2004
DOI: 10.1128/cdli.11.6.1192-1193.2004
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Biased Immunoglobulin G (IgG) Subclass Production in a Case of Hyper-IgM Syndrome

Abstract: Hyper-immunoglobulin M (IgM) syndrome (HIGM) is a rare heterogeneous primary immune deficiency. We describe a patient with HIGM characterized by skewed production of serum IgG subclasses and normal somatic hypermutation. This case may represent a subgroup of HIGM type 4 that is characterized by a biased switching to the V-region proximal constant regions.

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Cited by 2 publications
(1 citation statement)
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“…Accordingly, a serum, containing high levels of IgM, from X-HIGM patient infected with Helicobacter pylori displayed a 100% killing activity, when tested in a complement-mediated bactericidal assay [ 30 ]. It has been documented that sera from X-HIGM patients in addition to normal or elevated concentrations of IgM also contain IgG and IgA in low concentrations, but IgG3 levels are almost normal [ 31 ]. IgG3 and IgM isotypes are the more efficient complement-fixing human antibodies [ 28 ].…”
Section: Discussionmentioning
confidence: 99%
“…Accordingly, a serum, containing high levels of IgM, from X-HIGM patient infected with Helicobacter pylori displayed a 100% killing activity, when tested in a complement-mediated bactericidal assay [ 30 ]. It has been documented that sera from X-HIGM patients in addition to normal or elevated concentrations of IgM also contain IgG and IgA in low concentrations, but IgG3 levels are almost normal [ 31 ]. IgG3 and IgM isotypes are the more efficient complement-fixing human antibodies [ 28 ].…”
Section: Discussionmentioning
confidence: 99%