Skip to main content
Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1978 Dec;34(3):318–325.

Serial studies on circulating immune complexes in post-streptococcal sequelae

I Van De Rijn, H Fillit, W E Brandeis, H Reid, T Poon-King, M McCarthy, N K Day, J B Zabriskie
PMCID: PMC1537539  PMID: 743806

Abstract

Levels of circulating immune complexes were determined in the Trinidadian population with a high incidence of acute post-streptococcal sequelae, acute rheumatic fever and acute post-streptococcal glomerulonephritis. The studies were done on acute phase and serial bleedings up to 6 months after the acute illness. C1q solid phase assay employing radiolabelled protein A and the Raji cell radioimmunoassay were used in the detection of immune complexes. Both groups of patients had significantly elevated levels of immune complexes during the acute phase and showed an equivalent decline to slightly elevated levels during the 6 months of observation. The incidence and molecular size of the immune complexes in the two post-streptococcal sequelae were equivalent. The Raji cell assay tended to show much higher levels of complexes on an absolute basis, but both assays demonstrated an equivalent decline from the acute phase. These studies suggest that the presence of equivalent levels of complexes in two entirely different post-streptococcal sequelae indicates that other factors, such as the nature of the antigen in the complex, are more important in the pathogenesis of the post-streptococcal sequelae than the actual presence or the absolute levels of complexes.

