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Clinical and Diagnostic Laboratory Immunology, January 2000, p. 31-39, Vol. 7, No. 1
Department of Medical Microbiology and
Immunology1 and Department of Oral
Biology,2 University of Aarhus, DK-8000
Aarhus C, Denmark
Received 16 August 1999/Returned for modification 10 September
1999/Accepted 30 September 1999
Certain bacteria, including overt pathogens as well as commensals,
produce immunoglobulin A1 (IgA1) proteases. By cleaving IgA1, including
secretory IgA1, in the hinge region, these enzymes may interfere with
the barrier functions of mucosal IgA antibodies, as indicated by
experiments in vitro. Previous studies have suggested that cleavage of
IgA1 in nasal secretions may be associated with the development and
perpetuation of atopic disease. To clarify the potential effect of IgA1
protease-producing bacteria in the nasal cavity, we have analyzed
immunoglobulin isotypes in nasal secretions of 11 healthy humans, with
a focus on IgA, and at the same time have characterized and quantified
IgA1 protease-producing bacteria in the nasal flora of the subjects.
Samples in the form of nasal wash were collected by using a washing
liquid that contained lithium as an internal reference. Dilution
factors and, subsequently, concentrations in undiluted secretions could
thereby be calculated. IgA, mainly in the secretory form, was found by
enzyme-linked immunosorbent assay to be the dominant isotype in all
subjects, and the vast majority of IgA (median, 91%) was of the A1
subclass, corroborating results of previous analyses at the level of
immunoglobulin-producing cells. Levels of serum-type immunoglobulins
were low, except for four subjects in whom levels of IgG corresponded
to 20 to 66% of total IgA. Cumulative levels of IgA, IgG, and IgM in
undiluted secretions ranged from 260 to 2,494 (median, 777) µg
ml
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Copyright © 2000, American Society for Microbiology. All rights reserved.
Immunoglobulins in Nasal Secretions of Healthy
Humans: Structural Integrity of Secretory Immunoglobulin A1 (IgA1)
and Occurrence of Neutralizing Antibodies to IgA1 Proteases of
Nasal Bacteria
1. IgA1 protease-producing bacteria (Haemophilus
influenzae, Streptococcus pneumoniae, or
Streptococcus mitis biovar 1) were isolated from the nasal
cavities of seven subjects at 2.1 × 103 to 7.2 × 106 CFU per ml of undiluted secretion, corresponding to
0.2 to 99.6% of the flora. Nevertheless,
-chain fragments
characteristic of IgA1 protease activity were not detected in
secretions from any subject by immunoblotting. Neutralizing antibodies
to IgA1 proteases of autologous isolates were detected in secretions
from five of the seven subjects but not in those from two subjects
harboring IgA1 protease-producing S. mitis biovar 1.
-chain fragments different from Fc
and
Fd
were detected in some samples, possibly reflecting
nonspecific proteolytic activity of microbial or host origin. These
results add to previous evidence for a role of secretory immunity in
the defense of the nasal mucosa but do not help identify conditions
under which bacterial IgA1 proteases may interfere with this defense.
*
Corresponding author. Mailing address: Department of
Oral Biology, University of Aarhus, DK-8000 Aarhus C, Denmark. Phone: 4589421737. Fax: 4586196128. E-mail:
mikrjr{at}svfcd.aau.dk.
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