Familial selective IgA deficiency with circulating anti-IgA antibodies: a distinct group of patients?

Clin Immunol Immunopathol. 1991 Jan;58(1):92-101. doi: 10.1016/0090-1229(91)90151-y.

Abstract

Two families were investigated in which the mothers had selective IgA deficiency and circulating class-specific anti-IgA antibodies. Both gave birth to two children who were found to be IgA deficient. Three of these children developed anti-IgA antibodies before puberty. In vitro immunoglobulin production studies performed in the children of both families revealed an IgA B cell defect combined with IgA-specific excessive T suppressor function in all four. The mechanisms by which transplacental passage of maternal anti-IgA antibodies could have interfered with the developing IgA system in the offspring are discussed.

MeSH terms

  • Adult
  • Antibodies, Anti-Idiotypic / analysis*
  • Antibody Formation
  • Child
  • Dysgammaglobulinemia / blood
  • Dysgammaglobulinemia / genetics*
  • Dysgammaglobulinemia / immunology
  • Family Health
  • Female
  • Humans
  • IgA Deficiency*
  • Immunoglobulin A / analysis
  • Immunoglobulin A / immunology*

Substances

  • Antibodies, Anti-Idiotypic
  • Immunoglobulin A
  • anti-IgA