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Immunoglobulin G

Immunoglobulin G (IgG) is a type of antibody. Representing approximately 75% of serum antibodies in humans, IgG is the most common type of antibody found in blood circulation.[1] IgG molecules are created and released by plasma B cells. Each IgG antibody has two paratopes.

The water-accessible surface area of an IgG antibody

Function edit

Antibodies are major components of humoral immunity. IgG is the main type of antibody found in blood and extracellular fluid, allowing it to control infection of body tissues. By binding many kinds of pathogens such as viruses, bacteria, and fungi, IgG protects the body from infection.[citation needed]

It does this through several mechanisms:[citation needed]

IgG antibodies are generated following class switching and maturation of the antibody response, thus they participate predominantly in the secondary immune response. [3]

IgG is secreted as a monomer that is small in size allowing it to easily diffuse into tissues. It is the only antibody isotype that has receptors to facilitate passage through the human placenta, thereby providing protection to the fetus in utero. Along with IgA secreted in the breast milk, residual IgG absorbed through the placenta provides the neonate with humoral immunity before its own immune system develops. Colostrum contains a high percentage of IgG, especially bovine colostrum. In individuals with prior immunity to a pathogen, IgG appears about 24–48 hours after antigenic stimulation.[citation needed]

Therefore, in the first six months of life, the newborn has the same antibodies as the mother and the child can defend itself against all the pathogens that the mother encountered in her life (even if only through vaccination) until these antibodies are degraded. This repertoire of immunoglobulins is crucial for the newborns who are very sensitive to infections, especially within the respiratory and digestive systems.[citation needed]

IgG are also involved in the regulation of allergic reactions. According to Finkelman, there are two pathways of systemic anaphylaxis:[4][5] antigens can cause systemic anaphylaxis in mice through classic pathway by cross-linking IgE bound to the mast cell receptor FcεRI, stimulating the release of both histamine and platelet activating factor (PAF). In the alternative pathway antigens form complexes with IgG, which then cross-link macrophage receptor FcγRIII and stimulates only PAF release.[4]

IgG antibodies can prevent IgE mediated anaphylaxis by intercepting a specific antigen before it binds to mast cell–associated IgE. Consequently, IgG antibodies block systemic anaphylaxis induced by small quantities of antigen but can mediate systemic anaphylaxis induced by larger quantities.[4]

Structure edit

 
The various regions and domains of a typical IgG

IgG antibodies are large globular proteins made of four peptide chains;[6] two identical γ (gamma) heavy chains of about 50 kDa and two identical light chains of about 25 kDa. The resulting tetrameric quaternary structure, therefore, has a total molecular weight of about 150 kDa.[7] The two heavy chains are linked to each other and to a light chain each by disulfide bonds. The resulting tetramer has two identical halves, which together form a Y-like shape. Each end of the fork contains an identical antigen binding site. The various regions and domains of a typical IgG are depicted in the figure "Anatomy of an IgG".

The Fc regions of IgGs bear a highly conserved N-glycosylation site at asparagine 297 in the constant region of the heavy chain.[8] The N-glycans attached to this site are predominantly core-fucosylated biantennary structures of the complex type.[9] In addition, small amounts of these N-glycans also bear bisecting GlcNAc and α-2,6-linked sialic acid residues.[10] The N-glycan composition in IgG has been linked to several autoimmune, infectious and metabolic diseases.[11]

Subclasses edit

There are four IgG subclasses (IgG1, 2, 3, and 4) in humans, named in order of their abundance in serum (IgG1 being the most abundant).[12]

Name Percentage Crosses placenta easily Complement activator Binds to Fc receptor on phagocytic cells Half life[13]
IgG1 66% yes (1.47)* second-highest high affinity 21 days
IgG2 23% no (0.8)* third-highest extremely low affinity 21 days
IgG3 7% yes (1.17)* highest high affinity 7 days
IgG4 4% yes (1.15)* no intermediate affinity 21 days
* Quota cord/maternity concentrations blood. Based on data from a Japanese study on 228 mothers.[14]

Note: IgG affinity to Fc receptors on phagocytic cells is specific to individual species from which the antibody comes as well as the class. The structure of the hinge regions (region 6 in the diagram) contributes to the unique biological properties of each of the four IgG classes. Even though there is about 95% similarity between their Fc regions, the structure of the hinge regions is relatively different.[citation needed]

