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Transcytosis of IgG01:15

Transcytosis of IgG

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Transcytosis is the process in which molecules are internalized by endocytosis, transported across the cell, and released through exocytosis from the opposite end of the cell. Molecules such as insulin, immunoglobulins, and certain nutrients are transferred through the recycling endosomes by recycling and transcytosis.
IgG molecules from a mother undergo transcytosis starting around 13 weeks of gestation. The amount of IgG transferred and entering the fetal blood circulation increases with...
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Production of IgG Fusion Proteins Transiently Expressed in Nicotiana benthamiana
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IgG cryoglobulinemia.

F Gulli1, U Basile, L Gragnani

  • 1Clinical Pathology Laboratory, Ospedale Madre Giuseppina Vannini, Rome, Italy. umberto.basile@policlinicogemelli.it.

European Review for Medical and Pharmacological Sciences
|October 4, 2018
PubMed
Summary
This summary is machine-generated.

Hepatitis C Virus (HCV)-associated Mixed Cryoglobulinemia involves IgG1 and IgG3 subclasses. This study suggests IgG3

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Area of Science:

  • Immunology
  • Virology
  • Neurology

Background:

  • Mixed Cryoglobulinemia (MC) is a significant extrahepatic manifestation associated with Hepatitis C Virus (HCV).
  • MC is characterized as an autoimmune and B-lymphoproliferative disorder.
  • Cryoglobulins (CGs) are classified into types based on immunoglobulin (Ig) composition, with Types II and III involving immune complexes with rheumatoid factor activity.

Purpose of the Study:

  • To investigate the role of specific IgG subclasses in the early stages of Hepatitis C Virus-associated Mixed Cryoglobulinemia.
  • To explore the association between IgG subclasses, rheumatoid factor activity, and neurological complications in HCV-positive patients.

Main Methods:

  • Case series analysis of six Hepatitis C Virus-positive patients presenting with peripheral neuropathy and transient ischemic attacks.
  • Cryoprecipitate analysis using immunofixation electrophoresis to determine IgG subclass composition (IgG1, IgG2, IgG3, IgG4).

Main Results:

  • All six patients exhibited cryoprecipitates composed of IgG1 and IgG3 subclasses with probable rheumatoid factor activity.
  • One patient presented with monoclonal IgG3 in their cerebrospinal fluid.
  • The findings support the hypothesis of IgG3 involvement in the initiation of CGs.

Conclusions:

  • The presence of IgG1 and IgG3 subclasses is a key immunochemical feature in this cohort of HCV-associated MC patients.
  • Hypothesizes that IgG passage across the blood-brain barrier, involving these subclasses, may contribute to transient ischemic attacks (TIAs) via intrathecal immune complex precipitation.