1. Human intravenous immunoglobulin modulates monokine production <em>in vitro</em>.
- Author
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Andersson, J.P. and Andersson, U.G.
- Subjects
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IMMUNOGLOBULINS , *MONOKINES , *IMMUNOLOGY , *AGAMMAGLOBULINEMIA , *INFLAMMATION , *MONOCYTES - Abstract
The effects of human immunoglobulin preparations for intravenous use (IVIg) on in vitro-induced monokine production were studied. Individual peripheral blood monocytes, obtained from healthy blood donors, which produced interleukin-6 (IL-6) and tumour necrosis factor-alpha (TNF-α) after in vitro stimulation, were identified by cytokine-specific monoclonal antibodies (mAb) and indirect immunofluorescence technique. Lipopylosaccharide (LPS) or Borrelia burgdorferi spirochetes (Bb) were used to induce TNF-α and IL-6 production in cultures. Peak synthesis occurred 2.5 hr after initiation of the cultures in tile majority of the monocytes, but not aL all in lymphocytes. The monocytes were identified by two-colour staining using a monocyte-specific mAb. IL-6 was produced by 64 ± 8% or 71 ± 9% (means±SD) of the non-IVIg-exposed monocytes after LPS or Bb stimulation, respectively (n = 12). A dose-dependent and significant reduction of the number of IL-6 producing cells was noted in the IVIg-supplemented cultures (P < 0.003). In these cultures 24 ± 12% or 29 ± 12% of the monocytes made IL-6 in response to LPS or Bb. Kinetic studies indicated a sustained significant inhibition of IL-6 production during 24 hr of culture (P < 0.001). In contrast, TNF-α synthesis was not inhibited by IVIg. LPS or Bb stimulation resulted in 47 ± 18% or 69 ± 7% TNF-α producing cells versus 48 ± 9% or 59 ± 8% in IVIg-supplemented cultures. These results indicate down-regulation of IL-6, but not TNF-α production, by IVIg. A direct antigen neutralization is an unlikely explanation for the divergent effects observed on monokine production after IVIg addition. [ABSTRACT FROM AUTHOR]
- Published
- 1990