Table 1.
Disease | Involvement of IgA |
---|---|
Autoimmune Disease [Section 5.1] |
Selective IgA deficiency has a two-hit impact causing pathobiont expansion leading to dysbiosis and spontaneous gut inflammation [122,127] and unmitigated inflammation leading to autoimmune disease development [120]. |
Necrotizing Enterocolitis (NEC) [Section 5.2] |
Dimeric IgA in mother’s milk helps to control the prevalence of Enterobacteriaceae providing a safeguard against NEC [151]. |
Inflammatory Bowel Diseases (IBD) [Section 5.3] | SIgA aids in preventing IBD pathogenesis by helping to facilitate microbiota stability [172], neutralization of procolitogenic fungi and bacteria via immune exclusion [103,180]. |
Colorectal Cancer (CRC) [Section 5.4] |
IgA antibodies reactive to carcinoembryonic antigen to be cytotoxic to colonic tumor cells [196]. Promotes a proinflammatory tumor microenvironment for oncogenic growth [203]. |
Nephropathy & Vasculitis [Section 5.5] |
IgA aggregates in the glomerulus of the kidney causing inflammation leading to nephropathy [198,199,200]. IgA deposits in the walls of the blood vessel leading to vasculitis [221]. |
Salmonella Infection [Section 5.6] |
Promotes bacterial agglutination to become susceptible to immune exclusion or enchained growth by SigA for clearance [104,249,250]. |
Biliary Infection [Section 5.7] |
SIgA is the predominant antibody in bile and helps to prevent primary and secondary hepatobiliary infection from intestinal or parasitic infection [258,265,266,267,268,269,270]. |