Evaluation of immunoglobulin G and its subclasses in aplastic anemia

Osaka City Med J. 2001 Dec;47(2):105-14.

Abstract

We selected 31 patients with aplastic anemia to measure their total immunoglobulin (Ig) G and IgG subclasses and compared the results obtained with those obtained in the normal control group (n=461). Patients with aplastic anemia were classified into three subgroups according to severity: mild subgroup (n=14), moderate subgroup (n=12) and severe subgroup (n=5). The decrease in total IgG was recognized in all these three subgroups (p<0.001). Although IgG1 decreased in severe subgroup (p<0.01), it showed no significant difference in mild and moderate subgroups. The decrease in IgG2 and IgG3 was observed in all these three subgroups (p<0.001 and p<0.01, respectively). Although IgG4 decreased in mild subgroup (p<0.05), it showed no significant difference in moderate and severe subgroups. We speculated that the measurement of IgG subclasses was useful in understanding the pathophysiology of humoral immunity in aplastic anemia.

MeSH terms

  • Adult
  • Aged
  • Anemia, Aplastic / immunology*
  • Female
  • Humans
  • Immunoglobulin A / blood
  • Immunoglobulin G / blood
  • Immunoglobulin G / classification*
  • Immunoglobulin M / blood
  • Male
  • Middle Aged
  • Severity of Illness Index

Substances

  • Immunoglobulin A
  • Immunoglobulin G
  • Immunoglobulin M