Decreased Helicobacter pylori- Specific Gastric Secretory IgA Antibodies in Infected Patients

Despite an increase in local Helicobacter pylori-specific IgA production in H. pylori infection, the bacterium is able to persist over decades. We focused on IgA and secretory IgA (sIgA) in gastric juice because sIgA is more relevant in local protection and more resistant to degradation than nonsecr...

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Veröffentlicht in:Digestion 1998-11, Vol.59 (6), p.638-645
Hauptverfasser: Birkholz, S., Schneider, T., Knipp, U., Stallmach, A., Zeitz, M.
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container_end_page 645
container_issue 6
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container_title Digestion
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creator Birkholz, S.
Schneider, T.
Knipp, U.
Stallmach, A.
Zeitz, M.
description Despite an increase in local Helicobacter pylori-specific IgA production in H. pylori infection, the bacterium is able to persist over decades. We focused on IgA and secretory IgA (sIgA) in gastric juice because sIgA is more relevant in local protection and more resistant to degradation than nonsecretory IgA. H. pylori-specific IgA and sIgA in gastric juice, saliva, and serum of H. pylori-infected patients were compared. Samples from 28 H. pylori-positive and 16 negative patients were tested by means of immunoblotting for the presence of H. pylori-specific IgA and sIgA. In gastric juice the majority of H. pylori-specific IgA was not of the secretory type, whereas total IgA was bound mainly to the secretory component as shown by immunoblot and slot blot. In contrast H. pylori-specific IgA antibodies in saliva of infected patients were of the secretory type as shown by immunoblot. The presence of specific, nonsecretory IgA may be a consequence of the damaged mucosal epithelium at the site of H. pylori infection allowing IgA to bypass the secretory transport system. Considering the resistance of secretory IgA against hydrolysis and proteolysis, these data suggest that the predominantly nonsecretory IgA specific for H. pylori may lead to a decreased protection against H. pylori.
doi_str_mv 10.1159/000007568
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subjects Adult
Aged
Antibodies, Bacterial - analysis
Antibody Specificity
Biological and medical sciences
Cells, Cultured
Enzyme-Linked Immunosorbent Assay
Female
Gastric Juice - immunology
Gastric Mucosa - immunology
Gastric Mucosa - microbiology
Gastroenterology. Liver. Pancreas. Abdomen
Helicobacter
Helicobacter Infections - immunology
Helicobacter Infections - microbiology
Helicobacter pylori
Helicobacter pylori - immunology
Helicobacter pylori - isolation & purification
Humans
Immunoblotting
Immunoglobulin A - analysis
Immunoglobulin A, Secretory - analysis
Male
Medical sciences
Middle Aged
Original Paper
Other diseases. Semiology
Saliva - immunology
Stomach Ulcer - immunology
Stomach Ulcer - microbiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
title Decreased Helicobacter pylori- Specific Gastric Secretory IgA Antibodies in Infected Patients
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