Given the opposing properties of the IgG subclasses (fixing and failing to fix complement; binding and failing to bind FcR), and the fact that the immune response to most antigens includes a mix of all four subclasses, it has been difficult to understand how IgG subclasses can work together to provide protective immunity. In 2013, the Temporal Model of human IgE and IgG function was proposed.[15] This model suggests that IgG3 (and IgE) appear early in a response. The IgG3, though of relatively low affinity, allows IgG-mediated defences to join IgM-mediated defences in clearing foreign antigens. Subsequently, higher affinity IgG1 and IgG2 are produced. The relative balance of these subclasses, in any immune complexes that form, helps determine the strength of the inflammatory processes that follow. Finally, if antigen persists, high affinity IgG4 is produced, which dampens down inflammation by helping to curtail FcR-mediated processes.[citation needed]

The relative ability of different IgG subclasses to fix complement may explain why some anti-donor antibody responses do harm a graft after organ transplantation.[16]

In a mouse model of autoantibody mediated anemia using IgG isotype switch variants of an anti erythrocytes autoantibody, it was found that mouse IgG2a was superior to IgG1 in activating complement. Moreover, it was found that the IgG2a isotype was able to interact very efficiently with FcgammaR. As a result, 20 times higher doses of IgG1, in relationship to IgG2a autoantibodies, were required to induce autoantibody mediated pathology.[17] Since mouse IgG1 and human IgG1 are not entirely similar in function, and the inference of human antibody function from mouse studies must be done with great care. However, both human and mouse antibodies have different abilities to fix complement and to bind to Fc receptors.[citation needed]

Role in diagnosis edit

 
Adalimumab is an IgG antibody.

The measurement of immunoglobulin G can be a diagnostic tool for certain conditions, such as autoimmune hepatitis, if indicated by certain symptoms.[18] Clinically, measured IgG antibody levels are generally considered to be indicative of an individual's immune status to particular pathogens. A common example of this practice are titers drawn to demonstrate serologic immunity to measles, mumps, and rubella (MMR), hepatitis B virus, and varicella (chickenpox), among others.[19]

Testing of IgG is not indicated for diagnosis of allergy, and there is no evidence that it has any relationship to food intolerances.[20][21][22]