Full text

PDF
318

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baldwin D. S., Gluck M. C., Schacht R. G., Gallo G. The long-term course of poststreptococcal glomerulonephritis. Ann Intern Med. 1974 Mar;80(3):342–358. doi: 10.7326/0003-4819-80-3-342. [DOI] [PubMed] [Google Scholar]
  2. Bayer A. S., Theofilopoulos A. N., Eisenberg R., Dixon F. J., Guze L. B. Circulating immune complexes in infective endocarditis. N Engl J Med. 1976 Dec 30;295(27):1500–1505. doi: 10.1056/NEJM197612302952703. [DOI] [PubMed] [Google Scholar]
  3. Derrick C. W., Reeves M. S., Dillon H. C., Jr Complement in overt and asymptomatic nephritis after skin infection. J Clin Invest. 1970 Jun;49(6):1178–1187. doi: 10.1172/JCI106332. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Fischel E. E., Pauli R. H., Lesh J. SEROLOGICAL STUDIES IN RHEUMATIC FEVER. II. SERUM COMPLEMENT IN THE RHEUMATIC STATE. J Clin Invest. 1949 Sep;28(5 Pt 2):1172–1181. doi: 10.1172/JCI102151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Gabay R., Zubler R. H., Nydegger U. E., Lambert P. H. Immune complexes and complement catabolism in ankylosing spondylitis. Arthritis Rheum. 1977 May;20(4):913–916. doi: 10.1002/art.1780200402. [DOI] [PubMed] [Google Scholar]
  6. Gabriel A., Jr, Agnello V. Detection of immune complexes. The use of radioimmunoassays with Clq and monoclonal rheumatoid factor. J Clin Invest. 1977 May;59(5):990–1001. doi: 10.1172/JCI108722. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Geiger H., Good R. A., Day N. K. A study of complement components C3, C5, C6, C7, C8 and C9 in chronic membranoproliferative glomerulonephritis, systemic lupus erythematosus, poststreptococcal nephritis, idiopathic nephrotic syndrome and anaphylactoid purpura. Z Kinderheilkd. 1975;119(4):269–278. doi: 10.1007/BF00443511. [DOI] [PubMed] [Google Scholar]
  8. Hay F. C., Nineham L. J., Roitt I. M. Routine assay for the detection of immune complexes of known immunoglobulin class using solid phase C1q. Clin Exp Immunol. 1976 Jun;24(3):396–400. [PMC free article] [PubMed] [Google Scholar]
  9. JENNINGS R. B., EARLE D. P. Post-streptococcal glomerulo-nephritis: histopathologic and clinical studies of the acute, subsiding acute and early chronic latent phases. J Clin Invest. 1961 Aug;40:1525–1595. doi: 10.1172/JCI104382. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Kohler P. F., Ten Bensel R. Serial complement component alterations in acute glomerulonephritis and systemic lupus erythematosus. Clin Exp Immunol. 1969 Feb;4(2):191–202. [PMC free article] [PubMed] [Google Scholar]
  11. Luthra H. S., McDuffie F. C., Hunder G. G., Samayoa E. A. Immune complexes in sera and synovial fluids of patients with rheumatoid arthritis. Radioimmunoassay with monocylonal rheumatoid factor. J Clin Invest. 1975 Aug;56(2):458–466. doi: 10.1172/JCI108112. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Mancini G., Carbonara A. O., Heremans J. F. Immunochemical quantitation of antigens by single radial immunodiffusion. Immunochemistry. 1965 Sep;2(3):235–254. doi: 10.1016/0019-2791(65)90004-2. [DOI] [PubMed] [Google Scholar]
  13. McConahey P. J., Dixon F. J. A method of trace iodination of proteins for immunologic studies. Int Arch Allergy Appl Immunol. 1966;29(2):185–189. doi: 10.1159/000229699. [DOI] [PubMed] [Google Scholar]
  14. Nydegger U. E., Lambert P. H., Gerber H., Miescher P. A. Circulating immune complexes in the serum in systemic lupus erythematosus and in carriers of hepatitis B antigen. Quantitation by binding to radiolabeled C1q. J Clin Invest. 1974 Aug;54(2):297–309. doi: 10.1172/JCI107765. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Ooi Y. M., Ooi B. S., Pollak V. E. Relationship of levels of circulating immune complexes to histologic patterns of nephritis: a comparative study of membranous glomerulonephropathy and diffuse proliferative glomerulonephritis. J Lab Clin Med. 1977 Nov;90(5):891–898. [PubMed] [Google Scholar]
  16. Ooi Y. M., Vallota E. H., West C. D. Serum immune complexes in membranoproliferative and other glomerulonephritides. Kidney Int. 1977 Apr;11(4):275–283. doi: 10.1038/ki.1977.41. [DOI] [PubMed] [Google Scholar]
  17. Poon-King T., Mohammed I., Cox R., Potter E. V., Simon N. M., Siegel A. C., Earle D. P. Recurrent epidemic nephritis in South Trinidad. N Engl J Med. 1967 Oct 5;277(14):728–733. doi: 10.1056/NEJM196710052771403. [DOI] [PubMed] [Google Scholar]
  18. Potter E. V., Svartman M., Mohammed I., Cox R., Poon-King T., Earle D. P. Tropical acute rheumatic fever and associated streptococcal infections compared with concurrent acute glomerulonephritis. J Pediatr. 1978 Feb;92(2):325–333. doi: 10.1016/s0022-3476(78)80036-5. [DOI] [PubMed] [Google Scholar]
  19. Rossen R. D., Reisberg M. A., Singer D. B., Schloeder F. X., Suki W. N., Hill L. L., Eknoyan G. Soluble immune complexes in sera of patients with nephritis. Kidney Int. 1976 Sep;10(3):256–263. doi: 10.1038/ki.1976.105. [DOI] [PubMed] [Google Scholar]
  20. Stagno S., Volanakis J. E., Reynolds D. W., Stroud R., Alford C. A. Immune complexes in congenital and natal cytomegalovirus infections of man. J Clin Invest. 1977 Oct;60(4):838–845. doi: 10.1172/JCI108838. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Stühlinger W. D., Verroust P. J., Morel-Maroger L. Detection of circulating soluble immune complexes in patients with various renal diseases. Immunology. 1976 Jan;30(1):43–47. [PMC free article] [PubMed] [Google Scholar]
  22. Theofilopoulos A. N., Wilson C. B., Dixon F. J. The Raji cell radioimmune assay for detecting immune complexes in human sera. J Clin Invest. 1976 Jan;57(1):169–182. doi: 10.1172/JCI108257. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Walker L. C., Ahlin T. D., Tung K. S., Williams R. C., Jr Circulating immune complexes in disseminated gonorrheal infection. Ann Intern Med. 1978 Jul;89(1):28–33. doi: 10.7326/0003-4819-89-1-28. [DOI] [PubMed] [Google Scholar]
  24. Ward P. A., Kibukamusoke J. W. Evidence for soluble immune complexes in the pathogenesis of the glomerulonephritis of quartan malaria. Lancet. 1969 Feb 8;1(7589):283–285. doi: 10.1016/s0140-6736(69)91038-1. [DOI] [PubMed] [Google Scholar]
  25. Wilson C. B., Dixon F. J. Antigen quantitation in experimental immune complex glomerulonephritis. I. Acute serum sickness. J Immunol. 1970 Aug;105(2):279–290. [PubMed] [Google Scholar]
  26. Woodroffe A. J., Border W. A., Theofilopoulos A. N., Götze O., Glassock R. J., Dixon F. J., Wilson C. B. Detection of circulating immune complexes in patients with glomerulonephritis. Kidney Int. 1977 Oct;12(4):268–278. doi: 10.1038/ki.1977.111. [DOI] [PubMed] [Google Scholar]
  27. Yonemasu K., Stroud R. M. Clq: rapid purification method for preparation of monospecific antisera and for biochemical studies. J Immunol. 1971 Feb;106(2):304–313. [PubMed] [Google Scholar]

Articles from Clinical and Experimental Immunology are provided here courtesy of British Society for Immunology

RESOURCES