Abstract
Concentrations of serum IgG. IgA, and IgM were determined in 200 patients with juvenile rheumatoid arthritis. The relative frequency distribution of IgG and IgM approached that of a log-normal curve; however, there was marked skewing of the distribution of the serum concentrations of IgA. The prevalence of selective IgA deficiency was 4%. In order to permit further intragroup comparisons, the serum immunoglobulin concentrations were standardized by comparison to a sex-age matched control group. By this process it was found that there was concordance of the serum levels of IgG with IgA, and IgG with IgM. The standardized concentrations of IgA and IgM were less in females than males. The aberration in distribution of serum IgA concentrations found in this study, and the relative inability of females to respond to their disease by increasing specific serum immunoglobulin levels, add further data supporting the concept of immunodeficiency in the pathogenesis of juvenile rheumatoid arthritis.
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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]
- BACHMANN R., LAURELL C. B., SVENONIUS E. STUDIES ON THE SERUM GAMMA 1A-GLOBULIN LEVEL. II. GAMMA 1A-DEFICIENCY IN A CASE OF SYSTEMIC LUPUS ERYTHEMATOSUS. Scand J Clin Lab Invest. 1965;17:46–50. doi: 10.3109/00365516509077282. [DOI] [PubMed] [Google Scholar]
- Bachmann R. Studies on the serum gamma-A-globulin level. 3. The frequency of A-gamma-A-globulinemia. Scand J Clin Lab Invest. 1965;17(4):316–320. doi: 10.3109/00365516509077057. [DOI] [PubMed] [Google Scholar]
- Bluestone R., Goldberg L. S., Katz R. M., Marchesano J. M., Calabro J. J. Juvenile rheumatoid arthritis--a serologic survey of 200 consecutive patients. J Pediatr. 1970 Jul;77(1):98–102. doi: 10.1016/s0022-3476(70)80050-6. [DOI] [PubMed] [Google Scholar]
- Buckley C. E., 3rd, Dorsey F. C. The effect of aging on human serum immunoglobulin concentrations. J Immunol. 1970 Oct;105(4):964–972. [PubMed] [Google Scholar]
- Butterworth M., McClellan B., Allansmith M. Influence of sex in immunoglobulin levels. Nature. 1967 Jun 17;214(5094):1224–1225. doi: 10.1038/2141224a0. [DOI] [PubMed] [Google Scholar]
- CRAIG J. M., GITLIN D., GRICE D. S., JANEWAY C. A. Collagen disease in patients with congenital agammaglobulinemia. Trans Assoc Am Physicians. 1956;69:93–97. [PubMed] [Google Scholar]
- Cassidy J. T., Burt A. Selective hypogammaglobulinemia in rheumatoid arthritis. Univ Mich Med Cent J. 1968:241–243. [PubMed] [Google Scholar]
- Cassidy J. T., Valkenburg H. A. A five year prospective study of rheumatoid factor tests in juvenile rheumatoid arthritis. Arthritis Rheum. 1967 Apr;10(2):83–90. doi: 10.1002/art.1780100202. [DOI] [PubMed] [Google Scholar]
- Crabbé P. A., Heremans J. F. Selective IgA deficiency with steatorrhea. A new syndrome. Am J Med. 1967 Feb;42(2):319–326. doi: 10.1016/0002-9343(67)90031-9. [DOI] [PubMed] [Google Scholar]
- DRAY S. Effect of maternal isoantibodies on the quantitative expression of two allelic genes controlling gamma-globulin allotypic specificities. Nature. 1962 Aug 18;195:677–680. doi: 10.1038/195677a0. [DOI] [PubMed] [Google Scholar]
- FAHEY J. L., MCKELVEY E. M. QUANTITATIVE DETERMINATION OF SERUM IMMUNOGLOBULINS IN ANTIBODY-AGAR PLATES. J Immunol. 1965 Jan;94:84–90. [PubMed] [Google Scholar]
- FUDENBERG H. H., FUDENBERG B. R. ANTIBODY TO HEREDITARY HUMAN GAMMA-GLOBULIN (GM) FACTOR RESULTING FROM MATERNAL-FETAL INCOMPATIBILITY. Science. 1964 Jul 10;145(3628):170–171. doi: 10.1126/science.145.3628.170. [DOI] [PubMed] [Google Scholar]
- FUDENBERG H., GERMAN J. L., 3rd, KUNKEL H. G. The occurrence of rheumatoid factor and other abnormalities in families of patients with agammaglobulinemia. Arthritis Rheum. 1962 Dec;5:565–588. doi: 10.1002/art.1780050605. [DOI] [PubMed] [Google Scholar]