See also edit

References edit

  1. ^ Vidarsson, Gestur; Dekkers, Gillian; Rispens, Theo (2014). "IgG subclasses and allotypes: from structure to effector functions". Frontiers in Immunology. 5: 520. doi:10.3389/fimmu.2014.00520. ISSN 1664-3224. PMC 4202688. PMID 25368619.
  2. ^ Mallery DL, McEwan WA, Bidgood SR, Towers GJ, Johnson CM, James LC (2010). "Antibodies mediate intracellular immunity through tripartite motif-containing 21 (TRIM21)". Proceedings of the National Academy of Sciences, USA. 107 (46): 19985–19990. Bibcode:2010PNAS..10719985M. doi:10.1073/pnas.1014074107. PMC 2993423. PMID 21045130.
  3. ^ Vidarsson, Gestur; Dekkers, Gillian; Rispens, Theo (2014). "IgG subclasses and allotypes: from structure to effector functions". Frontiers in Immunology. 5: 520. doi:10.3389/fimmu.2014.00520. ISSN 1664-3224. PMC 4202688. PMID 25368619.
  4. ^ a b c Finkelman, Fred D. (September 2007). "Anaphylaxis: Lessons from mouse models". Journal of Allergy and Clinical Immunology. 120 (3): 506–515. doi:10.1016/j.jaci.2007.07.033. PMID 17765751.
  5. ^ Khondoun MV, Strait R, Armstrong L, Yanase N, Finkelman FD (2011). "Identification of markers that distinguish IgE-from IgG mediated anaphylaxis". Proceedings of the National Academy of Sciences, USA. 108 (30): 12413–12418. Bibcode:2011PNAS..10812413K. doi:10.1073/pnas.1105695108. PMC 3145724. PMID 21746933.
  6. ^ Janeway CA Jr; Travers P; Walport M; et al. (2001). "Ch3 Antigen Recognition by B-Cell and T-cell Receptors". Immunobiology: The Immune System in Health and Disease (5th ed.). New York: Garland Science.
  7. ^ "Antibody Basics". Sigma-Aldrich. Retrieved 2014-12-10.
  8. ^ Cobb, Brian A. (2019-08-27). "The History of IgG Glycosylation and Where We Are Now". Glycobiology. 30 (4): 202–213. doi:10.1093/glycob/cwz065. ISSN 1460-2423. PMC 7109348. PMID 31504525.
  9. ^ Parekh, R. B.; Dwek, R. A.; Sutton, B. J.; Fernandes, D. L.; Leung, A.; Stanworth, D.; Rademacher, T. W.; Mizuochi, T.; Taniguchi, T.; Matsuta, K. (1–7 August 1985). "Association of rheumatoid arthritis and primary osteoarthritis with changes in the glycosylation pattern of total serum IgG". Nature. 316 (6027): 452–457. Bibcode:1985Natur.316..452P. doi:10.1038/316452a0. ISSN 0028-0836. PMID 3927174.
  10. ^ Stadlmann J, Pabst M, Kolarich D, Kunert R, Altmann F (2008). "Analysis of immunoglobulin glycosylation by LC-ESI-MS of glycopeptides and oligosaccharides". Proteomics. 8 (14): 2858–2871. doi:10.1002/pmic.200700968. PMID 18655055. S2CID 22821543.
  11. ^ de Haan, Noortje; Falck, David; Wuhrer, Manfred (2019-07-08). "Monitoring of Immunoglobulin N- and O-glycosylation in Health and Disease". Glycobiology. 30 (4): 226–240. doi:10.1093/glycob/cwz048. ISSN 1460-2423. PMC 7225405. PMID 31281930.
  12. ^ Vidarsson, Gestur; Dekkers, Gillian; Rispens, Theo (2014). "IgG subclasses and allotypes: from structure to effector functions". Frontiers in Immunology. 5: 520. doi:10.3389/fimmu.2014.00520. ISSN 1664-3224. PMC 4202688. PMID 25368619.
  13. ^ Bonilla FA Immuno Allergy Clin N Am 2008; 803–819
  14. ^ Hashira S, Okitsu-Negishi S, Yoshino K (August 2000). "Placental transfer of IgG subclasses in a Japanese population". Pediatrics International. 42 (4): 337–342. doi:10.1046/j.1442-200x.2000.01245.x. PMID 10986861. S2CID 24750352.
  15. ^ Collins, Andrew M.; Katherine J.L. Jackson (2013-08-09). "A temporal model of human IgE and IgG antibody function". Frontiers in Immunology. 4: 235. doi:10.3389/fimmu.2013.00235. PMC 3738878. PMID 23950757.
  16. ^ Gao, ZH; McAlister, VC; Wright Jr., JR; McAlister, CC; Peltekian, K; MacDonald, AS (2004). "Immunoglobulin-G subclass antidonor reactivity in transplant recipients". Liver Transplantation. 10 (8): 1055–1059. doi:10.1002/lt.20154. PMID 15390333.
  17. ^ Azeredo da Silveira S, Kikuchi S, Fossati-Jimack L, Moll T, Saito T, Verbeek JS, Botto M, Walport MJ, Carroll M, Izui S (2002-03-18). "Complement activation selectively potentiates the pathogenicity of the IgG2b and IgG3 isotypes of a high affinity anti-erythrocyte autoantibody". Journal of Experimental Medicine. 195 (6): 665–672. doi:10.1084/jem.20012024. PMC 2193744. PMID 11901193.
  18. ^ Lakos G, Soós L, Fekete A, Szabó Z, Zeher M, Horváth IF, Dankó K, Kapitány A, Gyetvai A, Szegedi G, Szekanecz Z (Mar–Apr 2008). . Clinical and Experimental Rheumatology. 26 (2): 253–260. PMID 18565246. Archived from the original on 2014-12-11. Retrieved 2014-02-26.
  19. ^ Teri Shors (August 2011). "Ch5 Laboratory Diagnosis of Viral Diseases and Working with Viruses in the Research Laboratory". Understanding Viruses (2nd ed.). Jones & Bartlett Publishers. pp. 103–104. ISBN 978-0-7637-8553-6.
  20. ^ American Academy of Allergy, Asthma, and Immunology, American Academy of Allergy, Asthma, and Immunology. (PDF). Choosing Wisely: an initiative of the ABIM Foundation. American Academy of Allergy, Asthma, and Immunology. Archived from the original (PDF) on November 3, 2012. Retrieved August 14, 2012.
  21. ^ Cox L, Williams B, Sicherer S, Oppenheimer J, Sher L, Hamilton R, Golden D (2008). "Pearls and pitfalls of allergy diagnostic testing: report from the American College of Allergy, Asthma and Immunology/American Academy of Allergy, Asthma and Immunology Specific IgE Test Task Force". Annals of Allergy, Asthma & Immunology. 101 (6): 580–592. doi:10.1016/s1081-1206(10)60220-7. PMID 19119701.
  22. ^ Stapel, Steven O.; Asero, R.; Ballmer-Weber, B. K.; Knol, E. F.; Strobel, S.; Vieths, S.; Kleine-Tebbe, J.; EAACI Task Force (July 2008). "Testing for IgG4 against foods is not recommended as a diagnostic tool: EAACI Task Force Report". Allergy. 63 (7): 793–796. doi:10.1111/j.1398-9995.2008.01705.x. ISSN 1398-9995. PMID 18489614. S2CID 14061223.

