Abstract
Twenty-one patients with suspected immunodeficiency were studied for serum immunoglobulin levels, antibodies to flagellin and flagellin-binding lymphocytes before and after immunization, and the lymphocyte response to phytohaemagglutinin (PHA).
Seven of eight children with sex-linked agammaglobulinaemia failed to produce antibody after immunization with flagellin and in six no flagellin-binding lymphocytes were detected; seven had an abnormal PHA response. Four subjects with acquired agammaglobulinaemia had a normal increase in flagellin-binding lymphocytes after immunization despite little or no production of antibody to flagellin.
It is suggested that sex-linked agammaglobulinaemia is a B cell defect in antigen recognition, due to the absence of lymphocyte surface receptors whereas the lesion in acquired agammaglobulinaemia is in the B cell effector apparatus. In children with selective immunoglobulin deficiency (IgA) and with immunodeficiency and ataxia telangiectasia, defects of flagellin-binding cells and antibody were noted.
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Selected References
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