Skip to main content
Clinical and Experimental Immunology logoLink to Clinical and Experimental Immunology
. 1976 Mar;23(3):444–450.

Liver disease--a prominent cause of serum IgE elevation.

E Van Epps, G Husby, R C Williams Jr, R G Strickland
PMCID: PMC1538400  PMID: 1084811

Abstract

Serum IgE concentrations were elevated in thirty-seven out of sixty-seven patients (55%) with acute or chronic liver disease of widely differing aetiology. The mean IgE concentrations in these patients showed an eight-fold increase above that observed in control subjects. Increased IgE levels in patients with liver disease occurred in the absence of eosinophilia, clinical evidence of atopy or other known causes of IgE elevation. No IgE-containing plasma cells were detected in the liver biopsies from thirty-two of the sixty-seven patients tested. Peripheral blood T cells were significantly decreased from normal in the patients with liver disease, but no correlation emerged between serum IgE levels and absolute peripheral blood T-cell numbers. These findings emphasize the importance of liver disease as a significant cause of serum IgE elevation.

Full text

PDF
446

Selected References

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

  1. Assem E. S. Letter: Circulating IgE levels in patients with cancer. Lancet. 1975 Jul 5;2(7923):34–35. doi: 10.1016/s0140-6736(75)92979-7. [DOI] [PubMed] [Google Scholar]
  2. Berglund G., Finnström O., Johansson S. G., Möller K. L. Wiskott-Aldrich syndrome. A study of 6 cases with determination of the immunoglobulins A, D, G, M and ND. Acta Paediatr Scand. 1968 Mar;57(2):89–97. doi: 10.1111/j.1651-2227.1968.tb04658.x. [DOI] [PubMed] [Google Scholar]
  3. Bernstein I. M., Webster K. H., Williams R. C., Jr, Strickland R. G. Reduction in circulating T lymphocytes in alcoholic liver disease. Lancet. 1974 Aug 31;2(7879):488–490. doi: 10.1016/s0140-6736(74)92015-7. [DOI] [PubMed] [Google Scholar]
  4. Brown W. R., Lansford C. L., Hornbrook M. Serum immunoglobulin E (IGE) concentrations in patients with gastrointestinal disorders. Am J Dig Dis. 1973 Aug;18(8):641–645. doi: 10.1007/BF01072034. [DOI] [PubMed] [Google Scholar]
  5. DeHoratius R. J., Strickland R. G., Williams R. C., Jr T and B lymphocytes in acute and chronic hepatitis. Clin Immunol Immunopathol. 1974 Apr;2(3):353–360. doi: 10.1016/0090-1229(74)90053-1. [DOI] [PubMed] [Google Scholar]
  6. Dudley F. J., O'Shea M. J., Ajdukiewicz A., Sherlock S. Serum autoantibodies and immunoglobulins in hepatitis-associated antigen (HAA)-positive and -negative liver disease. Gut. 1973 May;14(5):360–364. doi: 10.1136/gut.14.5.360. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Feizi T. Immunoglobulins in chronic liver disease. Gut. 1968 Apr;9(2):193–198. doi: 10.1136/gut.9.2.193. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. GLAGOV S., KENT G., POPPER H. Relation of splenic and lymph node changes to hypergammaglobulinemia in cirrhosis. AMA Arch Pathol. 1959 Jan;67(1):9–18. [PubMed] [Google Scholar]
  9. Gershon R. K., Maurer P. H., Merryman C. F. A cellular basis for genetically controlled immunologic unresponsiveness in mice: tolerance induction in T-cells. Proc Natl Acad Sci U S A. 1973 Jan;70(1):250–254. doi: 10.1073/pnas.70.1.250. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. HAVENS W. P., Jr, DICKENSHEETS J., BIERLY J. N., EBERHARD T. P. The half-life of I131 labeled normal human gamma globulin in patients with hepatic cirrhosis. J Immunol. 1954 Oct;73(4):256–258. [PubMed] [Google Scholar]
  11. Hadziyannis S., Feizi T., Scheuer P. J., Sherlock S. Immunoglobulin-containing cells in the liver. Clin Exp Immunol. 1969 Nov;5(5):499–514. [PMC free article] [PubMed] [Google Scholar]
  12. Heiner D. C., Rose B. Elevated levels of gamma-E (IgE) in conditions other than classical allergy. J Allergy. 1970 Jan;45(1):30–42. doi: 10.1016/0021-8707(70)90014-6. [DOI] [PubMed] [Google Scholar]
  13. Hogarth-Scott R. S., Johansson S. G., Bennich H. Antibodies to Toxocara in the sera of visceral larva migrans patients: the significance of raised levels of IgE. Clin Exp Immunol. 1969 Dec;5(6):619–625. [PMC free article] [PubMed] [Google Scholar]
  14. Husby G., Blomhoff J. P., Skrede S., Elgjo K., Gjone E. Detection of immunoglobulins in paraffin-embedded liver biopsies. Studies in 100 patients with special regard to immunological findings in active chronic hepatitis. Scand J Gastroenterol. 1973;8(7):621–629. [PubMed] [Google Scholar]
