Selective IgA Deficiency and Common Variable Immunodeficiency

Selective IgA deficiency (sIgAD), using 5 mg/dl of serum IgA as the upper limit for diagnosis and concomitant lack of secretory IgA, is the most common form of primary immunodeficiency. The pathogenesis of IgA deficiency is not known, although abnormalities in Ig class switching and the cytokines...

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Main Authors: Kadri Kamber, Zuhal Karalı, Sara Şebnem Kılıç
Format: Article
Language:English
Published: Galenos Publishing House 2009-09-01
Series:Güncel Pediatri
Subjects:
Online Access:http://www.guncelpediatri.com/yazilar.asp?yaziid=898&sayiid=
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author Kadri Kamber
Zuhal Karalı
Sara Şebnem Kılıç
author_facet Kadri Kamber
Zuhal Karalı
Sara Şebnem Kılıç
author_sort Kadri Kamber
collection DOAJ
description Selective IgA deficiency (sIgAD), using 5 mg/dl of serum IgA as the upper limit for diagnosis and concomitant lack of secretory IgA, is the most common form of primary immunodeficiency. The pathogenesis of IgA deficiency is not known, although abnormalities in Ig class switching and the cytokines involved in isotype switching have been implicated. Common Variable Immunodeficiency (CVID) is a heterogenous group of B cell deficiency syndromes characterized by hypogammaglobulinemia, impaired antibody production and recurrent bacterial infections. Defective T-cell activation may lead to an impairment in cognate T-B-cell interaction due to impaired expression of CD40 ligand and/or abnormalities in the production of T-cell-derived cytokines required for fully functional B-cell activation, proliferation and/or differentiation which could indeed explain the impairment in antibody production present in CVID patients. It has been found that cytokines are produced in low levels due to the decreased T cell function which occurs as a result of the defect in CD40L expression in CVID patients. (Journal of Current Pediatrics 2009; 7: 90-5)
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institution Kabale University
issn 1304-9054
language English
publishDate 2009-09-01
publisher Galenos Publishing House
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series Güncel Pediatri
spelling doaj-art-42d724aa43da491eb8f2ae450e106f202025-01-02T23:17:34ZengGalenos Publishing HouseGüncel Pediatri1304-90542009-09-01729095Selective IgA Deficiency and Common Variable ImmunodeficiencyKadri KamberZuhal KaralıSara Şebnem KılıçSelective IgA deficiency (sIgAD), using 5 mg/dl of serum IgA as the upper limit for diagnosis and concomitant lack of secretory IgA, is the most common form of primary immunodeficiency. The pathogenesis of IgA deficiency is not known, although abnormalities in Ig class switching and the cytokines involved in isotype switching have been implicated. Common Variable Immunodeficiency (CVID) is a heterogenous group of B cell deficiency syndromes characterized by hypogammaglobulinemia, impaired antibody production and recurrent bacterial infections. Defective T-cell activation may lead to an impairment in cognate T-B-cell interaction due to impaired expression of CD40 ligand and/or abnormalities in the production of T-cell-derived cytokines required for fully functional B-cell activation, proliferation and/or differentiation which could indeed explain the impairment in antibody production present in CVID patients. It has been found that cytokines are produced in low levels due to the decreased T cell function which occurs as a result of the defect in CD40L expression in CVID patients. (Journal of Current Pediatrics 2009; 7: 90-5)http://www.guncelpediatri.com/yazilar.asp?yaziid=898&sayiid=Selective IgA deficiencycommon variable immunodeficiencyhypogammaglobulinemia
spellingShingle Kadri Kamber
Zuhal Karalı
Sara Şebnem Kılıç
Selective IgA Deficiency and Common Variable Immunodeficiency
Güncel Pediatri
Selective IgA deficiency
common variable immunodeficiency
hypogammaglobulinemia
title Selective IgA Deficiency and Common Variable Immunodeficiency
title_full Selective IgA Deficiency and Common Variable Immunodeficiency
title_fullStr Selective IgA Deficiency and Common Variable Immunodeficiency
title_full_unstemmed Selective IgA Deficiency and Common Variable Immunodeficiency
title_short Selective IgA Deficiency and Common Variable Immunodeficiency
title_sort selective iga deficiency and common variable immunodeficiency
topic Selective IgA deficiency
common variable immunodeficiency
hypogammaglobulinemia
url http://www.guncelpediatri.com/yazilar.asp?yaziid=898&sayiid=
work_keys_str_mv AT kadrikamber selectiveigadeficiencyandcommonvariableimmunodeficiency
AT zuhalkaralı selectiveigadeficiencyandcommonvariableimmunodeficiency
AT sarasebnemkılıc selectiveigadeficiencyandcommonvariableimmunodeficiency