Kinetics of circulating human IgG4 after diethylcarbamazine and ivermectin treatment of bancroftian filariasis.
Identifieur interne : 005928 ( PubMed/Corpus ); précédent : 005927; suivant : 005929Kinetics of circulating human IgG4 after diethylcarbamazine and ivermectin treatment of bancroftian filariasis.
Auteurs : C N Wamae ; J M Roberts ; M L Eberhard ; P J LammieSource :
- The Journal of infectious diseases [ 0022-1899 ] ; 1992.
English descriptors
- KwdEn :
- Animals, Diethylcarbamazine (pharmacology), Diethylcarbamazine (therapeutic use), Elephantiasis, Filarial (blood), Elephantiasis, Filarial (drug therapy), Elephantiasis, Filarial (immunology), Follow-Up Studies, Humans, Immunoglobulin G (biosynthesis), Immunoglobulin G (blood), Ivermectin (pharmacology), Ivermectin (therapeutic use), Kinetics, Microfilariae (drug effects), Wuchereria bancrofti (drug effects), Wuchereria bancrofti (immunology).
- MESH :
- chemical , biosynthesis : Immunoglobulin G.
- chemical , blood : Immunoglobulin G.
- chemical , pharmacology : Diethylcarbamazine, Ivermectin.
- chemical , therapeutic use : Diethylcarbamazine, Ivermectin.
- blood : Elephantiasis, Filarial.
- drug effects : Microfilariae, Wuchereria bancrofti.
- drug therapy : Elephantiasis, Filarial.
- immunology : Elephantiasis, Filarial, Wuchereria bancrofti.
- Animals, Follow-Up Studies, Humans, Kinetics.
Abstract
Patent filarial infections are associated with elevated levels of parasite-specific IgG4. This study investigated the shifts of filarial-specific human IgG and IgG4 antibodies after diethylcarbamazine and ivermectin treatment of bancroftian filariasis. Thirty adult Haitians were treated first with a 1-mg clearing dose of ivermectin and then with either one or two 200-micrograms/kg doses of ivermectin or with 12 daily 6-mg/kg doses of diethylcarbamazine. Posttreatment levels of antifilarial IgG4 were dependent on both treatment group and time of follow-up. IgG4 increased markedly to a maximum by day 30 in all treatment groups and then began to decrease; the greatest decrease was among diethylcarbamazine-treated patients. Posttreatment microfilaremia was inversely correlated with the decrease in IgG4; thus, shifts in IgG4 were associated with treatment response for all groups. Antifilarial IgG levels were not correlated with drug treatment and did not change to the same degree as did IgG4 responses.
PubMed: 1583340
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pubmed:1583340Le document en format XML
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<author><name sortKey="Wamae, C N" sort="Wamae, C N" uniqKey="Wamae C" first="C N" last="Wamae">C N Wamae</name>
<affiliation><nlm:affiliation>Department of Parasitology, Tulane University, New Orleans, Louisiana.</nlm:affiliation>
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<author><name sortKey="Roberts, J M" sort="Roberts, J M" uniqKey="Roberts J" first="J M" last="Roberts">J M Roberts</name>
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<author><name sortKey="Eberhard, M L" sort="Eberhard, M L" uniqKey="Eberhard M" first="M L" last="Eberhard">M L Eberhard</name>
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<author><name sortKey="Lammie, P J" sort="Lammie, P J" uniqKey="Lammie P" first="P J" last="Lammie">P J Lammie</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Kinetics of circulating human IgG4 after diethylcarbamazine and ivermectin treatment of bancroftian filariasis.</title>
<author><name sortKey="Wamae, C N" sort="Wamae, C N" uniqKey="Wamae C" first="C N" last="Wamae">C N Wamae</name>
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<term>Diethylcarbamazine (pharmacology)</term>
<term>Diethylcarbamazine (therapeutic use)</term>
<term>Elephantiasis, Filarial (blood)</term>
<term>Elephantiasis, Filarial (drug therapy)</term>
<term>Elephantiasis, Filarial (immunology)</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immunoglobulin G (biosynthesis)</term>
<term>Immunoglobulin G (blood)</term>
<term>Ivermectin (pharmacology)</term>
<term>Ivermectin (therapeutic use)</term>
<term>Kinetics</term>
<term>Microfilariae (drug effects)</term>
<term>Wuchereria bancrofti (drug effects)</term>
<term>Wuchereria bancrofti (immunology)</term>
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<keywords scheme="MESH" type="chemical" qualifier="biosynthesis" xml:lang="en"><term>Immunoglobulin G</term>
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<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Diethylcarbamazine</term>
<term>Ivermectin</term>
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<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Diethylcarbamazine</term>
<term>Ivermectin</term>
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<keywords scheme="MESH" qualifier="blood" xml:lang="en"><term>Elephantiasis, Filarial</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Microfilariae</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Elephantiasis, Filarial</term>
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<keywords scheme="MESH" qualifier="immunology" xml:lang="en"><term>Elephantiasis, Filarial</term>
<term>Wuchereria bancrofti</term>
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<keywords scheme="MESH" xml:lang="en"><term>Animals</term>
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<term>Kinetics</term>
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<front><div type="abstract" xml:lang="en">Patent filarial infections are associated with elevated levels of parasite-specific IgG4. This study investigated the shifts of filarial-specific human IgG and IgG4 antibodies after diethylcarbamazine and ivermectin treatment of bancroftian filariasis. Thirty adult Haitians were treated first with a 1-mg clearing dose of ivermectin and then with either one or two 200-micrograms/kg doses of ivermectin or with 12 daily 6-mg/kg doses of diethylcarbamazine. Posttreatment levels of antifilarial IgG4 were dependent on both treatment group and time of follow-up. IgG4 increased markedly to a maximum by day 30 in all treatment groups and then began to decrease; the greatest decrease was among diethylcarbamazine-treated patients. Posttreatment microfilaremia was inversely correlated with the decrease in IgG4; thus, shifts in IgG4 were associated with treatment response for all groups. Antifilarial IgG levels were not correlated with drug treatment and did not change to the same degree as did IgG4 responses.</div>
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<Title>The Journal of infectious diseases</Title>
<ISOAbbreviation>J. Infect. Dis.</ISOAbbreviation>
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<ArticleTitle>Kinetics of circulating human IgG4 after diethylcarbamazine and ivermectin treatment of bancroftian filariasis.</ArticleTitle>
<Pagination><MedlinePgn>1158-60</MedlinePgn>
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<Abstract><AbstractText>Patent filarial infections are associated with elevated levels of parasite-specific IgG4. This study investigated the shifts of filarial-specific human IgG and IgG4 antibodies after diethylcarbamazine and ivermectin treatment of bancroftian filariasis. Thirty adult Haitians were treated first with a 1-mg clearing dose of ivermectin and then with either one or two 200-micrograms/kg doses of ivermectin or with 12 daily 6-mg/kg doses of diethylcarbamazine. Posttreatment levels of antifilarial IgG4 were dependent on both treatment group and time of follow-up. IgG4 increased markedly to a maximum by day 30 in all treatment groups and then began to decrease; the greatest decrease was among diethylcarbamazine-treated patients. Posttreatment microfilaremia was inversely correlated with the decrease in IgG4; thus, shifts in IgG4 were associated with treatment response for all groups. Antifilarial IgG levels were not correlated with drug treatment and did not change to the same degree as did IgG4 responses.</AbstractText>
</Abstract>
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