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Bulletin of the World Health Organization logoLink to Bulletin of the World Health Organization
. 1975;52(2):179–185.

The relationship of race, sex, and age to concentrations of serum immunoglobulins expressed in international units in healthy adults in the USA*

S E Maddison, C C Stewart, C E Farshy, C B Reimer
PMCID: PMC2366353  PMID: 1083305

Abstract

Only a few investigations have been made to obtain human serum immunoglobulin values in units compatible with those used by the WHO International Reference Preparation for the Human Immunoglobulins IgG, IgA, and IgM. We report our summary statistics of serum IgG, IgA, and IgM, in international units (IU), for some 800 healthy American adults grouped by age, sex, and race. Our findings are in general agreement with some, but not with all, published data. We found that the mean IgG concentration is markedly higher and the mean IgA concentration is slightly higher in blacks than in whites. Except for white females, there was a significant increase in mean IgA with age for both races. In the younger adults of both races, mean IgM values were markedly higher in females than in males. Statistically significant interactions between race, age, and sex factors were seen for all three immunoglobulin classes. Although we have attempted to estimate the normal population means and variances for the serum concentration of IgG, IgA, and IgM the process we used to select specimens may have resulted in some bias; much larger, truly randomized, and fully documented studies in different geographic areas and in different socioeconomic and racial groups are needed to provide accurate acceptable limits for human immunoglobulins.

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Selected References

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

  1. Buckley C. E., 3rd, Buckley E. G., Dorsey F. C. Longitudinal changes in serum immunoglobulin levels in older humans. Fed Proc. 1974 Sep;33(9):2036–2039. [PubMed] [Google Scholar]
  2. Buckley C. E., 3rd, Dorsey F. C. Serum immunoglobulin levels throughout the life-span of healthy man. Ann Intern Med. 1971 Nov;75(5):673–682. doi: 10.7326/0003-4819-75-5-673. [DOI] [PubMed] [Google Scholar]
  3. Grundbacher F. J. Human X chromosome carries quantitative genes for immunoglobulin M. Science. 1972 Apr 21;176(4032):311–312. doi: 10.1126/science.176.4032.311. [DOI] [PubMed] [Google Scholar]
  4. Heremans J. F., Masson P. L. Specific analysis of immunoglobulins. Techniques and clinical value. Clin Chem. 1973 Mar;19(3):294–300. [PubMed] [Google Scholar]
  5. Humphrey J. H., Batty I. International reference preparation for human serum IgG, IgA, IgM. Clin Exp Immunol. 1974 Aug;17(4):708–708. [PMC free article] [PubMed] [Google Scholar]
  6. Karayalcin G., Rosner F., Sawitsky A. Quantitative serum immunoglobulins in healthy Negroes. N Y State J Med. 1973 Mar 15;73(6):751–753. [PubMed] [Google Scholar]
  7. 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]
  8. Mohammed I., Tomkins A. M., Greenwood B. M. Normal immunoglobulins in the tropics. Lancet. 1973 Mar 3;1(7801):481–481. doi: 10.1016/s0140-6736(73)91902-8. [DOI] [PubMed] [Google Scholar]
  9. Rowe D. S. Concentration of serum-immunoglobulins in healthy young adult males estimated by assay against the international reference preparation. Lancet. 1972 Dec 9;2(7789):1232–1233. doi: 10.1016/s0140-6736(72)92277-5. [DOI] [PubMed] [Google Scholar]
  10. Stiehm E. R., Fudenberg H. H. Serum levels of immune globulins in health and disease: a survey. Pediatrics. 1966 May;37(5):715–727. [PubMed] [Google Scholar]
  11. Veys E. M., Wieme R. J. Serum IgG, IgM and IgA concentration determined by the "linear plate" immunodiffusion technique in a normal population. Clin Chim Acta. 1973 Aug 30;47(2):295–306. doi: 10.1016/0009-8981(73)90327-6. [DOI] [PubMed] [Google Scholar]
  12. Yadav M., Shah F. H. Normal plasma-immunoglobulin levels in Malaysians. Lancet. 1973 Aug 25;2(7826):450–451. doi: 10.1016/s0140-6736(73)92322-2. [DOI] [PubMed] [Google Scholar]
  13. Zegers B. J., Geerdink R. A., Sander P. C. Serum immunoglobulin levels in Trio and Wajana indians of Surinam. Vox Sang. 1973 May;24(5):457–467. doi: 10.1111/j.1423-0410.1973.tb03486.x. [DOI] [PubMed] [Google Scholar]

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