THE POTENTIAL OF HUMAN PLASMA AND HUMAN BLOOD PRODUCTS FOR IMMUNE PROTECTION

Vancho Donev, Georgi Nikolov
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Abstract

Intravenous Immunoglobulin (IVIg) were used for the first time at the late seventies for treatment of patient with primary and secondary immunodeficiencies. Тhe first observations opened a wide field for basic and clinical research leading to a rapidly expanding use of IVIg for the treatment of patients with multiple diseases. The immunoglobulin preparations contain large amount of intact form of IgG molecules with comparable values of subclasses as in native plasma. Тhose properties account for the normal half-life of injected immunoglobulin of three weeks, and its ability to react normal with the complement components and with the specific Fcγ-receptors on the surface of phagocytes and lymphocytes. IVIg is produced from plasma pules from several thousand donors, which leads to wide spectre of variable regions of IgG molecules in the product. Some of the antibodies in the product can recognize bacterial, virus and fungal antigens are essential in replacement therapy in patients with antibody deficiency. А good understanding of the molecular and cellular basis of the immunoregulatory actions of intravenous immunoglobulin preparations is important for optimizing their use in inflammatory diseases for conducting new clinical observations.
人血浆和人血液制品在免疫保护方面的潜力
静脉注射免疫球蛋白(IVIg)于七十年代末首次用于治疗原发性和继发性免疫缺陷患者。首次观察结果为基础和临床研究开辟了广阔的领域,使静脉注射免疫球蛋白在治疗多种疾病患者方面的应用迅速扩大。免疫球蛋白制剂中含有大量完整的 IgG 分子,其亚类值与原生血浆中的相当。由于这些特性,注射免疫球蛋白的正常半衰期为三周,并能与补体成分以及吞噬细胞和淋巴细胞表面的特异性 Fcγ 受体正常反应。IVIg 由数千名捐献者的血浆制成,因此产品中的 IgG 分子可变区域范围很广。产品中的一些抗体可以识别细菌、病毒和真菌抗原,是抗体缺乏症患者进行替代治疗的必需品。充分了解静脉注射免疫球蛋白制剂免疫调节作用的分子和细胞基础,对于优化其在炎症性疾病中的应用、开展新的临床观察非常重要。
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