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Biomedical subjects

A Jassim

Publications and source records attributed to A Jassim.

21 records · Page 2Linked to original sources
PubMed1987

Antibody isotypes in human schistosomiasis mansoni.

Schistosoma mansoni-infected subjects from the Gezira Irrigated Area of Sudan were studied for serum immunoglobulin levels, and specific antibody titres to larval, adult and egg stage antigens, by class and IgG subclass. The 276 subjects were adult chronic cases (frequently exposed male canal cleaners), primary school children, and hospital-referred cases with acute symptoms including hepatosplenomegaly. Chronic untreated cases were compared with a similar group of canal cleaners 3 months after successful chemotherapy with Praziquantel administered at the start of the non-transmission season. All cases, except those previously treated, were egg positive at the time of blood sampling. Data from infected and treated cases were compared with measurements of serum immunoglobulin in a panel of European blood donors. The major findings are as follows: There is a consistently elevated total serum IgG concentration in infected groups which is accounted for mainly by an increased IgG1 subclass (greatest in chronic cases) and by a remarkable 10- to 11-fold increase in IgG4 in the untreated chronically infected group and in the schoolchildren. All infected groups showed high IgG antibody responses to all life cycle stage antigens, and IgM titres were high to adult and egg antigens in untreated canal cleaners. Major differences were evident in the distribution of IgG subclass antibodies between the infected groups: the response to larval and adult antigens is poor or absent in IgG1, IgG2 and IgG3 in untreated chronic infections but is high in IgG4, whereas in acute cases with hepatosplenomegaly and in school-children IgG1, IgG2 and IgG3 antibodies to larval antigens are in high titre but IgG4 and IgM responses to larvae are low or absent, the response in these isotypes being restricted in these cases to adult and egg antigens. Comparing the treated and untreated canal cleaners, although these are separate groups, the data suggest that Praziquantel reduces total serum IgA and IgM levels but has little effect on the raised IgG component except for the IgG4 subclass. The treated chronic cases show a reversal in the ratio of IgG1, IgG2 and IgG3 to IgG4 antibodies to larval and adult antigens compared with the untreated chronic group-the IgG4 response being low by 3 months after treatment and the IgG1, IgG2 and IgG3 being high. These data are discussed in relation to the possible importance of antibody isotype selection in determining host susceptibility to infection, with reference to age, exposure and treatment of the host.

Adolescent↗
PubMed1987

Antibody isotypes of immune complexes in schistosomiasis mansoni in Sudan.

From a panel of monoclonal antibodies to Schistosoma mansoni, one that is specific to a shared cercarial and schistosomular antigen, and does not react with other major parasite species including Fasciola hepatica, was selected for use as an antigen-capture layer in a sandwich ELISA for detection of specific circulating immune complexes in the blood of S. mansoni-infected subjects from Sudan. The test, which identifies immune complexes of only a single antibody-bound antigen, is developed using human Ig class- and IgG subclass-specific enzyme (HRP)-antibody conjugates. European blood donor sera and those with rheumatoid factor and/or anti-nuclear antibody are negative in this test. The prevalence and distribution of the different antibody isotypes in antigen-specific complexes was determined in 276 subjects of four infection groups; primary school children, adult irrigation canal cleaners with chronic infections, an equivalent group of Praziquantel cured canal cleaners, and hospital-referred cases with severe hepatosplenic symptoms. The isotype profiles of antibodies in the specific complexes were compared with those in the total serum complexes prepared by polyethylene glycol precipitation. In chronic infections and in children there is a high prevalence of IgG and IgM specific complexes, the IgG being predominantly IgG1, with little or no IgG3 and IgG4. Treated chronic infections show reduced specific complexes in all classes of antibody. Compared with chronic and children's infections, a large proportion of the patients with severe infections have in addition to high IgM, high levels of IgG2, IgG3 and IgG4 specific complexes, a fact which suggests a causal relationship between antibody production in one or more of these subclasses to the circulating antigen and symptoms of hepatosplenic disease. Although all subjects have significant amounts of total serum complexes with IgG, untreated chronic infections have much higher concentrations than other infected groups. This group also has the highest levels and prevalence of IgM and IgE complexes. In treated chronic cases IgG and IgM total complexes are greatly reduced. The significant finding in patients with severe symptoms is the relatively high IgA immune complex level compared with other groups. Taken overall the results suggest that screening of populations in endemic regions for serum immune complexes by specific and non-specific means could offer valuable data on the significance of antibody responses to circulating antigens in different isotypes in relation to pathogenesis.(ABSTRACT TRUNCATED AT 400 WORDS)

Adolescent↗