar]
- Walsh G. M., Kay A. B. Binding of immunoglobulin classes and subclasses to human neutrophils and eosinophils. Clin Exp Immunol. 1986 Feb;63(2):466–472. [PMC free article] [PubMed] [Google Scholar]
- Weissmann G., Smolen J. E., Korchak H. M. Release of inflammatory mediators from stimulated neutrophils. N Engl J Med. 1980 Jul 3;303(1):27–34. doi: 10.1056/NEJM198007033030109. [DOI] [PubMed] [Google Scholar]
