SummaryUsing radioimmunoassay techniques, we measured IgE and IgD levels in paired colostrum and plasma samples obtained within 4 days postpartum. In colostrum, IgE was detected in concentrations of 0.5-6 IU/ml in 16 out of 39 samples (41%) and <0.5 IU/ml in the remainder, whereas IgD was detected in all samples in concentrations of 2-2000 pg/dl. Only a moderate correlation was found between colostral and plasma levels of both IgE (r = +0.60) and IgD (r = +0.74). The correlation coefficient between IgE and IgD in plasma was 0.23, whereas in colostrum it was only 0.05. The colostrum:plasma ratio of IgE varied strikingly from that of IgD, tbe ratio of IgD was 0.1-22.2 times that of IgE. The findings argue against passive transfer of IgE and IgD from the circulation to milk and suggest possible local mammary production of either or both of these two immunoglobulins.
SpeculationIn some patients, local production of IgE and/or IgD probably occurs in the mammary gland. One may hypothesize that previous antigenic exposure at other mucosal surfaces may not only determine the IgA antibody content of milk but also may influence the specificity of antibodies belonging to other immunoglobulin classes that appear in human milk. Whether the IgE and IgD antibodies in breast milk have similar specificities for antigens as the IgA antibodies in milk remains an interesting but unanswered question.Recent studies of the immunologic composition of human and animal milk have centered on the presence of selected lymphocyte populations in milk (12), migration of lymphoblasts from the gutassociated lymphoid system to the mammary gland (8,13,18,19), and the local production or concentration of immunoglobulins in the mammary gland (1 1).Local production of secretory IgA, the principal irnmunoglobulin of human milk, has been supported by the data of several investigators (5, 11). Studies comparing IgM and IgG antibodies in human milk and serum suggest either a local production or a mechanism of concentrating IgM in the mammary gland. This production or mechanism is not likely for IgG (1 1). Studies of IgE in milk have been few. Two investigators found either absent or low concentrations of IgE in milk compared with those in serum and concluded that local production or selective secretion by the mammary gland does not take place (16,17).Although IgD levels have been examined in milk (7,15), simultaneous plasma and milk levels have not been compared using a technique as sensitive as radioimmunoassay (RIA). Because of the lack of such information we used RIA to study both IgE and IgD levels in milk and peripheral blood specimens obtained simultaneously from women postpartum. The purpose of our study was to determine whether or not there is evidence to suggest either production or concentration of IgE or IgD in the mammary gland or passive transfer of either of these immunoglobulins from the circulation. By studying both immunoglobulins in paired milk and plasma samples, we obtained data suggesting the local production of one or both in at lea...