Jean-Pierre Dehennin

Influence of molecular size of IgA on its immunoassay by various techniques. II. Solid-phase radioimmunoassays

Homogeneous, polymeric (P), monoclonal (MC) and polyclonal (PC) samples of purified IgA, as well as of secretory IgA (sIgA), were compared to their corresponding monomeric (M) forms with regard to their respective behaviour in both a solid-phase double antibody (AB) immunoradiometric assay (IRMA) and a solid-phase competition radioimmunoassay (CRIA). On an identical weight basis, both assays underestimated the P forms. Correction factors (CF), i.e., optical density (OD) versus radiometric concentration ratios, were calculated for both methods for all P forms, using M as standards. IRMA CF were respectively 1.50 for dimer, 1.98 for secretory IgA and 2.40 for tetramers, very similar to those obtained in radial immunodiffusion (RID). With optimally coated beads, these CF were stable along a wide range of concentrations. In contrast, CRIA-CF were 3-4 times larger and displayed much variation along their standard range of concentrations, preventing the use of a constant CF along the standard curve. Our present IRMA, with its CF, should be of value for a more accurate quantitation of small amounts of IgA of various known sizes.

Secretion of Immunoglobulins and Plasma-proteins From the Colonic Mucosa - An In-vivo Study in Man

There are no available data on immunoglobulins and albumin outputs into the normal human colon. We thus measured the intracolonic secretion rates of IgA, IgG, IgM, secretory component (SC) and plasma proteins (albumin (Alb), orosomucoid (Oro), transferrin (Transf) and α2‐macroglobulin (α2‐M)). Using a pancolonic perfusion technique in 10 healthy volunteers (six females, four males, mean age 24 years), concentrations and outputs of Alb, immunoglobulins, SC, Oro, Transf and α2‐M were measured in the rectal effluents by immunoradiometric assay. Monomeric (m) and polymeric (p) IgA distribution was analysed by sucrose density ultra‐centrifugation. The secretion of polymeric IgA (p‐IgA) was 153 μg/min, i.e. 220 mg/day, exceeding that of other immunoglobulins (m‐IgA 8·5 μg/min; IgG 33·5 μg/min; IgM 17μg/min) and of non‐immunoglobulin proteins (Alb 104 μg/min; Oro 9 μg/min; Transf 7 μg/min; α2‐M 4·5 μg/min), p‐IgA was entirely linked to SC (secretory IgA) and 12% of SC was in free form. About 62% of total IgA was IgA2. For each protein, a relative coefficient of excretion (RCE) was calculated (colon to serum concentration ratio expressed relative to that of Alb). The p‐IgA, IgM and m‐IgA RCE were 277, 6 and 2·2 times higher than the values predicted from their molecular weight. RCE of non‐immunoglobulin proteins also exceeded the values expected from a passive seepage from the vascular compartment. The intracolonic clearance of Alb extrapolated to 24 h was only 3·7 ml/day. These results show the high local production and/or the facilitated transport to the colonic lumen of p‐IgA, and are in very good agreement with the distribution of plasma cells in the colonic mucosa.

Jejunal immunoglobulin secretion in alcoholic patients with and without cirrhosis

Alcoholic liver diseases are associated with an elevation of serum immunoglobulin A (IgA). This could be the result of increased IgA production by the intestinal mucosa. Serum and jejunal immunoglobulin, albumin and orosomucoid were measured in 13 alcoholic patients with (n = 6) and without (n = 7) cirrhosis and compared to 11 controls. Jejunal secretions were obtained by segmental perfusion under an occluding balloon. High levels of serum monomeric and polymeric IgA were only found in patients with cirrhosis. Alcoholics with and without cirrhosis had normal monomeric and polymeric IgA jejunal secretion rates. jejunal clearances of albumin, orosomucoid and immunoglobulin G were significantly higher in both non-cirrhotic and cirrhotic patients than in controls. These findings indicate normal jejunal IgA secretion and increased permeability to plasma proteins, such as albumin and immunoglobulin G in alcoholics.

Effect of intrajejunal elemental diet perfusion on jejunal secretion of immunoglobulins, albumin, and hyaluronan in man.

The aim of this work was to study the jejunal secretion of immunoglobulins (Ig), albumin, and hyaluronan in response to jejunal perfusion of an elemental diet. A four lumen tube with a proximal occluding balloon at the angle of Treitz was used for jejunal perfusion in seven healthy volunteers (mean age 23 years). The length of the test segment was 40 cm. The jejunum was successively perfused with a control electrolyte solution for 80 minutes and with an elemental diet (containing 20.5 milligrams of free amino acids and 104.2 milligrams of oligosaccharides) for 100 minutes. The jejunal fluid concentrations of albumin, IgG, monomeric IgA (m-IgA), polymeric IgA (p-IgA), IgM, secretory component, and hyaluronan were measured and their jejunal outputs calculated. Within 20 minutes of starting perfusion with the elemental diet there was a significant increase in the secretion rates of albumin (x3.3), IgG (x5), M-IgA (x3.7), p-IgA (x2), IgM (x2), and secretory component (x1.6), but the hyaluronan secretion rate was not changed. The increase in m-IgA, p-IgA, IgM, and secretory component output suggests that intestinal perfusion of an elemental diet results in stimulation of secretory immunity. The increase in albumin and IgG output probably reflects a nutrient induced leakage from the plasma compartment.

Validation of IgA1 and IgA2 measurements by a solid-phase immunoradiometric assay in serum and secretions.

SummaryWe describe specific, sensitive and reproducible immunoradiometric assays to measure total IgA and IgA subclass levels in biological fluids, which take into account the problem that polymeric forms are differently recognized in immunoassays. Sera from subjects totally deficient in one of the IgA subclasses allowed us to ensure the specificity of the subclass assays and to define the proportions of IgA1 (84%) and IgA2 (16%) in the normal pooled serum (from 30 blood donors) used as standard. With purified milk 11-S secretory IgA1 and 11-S secretory IgA2, we determined a correction factor for the corresponding polymeric forms using, respectively, monomeric IgA1 and monomeric IgA2 from pooled serum as standards. With the monoclonal antibodies used, purified 11-S secretory IgA1 was similarly recognized by both the total IgA assay and the IgA1 assay; both total IgA and IgA1 concentrations were underestimated compared with monomeric IgA or monomeric igA1. In contrast, 11-S secretory IgA2 was better recognized by the IgA2 assay than by the total IgA assay and the values were thus overestimates. Considering this problem of recognition, we fractionated saliva and lung secretions by sucrose density gradient ultracentrifugation before measuring their IgA1 and IgA2 levels.

Human colonic intraepithelial lymphocytes regulate the cytokines produced by lamina propria mononuclear cells.

Using an in vitro autologous human system, the immunomodulatory function of colonic intraepithelial lymphocytes (IEL) on cytokine production by lamina propria mononuclear cells (LPMNC) has been investigated. In contrast to LPMNC, colonic IEL produced only low amounts of IL-10, interferon-γ and interleukin-2. However, co-culture experiments (IEL + LPMNC) have shown that IEL can enhance the PHA-induced synthesis of IL-2 and interferon-γ, but not IL-10 by LPMNC. Using a transwell filter culture system apparatus, this effect was shown not to require a cell-to-cell interaction. Thus, IEL in vitro may modulate the cytokine synthesis of LPMNC, through the production of soluble factors. This may prove highly relevant in the in vivo immune activation of the gastrointestinal mucosa.