Impaired IgA response to Giardia heat shock antigen in children with persistent diarrhoea and giardiasis


Por: Char S., Cevallos A.M., Yamson P., Sullivan P.B., Neale G., Farthing M.J.G.

Publicada: 1 ene 1993
Resumen:
The serum antibody response in Gambian children with persistent diarrhoea and giardiasis has been studied. Total serum IgG, IgA, and IgM concentrations were increased in these patients as compared with controls from the same area. Determination of the concentrations of Giardia specific antibodies by enzyme linked immuno adsorbent assay (ELISA), however, revealed that only IgM was raised while those of IgA and IgG were similar to the controls. Analysis of the antigenic determinants of the IgG and IgA responses by immunoblotting showed that patients with chronic infection unlike those who clear the infection have no IgA response to a 57 kDa Giardia heat shock antigen. The association of high concentrations of Giardia specific IgM, low concentrations of Giardia specific IgA and IgG and inability to clear the infection suggests that the switch from an IgM to an IgG or IgA response is inefficient.

Filiaciones:
Char S.:
 Department of Gastroenterology, St. Bartholomew's Hospital, London, United Kingdom

Cevallos A.M.:
 Department of Gastroenterology, St. Bartholomew's Hospital, London, United Kingdom

Yamson P.:
 Department of Gastroenterology, St. Bartholomew's Hospital, London, United Kingdom

Sullivan P.B.:
 Dunn Nutrition Laboratory, University of Cambridge, Cambridge, United Kingdom

Neale G.:
 Dunn Nutrition Laboratory, University of Cambridge, Cambridge, United Kingdom

Farthing M.J.G.:
 Department of Gastroenterology, St. Bartholomew's Hospital, London, United Kingdom

 Department of Gastroenterology, St. Bartholomew's Hospital, West Smithfield, London EC1A 7BE, United Kingdom
ISSN: 00175749





Gut
Editorial
B M J PUBLISHING GROUP, BRITISH MED ASSOC HOUSE, TAVISTOCK SQUARE, LONDON WC1H 9JR, ENGLAND, Reino Unido
Tipo de documento: Article
Volumen: 34 Número: 1
Páginas: 38-40
WOS Id: A1993KH14200009
ID de PubMed: 8432449