  15. Jacobs D., Landon J., Houri M., Merrett T. G. Circulating levels of immunoglobulin E in patients with cancer. Lancet. 1972 Nov 18;2(7786):1059–1061. doi: 10.1016/s0140-6736(72)92341-0. [DOI] [PubMed] [Google Scholar]
  16. Johansson S. G., Mellbin T., Vahlquist B. Immunoglobulin levels in Ethiopian preschool children with special reference to high concentrations of immunoglobulin E (IgND). Lancet. 1968 May 25;1(7552):1118–1121. doi: 10.1016/s0140-6736(68)90187-6. [DOI] [PubMed] [Google Scholar]
  17. Johansson S. G. Raised levels of a new immunoglobulin class (IgND) in asthma. Lancet. 1967 Nov 4;2(7523):951–953. doi: 10.1016/s0140-6736(67)90792-1. [DOI] [PubMed] [Google Scholar]
  18. Jondal M., Holm G., Wigzell H. Surface markers on human T and B lymphocytes. I. A large population of lymphocytes forming nonimmune rosettes with sheep red blood cells. J Exp Med. 1972 Aug 1;136(2):207–215. doi: 10.1084/jem.136.2.207. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. KENT G., POPPER H., DUBIN A., BRUCE C. The spleen in ethionine-induced cirrhosis; its role in gama-globulin elevation. AMA Arch Pathol. 1957 Oct;64(4):398–408. [PubMed] [Google Scholar]
  20. Katz D. H., Hamaoka T., Newburger P. E., Benacerraf B. Hapten-specific IgE antibody responses in mice. IV. Evidence for distinctive sensitivities of IgE and IgG B lymphocytes to the regulatory influence of T cells. J Immunol. 1974 Sep;113(3):974–983. [PubMed] [Google Scholar]
  21. May C. D., Lyman M., Alberto R., Cheng J. Procedures for immunochemical study of histamine release from leukocytes with small volume of blood. J Allergy. 1970 Jul;46(1):12–20. doi: 10.1016/0021-8707(70)90056-0. [DOI] [PubMed] [Google Scholar]
  22. Ooi B. S., Pesce A. J., First M. R., Pollak V. E., Bernstein I. L., Jao W. IgE levels in interstitial nephritis. Lancet. 1974 Jun 22;1(7869):1254–1256. doi: 10.1016/s0140-6736(74)90007-5. [DOI] [PubMed] [Google Scholar]
  23. Patterson R., Oh S. H., Roberts M., Hsu C. C. Massive polyclonal hyperimmunoglobulinemia E, eosinophilia and increased IgE-bearing lymphocytes. Am J Med. 1975 Apr;58(4):553–558. doi: 10.1016/0002-9343(75)90130-8. [DOI] [PubMed] [Google Scholar]
  24. Pernis B., Forni L., Amante L. Immunoglobulin spots on the surface of rabbit lymphocytes. J Exp Med. 1970 Nov;132(5):1001–1018. doi: 10.1084/jem.132.5.1001. [DOI] [PMC free article] [PubMed] [Google Scholar]
  25. Polmar S. H., Waldmann T. A., Terry W. D. A comparison of three radioimmunoassay techniques for the measurement of serum IgE. J Immunol. 1973 May;110(5):1253–1261. [PubMed] [Google Scholar]
  26. ROWE D. S., FAHEY J. L. A NEW CLASS OF HUMAN IMMUNOGLOBULINS. II. NORMAL SERUM IGD. J Exp Med. 1965 Jan 1;121:185–199. doi: 10.1084/jem.121.1.185. [DOI] [PMC free article] [PubMed] [Google Scholar]
  27. Tada T., Takemori T. Selective roles of thymus-derived lymphocytes in the antibody response. I. Differential suppressive effect of carrier-primed T cells on hapten-specific IgM and IgG antibody responses. J Exp Med. 1974 Jul 1;140(1):239–252. doi: 10.1084/jem.140.1.239. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Triger D. R., Wright R. Hyperglobulinaemia in liver disease. Lancet. 1973 Jun 30;1(7818):1494–1496. doi: 10.1016/s0140-6736(73)91827-8. [DOI] [PubMed] [Google Scholar]
  29. Waldmann T. A., Durm M., Broder S., Blackman M., Blaese R. M., Strober W. Role of suppressor T cells in pathogenesis of common variable hypogammaglobulinaemia. Lancet. 1974 Sep 14;2(7881):609–613. doi: 10.1016/s0140-6736(74)91940-0. [DOI] [PubMed] [Google Scholar]
  30. Williams R. C., Jr, DeBoard J. R., Mellbye O. J., Messner R. P., Lindström F. D. Studies of T- and B-lymphocytes in patients with connective tissue diseases. J Clin Invest. 1973 Feb;52(2):283–295. doi: 10.1172/JCI107184. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Williams R. C., Jr, Griffiths R. W., Emmons J. D., Field R. C. Naturally occurring human antiglobulins with specificity for E. J Clin Invest. 1972 Apr;51(4):955–963. doi: 10.1172/JCI106890. [DOI] [PMC free article] [PubMed] [Google Scholar]
  32. Wilson I. D., Onstad G., Williams R. C., Jr Serum immunoglobulin concentrations in patients with alcoholic liver disease. Gastroenterology. 1969 Jul;57(1):59–67. [PubMed] [Google Scholar]
  33. Wilson I. D., Williams R. C., Tobian L., Jr Renal tubular acidosis. Three cases with immunoglobulin abnormalities in the patients and their kindreds. Am J Med. 1967 Sep;43(3):356–370. doi: 10.1016/0002-9343(67)90192-1. [DOI] [PubMed] [Google Scholar]

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

RESOURCES