Abstract
Circulating immune complexes after a test meal were measured with three methods (PEG precipitation, Clq-ELISA and the indirect granulocyte phagocytosis test) in 10 controls, two symptomless persons with selective IgA deficiency and 14 patients with various types of glomerulonephritis, of which two patients (with idiopathic membranous glomerulopathy and local focal glomerulonephritis) also had selective IgA deficiency. The PEG and Clq-ELISA test did not show significant differences between the groups. In the two symptomless persons with selective IgA deficiency and in the patient with local focal glomerulonephritis and selective IgA deficiency the indirect granulocyte phagocytosis test (IGFT) showed a reproducible increase in IgG, IgM and complement containing immune complexes. In the last patient multiple food antigens were probably responsible for this phenomenon, a rapid amelioration of kidney function could be induced three times by giving an antigen free diet.
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Selected References
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- Ammann A. J., Hong R. Selective IgA deficiency: presentation of 30 cases and a review of the literature. Medicine (Baltimore) 1971 May;50(3):223–236. [PubMed] [Google Scholar]
- Arisz L., Donker A. J., Brentjens J. R., van der Hem G. K. The effect of indomethacin on proteinuria and kidney function in the nephrotic syndrome. Acta Med Scand. 1976;199(1-2):121–125. doi: 10.1111/j.0954-6820.1976.tb06701.x. [DOI] [PubMed] [Google Scholar]
- Barsotti G., Guiducci A., Ciardella F., Giovannetti S. Effects on renal function of a low-nitrogen diet supplemented with essential amino acids and ketoanalogues and of hemodialysis and free protein supply in patients with chronic renal failure. Nephron. 1981;27(3):113–117. doi: 10.1159/000182036. [DOI] [PubMed] [Google Scholar]
- Couser W. G., Salant D. J. In situ immune complex formation and glomerular injury. Kidney Int. 1980 Jan;17(1):1–13. doi: 10.1038/ki.1980.1. [DOI] [PubMed] [Google Scholar]
- Cunningham-Rundles C., Brandeis W. E., Good R. A., Day N. K. Bovine antigens and the formation of circulating immune complexes in selective immunoglobulin A deficiency. J Clin Invest. 1979 Jul;64(1):272–279. doi: 10.1172/JCI109448. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cunningham-Rundles C., Brandeis W. E., Safai B., O'Reilly R., Day N. K., Good R. A. Selective IgA deficiency and circulating immune complexes containing bovine proteins in a child with chronic graft versus host disease. Am J Med. 1979 Nov;67(5):883–890. doi: 10.1016/0002-9343(79)90749-6. [DOI] [PubMed] [Google Scholar]
- Elkon K. B., Lanham J. G., Dash A. C., Hughes G. R. The effect of a protein meal on three fluid-phase assays for circulating immune complexes. Clin Exp Immunol. 1981 Aug;45(2):279–282. [PMC free article] [PubMed] [Google Scholar]
- Inganäs M., Johansson S. G., Dannaeus A. A method for estimation of circulating immune complexes after oral challenge with ovalbumin. Clin Allergy. 1980 May;10(3):293–302. doi: 10.1111/j.1365-2222.1980.tb02110.x. [DOI] [PubMed] [Google Scholar]
- Katz A., Dyck R. F., Bear R. A. Celiac disease associated with immune complex glomerulonephritis. Clin Nephrol. 1979 Jan;11(1):39–44. [PubMed] [Google Scholar]
- Kilshaw P. J., Slade H. Passage of ingested protein into the blood during gastrointestinal hypersensitivity reactions: experiments in the preruminant calf. Clin Exp Immunol. 1980 Sep;41(3):575–582. [PMC free article] [PubMed] [Google Scholar]
- Mitch W. E., Walser M., Buffington G. A., Lemann J., Jr A simple method of estimating progression of chronic renal failure. Lancet. 1976 Dec 18;2(7999):1326–1328. doi: 10.1016/s0140-6736(76)91974-7. [DOI] [PubMed] [Google Scholar]
- Paganelli R., Levinsky R. J., Brostoff J., Wraith D. G. Immune complexes containing food proteins in normal and atopic subjects after oral challenge and effect of sodium cromoglycate on antigen absorption. Lancet. 1979 Jun 16;1(8129):1270–1272. doi: 10.1016/s0140-6736(79)92230-x. [DOI] [PubMed] [Google Scholar]
- Solling J., Olsen S. Circulating immune complexes in glomerulonephritis. Clin Nephrol. 1981 Aug;16(2):63–74. [PubMed] [Google Scholar]
- Van Damme B. J., Fleuren G. J., Bakker W. W., Vernier R. L., Hoedemaeker P. J. Experimental glomerulonephritis in the rat induced by antibodies directed against tubular antigens. V. Fixed glomerular antigens in the pathogenesis of heterologous immune complex glomerulonephritis. Lab Invest. 1978 Apr;38(4):502–510. [PubMed] [Google Scholar]
- de Gast G. C., The T. H., Snijder J. A. The human immune response to alpha-haemocyanin of Helix pomatia. Acta Med Scand. 1973 Oct;194(4):303–309. doi: 10.1111/j.0954-6820.1973.tb19450.x. [DOI] [PubMed] [Google Scholar]
