Immunohistochemical Evidence for IgE Involvement in Graves' Orbitopathy

Orbital muscle and adipose tissues from seven Graves' orbitopathy patients were studied with in situ assays for IgE. The cases varied in disease severity and site biopsied. Two monoclonal and one polyclonal anti-IgE reagents produced similar results. Identically prepared monoclonal anti-IgM and...

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Veröffentlicht in:Ophthalmology (Rochester, Minn.) Minn.), 1990-05, Vol.97 (5), p.629-635
Hauptverfasser: Raikow, Radmila B., Dalbow, Milton H., Kennerdell, John S., Compher, Keen, Machen, Laurie, Hiller, William, Blendermann, Debbie
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container_end_page 635
container_issue 5
container_start_page 629
container_title Ophthalmology (Rochester, Minn.)
container_volume 97
creator Raikow, Radmila B.
Dalbow, Milton H.
Kennerdell, John S.
Compher, Keen
Machen, Laurie
Hiller, William
Blendermann, Debbie
description Orbital muscle and adipose tissues from seven Graves' orbitopathy patients were studied with in situ assays for IgE. The cases varied in disease severity and site biopsied. Two monoclonal and one polyclonal anti-IgE reagents produced similar results. Identically prepared monoclonal anti-IgM and anti-IgG antibodies and tissues obtained from five patients treated for unrelated orbital disorders were used as controls. Graves' tissues exhibited extravasated leukocytes and leukocyte-rich vessels. These leukocytes were mostly lymphoid. Some basophils and mast cells were identified and polymorphonuclear cells were abundant within vessels of adipose tissue. IgE-positive material was found in association with the majority of leukocytes and with muscle fibers. Parallel sections reacted with anti-IgM antibody were negative, whereas anti-IgG produced diffuse staining with no specific structures highlighted. Control, non-Graves' tissues had no evidence of immune cell activity and were either negative or displayed reactions with anti-IgE reagents that were in most cases different from those of Graves' tissue. Serum IgE was measured in six of the seven patients and was elevated in the two patients with fulminating disease.
doi_str_mv 10.1016/S0161-6420(90)32548-4
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The cases varied in disease severity and site biopsied. Two monoclonal and one polyclonal anti-IgE reagents produced similar results. Identically prepared monoclonal anti-IgM and anti-IgG antibodies and tissues obtained from five patients treated for unrelated orbital disorders were used as controls. Graves' tissues exhibited extravasated leukocytes and leukocyte-rich vessels. These leukocytes were mostly lymphoid. Some basophils and mast cells were identified and polymorphonuclear cells were abundant within vessels of adipose tissue. IgE-positive material was found in association with the majority of leukocytes and with muscle fibers. Parallel sections reacted with anti-IgM antibody were negative, whereas anti-IgG produced diffuse staining with no specific structures highlighted. Control, non-Graves' tissues had no evidence of immune cell activity and were either negative or displayed reactions with anti-IgE reagents that were in most cases different from those of Graves' tissue. Serum IgE was measured in six of the seven patients and was elevated in the two patients with fulminating disease.</description><subject>Adipose Tissue - immunology</subject><subject>Aged</subject><subject>Antibodies, Monoclonal</subject><subject>Biological and medical sciences</subject><subject>Endocrinopathies</subject><subject>Enzyme-Linked Immunosorbent Assay</subject><subject>Female</subject><subject>Graves Disease - immunology</subject><subject>Humans</subject><subject>Immunoenzyme Techniques</subject><subject>Immunoglobulin E - analysis</subject><subject>Immunohistochemistry</subject><subject>Leukocytes, Mononuclear - immunology</subject><subject>Lymphocytes - immunology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases. Target tissue resistance. Benign neoplasms</subject><subject>Oculomotor Muscles - immunology</subject><subject>Thyroid. 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Target tissue resistance. Benign neoplasms</topic><topic>Oculomotor Muscles - immunology</topic><topic>Thyroid. Thyroid axis (diseases)</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raikow, Radmila B.</creatorcontrib><creatorcontrib>Dalbow, Milton H.</creatorcontrib><creatorcontrib>Kennerdell, John S.</creatorcontrib><creatorcontrib>Compher, Keen</creatorcontrib><creatorcontrib>Machen, Laurie</creatorcontrib><creatorcontrib>Hiller, William</creatorcontrib><creatorcontrib>Blendermann, Debbie</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Ophthalmology (Rochester, Minn.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raikow, Radmila B.</au><au>Dalbow, Milton H.</au><au>Kennerdell, John S.</au><au>Compher, Keen</au><au>Machen, Laurie</au><au>Hiller, William</au><au>Blendermann, Debbie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Immunohistochemical Evidence for IgE Involvement in Graves' Orbitopathy</atitle><jtitle>Ophthalmology (Rochester, Minn.)</jtitle><addtitle>Ophthalmology</addtitle><date>1990-05-01</date><risdate>1990</risdate><volume>97</volume><issue>5</issue><spage>629</spage><epage>635</epage><pages>629-635</pages><issn>0161-6420</issn><eissn>1549-4713</eissn><coden>OPHTDG</coden><abstract>Orbital muscle and adipose tissues from seven Graves' orbitopathy patients were studied with in situ assays for IgE. The cases varied in disease severity and site biopsied. Two monoclonal and one polyclonal anti-IgE reagents produced similar results. Identically prepared monoclonal anti-IgM and anti-IgG antibodies and tissues obtained from five patients treated for unrelated orbital disorders were used as controls. Graves' tissues exhibited extravasated leukocytes and leukocyte-rich vessels. These leukocytes were mostly lymphoid. Some basophils and mast cells were identified and polymorphonuclear cells were abundant within vessels of adipose tissue. IgE-positive material was found in association with the majority of leukocytes and with muscle fibers. Parallel sections reacted with anti-IgM antibody were negative, whereas anti-IgG produced diffuse staining with no specific structures highlighted. Control, non-Graves' tissues had no evidence of immune cell activity and were either negative or displayed reactions with anti-IgE reagents that were in most cases different from those of Graves' tissue. 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subjects Adipose Tissue - immunology
Aged
Antibodies, Monoclonal
Biological and medical sciences
Endocrinopathies
Enzyme-Linked Immunosorbent Assay
Female
Graves Disease - immunology
Humans
Immunoenzyme Techniques
Immunoglobulin E - analysis
Immunohistochemistry
Leukocytes, Mononuclear - immunology
Lymphocytes - immunology
Male
Medical sciences
Middle Aged
Non tumoral diseases. Target tissue resistance. Benign neoplasms
Oculomotor Muscles - immunology
Thyroid. Thyroid axis (diseases)
title Immunohistochemical Evidence for IgE Involvement in Graves' Orbitopathy
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