Table 1.
Diagnosis | Treatment | IgG/IgM/IgA (g/L) | Bound IgG/IgM | C3b after MBL inhibition (%) | C3b after C1q inhibition (%) |
---|---|---|---|---|---|
IgA deficiency | No | 16.2/0.6/<0.05 | +++/+++ | ↑3 | ↓67 |
X-linked agammaglobulinemia | IgG therapy | 10.3/<0.05/<0.05 | ++/− | ↓61 | ↓18 |
Common variable immunodeficiency | No | 2.6/<0.05/<0.05 | +/+ | ↓75 | ↓7 |
A. fumigatus (1 × 107 conidia/ml) was incubated with sera from three patients with different immune disorders. Bound IgG and IgM were compared and rated relative to an NHS pool: >100%: +++; 50–100%: ++; <50%: +; 0%: −. The effect of C1q and MBL inhibition was evaluated based on the C3b deposition. The results show the mean% reduction in C3b deposition caused by the inhibitor [(1 − C3b with inhibitor/C3b with mock-inhibitor)%]. Serum levels of IgG, IgM, and IgA were obtained from the clinical records, and calculations of bound IgG/IgM and C3b were based on flow cytometric mean fluorescence intensity values. Inhibition experiments represent the means of three independent experiments. Downward-pointing arrows indicate a C3b reduction and upward-pointing arrows a C3b increase.