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Clinical Chemistry 34: 1407-1413, 1988;
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Clinical Chemistry, Vol 34, 1407-1413, Copyright © 1988 by American Association for Clinical Chemistry

IgG2 subclass deficiency: IgG subclass assays and IgG2 concentrations among 8015 blood donors

JV Madassery, OH Kwon, SY Lee and MH Nahm
Department of Pathology, Washington University School of Medicine, St. Louis, MO 63110.

Among the four IgG subclasses in humans, IgG2 is preferentially expressed in antibodies to carbohydrate antigens whereas IgG1 subclass is commonly associated with antibodies to protein antigens. Because of this association with carbohydrate antigens, values for IgG2 in serum are often used as an index of immunocompetence against carbohydrate antigens. To investigate the value of IgG2 measurements in a general population, we have developed a convenient IgG subclass assay, using monoclonal antibodies and particle concentration fluorescence immunoassay. Our assay is specific, precise, convenient, and accurate. When IgG2 concentrations were determined in the serum samples from 8015 adult blood donors, there were more individuals with low IgG2 concentrations than predicted by the log-normal distribution. The observed distribution suggested the presence of a subpopulation with low IgG2 concentration. Because apparently healthy individuals in a general population have low IgG2 concentrations, IgG2 measurements alone may have a limited clinical usefulness as an index of immune function against carbohydrate antigens.


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