- GOOD R. A., ROTSTEIN J., MAZZITELLO W. F. The simultaneous occurrence of rheumatoid arthritis and agammaglobulinemia. J Lab Clin Med. 1957 Mar;49(3):343–357. [PubMed] [Google Scholar]
- Grey H. M., Rabellino E., Pirofsky B. Immunoglobulins on the surface of lymphocytes. IV. Distribution in hypogammaglobulinemia, cellular immune deficiency, and chronic lymphatic leukemia. J Clin Invest. 1971 Nov;50(11):2368–2375. doi: 10.1172/JCI106735. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Houba V., Bardfeld R. Serum immunoglobulins in juvenile rheumatoid arthritis. Ann Rheum Dis. 1969 Jan;28(1):55–57. doi: 10.1136/ard.28.1.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Huntley C. C., Thorpe D. P., Lyerly A. D., Kelsey W. M. Rheumatoid arthritis with IgA deficiency. Am J Dis Child. 1967 Apr;113(4):411–418. doi: 10.1001/archpedi.1967.02090190057002. [DOI] [PubMed] [Google Scholar]
- KUNKEL H. G., SLATER R. J. Zone electrophoresis in a starch supporting medium. Proc Soc Exp Biol Med. 1952 May;80(1):42–44. doi: 10.3181/00379727-80-19516. [DOI] [PubMed] [Google Scholar]
- Kincade P. W., Lawton A. R., Bockman D. E., Cooper M. D. Suppression of immunoglobulin G synthesis as a result of antibody-mediated suppression of immunoglobulin M synthesis in chickens. Proc Natl Acad Sci U S A. 1970 Dec;67(4):1918–1925. doi: 10.1073/pnas.67.4.1918. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Laurell C. B. Quantitative estimation of proteins by electrophoresis in agarose gel containing antibodies. Anal Biochem. 1966 Apr;15(1):45–52. doi: 10.1016/0003-2697(66)90246-6. [DOI] [PubMed] [Google Scholar]
- 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]
- PETERSON R. D., KELLY W. D., GOOD R. A. ATAXIA-TELANGIECTASIA. ITS ASSOCIATION WITH A DEFECTIVE THYMUS, IMMUNOLOGICAL-DEFICIENCY DISEASE, AND MALIGNANCY. Lancet. 1964 May 30;1(7344):1189–1193. doi: 10.1016/s0140-6736(64)91209-7. [DOI] [PubMed] [Google Scholar]
- Panush R. S., Bianco N. E., Schur P. H., Rocklin R. E., David J. R., Stillman J. S. Juvenile rheumatoid arthritis. Cellular hypersensitivity and selective IgA deficiency. Clin Exp Immunol. 1972 Jan;10(1):103–115. [PMC free article] [PubMed] [Google Scholar]
- Petty R. E., Cassidy J. T., Sullivan D. B. Reversal of selective IgA deficiency in a child with juvenile rheumatoid arthritis after plasma transfusions. Pediatrics. 1973 Jan;51(1):44–48. [PubMed] [Google Scholar]
- ROCKEY J. H., HANSON L. A., HEREMANS J. F., KUNKEL H. G. BETA-2A AGLOBULINEMIA IN TWO HEALTHY MEN. J Lab Clin Med. 1964 Feb;63:205–212. [PubMed] [Google Scholar]
- Rowe D. S., Anderson S. G., Grab B. A research standard for human serum immunoglobulins IgG, IgA and IgM. Bull World Health Organ. 1970;42(4):535–552. [PMC free article] [PubMed] [Google Scholar]
- SCHEIDEGGER J. J. Une micro-méthode de l'immuno-electrophorèse. Int Arch Allergy Appl Immunol. 1955;7(2):103–110. [PubMed] [Google Scholar]
- Strober W., Wochner R. D., Barlow M. H., McFarlin D. E., Waldmann T. A. Immunoglobulin metabolism in ataxia telangiectasia. J Clin Invest. 1968 Aug;47(8):1905–1915. doi: 10.1172/JCI105881. [DOI] [PMC free article] [PubMed] [Google Scholar]
- WEST C. D., HONG R., HOLLAND N. H. Immunoglobulin levels from the newborn period to adulthood and in immunoglobulin deficiency states. J Clin Invest. 1962 Nov;41:2054–2064. doi: 10.1172/JCI104663. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Watkins J., Tee D. E., Finn J. J., Johnson P. M. Sex-linked factor influencing the catabolism of serum gammaG-globulins and transferrins in the mouse. Nature. 1968 Jul 20;219(5151):295–296. doi: 10.1038/219295a0. [DOI] [PubMed] [Google Scholar]
