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Antibody response in common variable immunodeficiency.

Waleed Al-Herz1, Stephen J McGeady

  • 1Division of Allergy & Clinical Immunology, Nemours Children's Clinic-Wilmington, Alfred I. duPont Hospital for Children, Wilmington, Delaware 19899, USA.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
|February 27, 2003
PubMed
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Patients with common variable immunodeficiency (CVID) often lose antibody response to polysaccharides first. Protein antibody response may remain, even with low immunoglobulin levels.

Area of Science:

  • Immunology
  • Clinical Medicine

Background:

  • Common variable immunodeficiency (CVID) is a diverse group of immune disorders with unknown causes.
  • Characterized by low serum immunoglobulin (Ig) levels and poor antibody production.

Observation:

  • Study reviewed clinical and immunologic data of four CVID patients.
  • Focused on antibody response patterns and immunoglobulin G (IgG) decline kinetics.

Findings:

  • Antibody response to polysaccharide antigens is diminished earlier in CVID patients compared to protein antigens.
  • Protein antigen antibody response can be preserved despite severe hypogammaglobulinemia.
  • IgG levels showed a progressive decline in three prospectively monitored patients.

Implications:

Related Experiment Videos

  • Loss of polysaccharide antibody response may be a hallmark of CVID.
  • Preserved T cell-dependent protein antibody response is possible in CVID.
  • Understanding these patterns aids in CVID diagnosis and management.