Immuno-enzymatic study of IgG subclasses specific for allergen in house dust immediate hypersensitivity

Investigation of the serum-specific IgE by the RAST technique and of the four specific subclasses of IgG in house dust allergy by an immuno-enzymatic assay was made among healthy control subjects, non-treated atopic patients and hyposensitized patients. There was evidence that the titer of specific IgE remains high in the treated patients regardless of their improvement or non-improvement clinically. A good prognostic significance, however, correlates with a low specific IgG4 titer in the serum, but the pathogenic significance of IgG4 cannot be determined until these immunoglobulins can be studied on the membrances of circulating basophils of hyposensitized patients.