Changes in pools of autoantibodies and anti-bacterial antibodies in patients suffering from recurrent infections of the urinary tract and undergoing bacterial immunization treatment

Immunol Lett. 2004 Jun 15;94(1-2):123-33. doi: 10.1016/j.imlet.2004.04.011.

Abstract

Antibodies (Abs) (IgM, IgA, IgG and IgG subclasses) specific for several uropathogenic strains (Escherichia coli, Pseudomonas sp. and Klebsiella sp.) as well as anti-phospholipids, anti-beta2-glycoprotein I and anti-laminin antibodies were analyzed in the sera of 20 patients with long-lasting uncomplicated recurrent infections of the lower urinary tract who underwent immunization treatment with a mixture of heat-inactivated bacteria. Immunization had a dual effect: a marked prolongation of the infection-free period in more than half of tested patients (which could be related to the profiles of anti-bacterial antibodies), and the induction of a significant decrease in autoreactivity. The results obtained showed that prolonged infections resulted in a significant rise in IgG specific for phospholipids, beta2-glycoprotein I and mouse laminin. However, irrespective of the effect on urinary tract infection per se, immunization induced a noticeable decrease in reactivity toward those antigens (Ag). The most abundant autoantibodies prior to immunization treatment were of IgG2 subclass. A statistically significant decrease in phospholipid specific antibodies belonging to this subclass, and in the concentration of Y7 cross-reactive idiotope, registered only in the responder group; this indicates the significance of natural antibody pool involvement in a proper anti-bacterial immune response.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antibodies, Bacterial / blood*
  • Autoantibodies / blood*
  • Bacterial Infections / immunology*
  • Bacterial Infections / therapy
  • Bacterial Vaccines / therapeutic use*
  • Female
  • Follow-Up Studies
  • Glycoproteins / immunology
  • Gram-Negative Aerobic Rods and Cocci / immunology
  • Humans
  • Immunoglobulin G / blood
  • Immunoglobulin Isotypes / blood
  • Laminin / immunology
  • Middle Aged
  • Phospholipids / immunology
  • Recurrence
  • Urinary Tract Infections / immunology*
  • Urinary Tract Infections / therapy
  • beta 2-Glycoprotein I

Substances

  • Antibodies, Bacterial
  • Autoantibodies
  • Bacterial Vaccines
  • Glycoproteins
  • Immunoglobulin G
  • Immunoglobulin Isotypes
  • Laminin
  • Phospholipids
  • beta 2-Glycoprotein I