External links edit

  • Janeway Immunobiology – The structure of a typical antibody (IgG)
  • A booklet with everything you wanted to know about IgG subclasses

immunoglobulin, type, antibody, representing, approximately, serum, antibodies, humans, most, common, type, antibody, found, blood, circulation, molecules, created, released, plasma, cells, each, antibody, paratopes, water, accessible, surface, area, antibody,. Immunoglobulin G IgG is a type of antibody Representing approximately 75 of serum antibodies in humans IgG is the most common type of antibody found in blood circulation 1 IgG molecules are created and released by plasma B cells Each IgG antibody has two paratopes The water accessible surface area of an IgG antibody Contents 1 Function 2 Structure 3 Subclasses 4 Role in diagnosis 5 See also 6 References 7 External linksFunction editAntibodies are major components of humoral immunity IgG is the main type of antibody found in blood and extracellular fluid allowing it to control infection of body tissues By binding many kinds of pathogens such as viruses bacteria and fungi IgG protects the body from infection citation needed It does this through several mechanisms citation needed IgG mediated binding of pathogens causes their immobilization and binding together via agglutination IgG coating of pathogen surfaces known as opsonization allows their recognition and ingestion by phagocytic immune cells leading to the elimination of the pathogen itself IgG activates all the classical pathway of the complement system a cascade of immune protein production that results in pathogen elimination IgG also binds and neutralizes toxins IgG also plays an important role in antibody dependent cell mediated cytotoxicity ADCC and intracellular antibody mediated proteolysis in which it binds to TRIM21 the receptor with greatest affinity to IgG in humans in order to direct marked virions to the proteasome in the cytosol 2 IgG is also associated with type II and type III hypersensitivity reactions IgG antibodies are generated following class switching and maturation of the antibody response thus they participate predominantly in the secondary immune response 3 IgG is secreted as a monomer that is small in size allowing it to easily diffuse into tissues It is the only antibody isotype that has receptors to facilitate passage through the human placenta thereby providing protection to the fetus in utero Along with IgA secreted in the breast milk residual IgG absorbed through the placenta provides the neonate with humoral immunity before its own immune system develops Colostrum contains a high percentage of IgG especially bovine colostrum In individuals with prior immunity to a pathogen IgG appears about 24 48 hours after antigenic stimulation citation needed Therefore in the first six months of life the newborn has the same antibodies as the mother and the child can defend itself against all the pathogens that the mother encountered in her life even if only through vaccination until these antibodies are degraded This repertoire of immunoglobulins is crucial for the newborns who are very sensitive to infections especially within the respiratory and digestive systems citation needed IgG are also involved in the regulation of allergic reactions According to Finkelman there are two pathways of systemic anaphylaxis 4 5 antigens can cause systemic anaphylaxis in mice through classic pathway by cross linking IgE bound to the mast cell receptor FceRI stimulating the release of both histamine and platelet activating factor PAF In the alternative pathway antigens form complexes with IgG which then cross link macrophage receptor FcgRIII and stimulates only PAF release 4 IgG antibodies can prevent IgE mediated anaphylaxis by intercepting a specific antigen before it binds to mast cell associated IgE Consequently IgG antibodies block systemic anaphylaxis induced by small quantities of antigen but can mediate systemic anaphylaxis induced by larger quantities 4 Structure edit nbsp The various regions and domains of a typical IgGIgG antibodies are large globular proteins made of four peptide chains 6 two identical g gamma heavy chains of about 50 kDa and two identical light chains of about 25 kDa The resulting tetrameric quaternary structure therefore has a total molecular weight of about 150 kDa 7 The two heavy chains are linked to each other and to a light chain each by disulfide bonds The resulting tetramer has two identical halves which together form a Y like shape Each end of the fork contains an identical antigen binding site The various regions and domains of a typical IgG are depicted in the figure Anatomy of an IgG The Fc regions of IgGs bear a highly conserved N glycosylation site at asparagine 297 in the constant region of the heavy chain 8 The N glycans attached to this site are predominantly core fucosylated biantennary structures of the complex type 9 In addition small amounts of these N glycans also bear bisecting GlcNAc and a 2 6 linked sialic acid residues 10 The N glycan composition in IgG has been linked to several autoimmune infectious and metabolic diseases 11 Subclasses editThere are four IgG subclasses IgG1 2 3 and 4 in humans named in order of their abundance in serum IgG1 being the most abundant 12 Name Percentage Crosses placenta easily Complement activator Binds to Fc receptor on phagocytic cells Half life 13 IgG1 66 yes 1 47 second highest high affinity 21 daysIgG2 23 no 0 8 third highest extremely low affinity 21 daysIgG3 7 yes 1 17 highest high affinity 7 daysIgG4 4 yes 1 15 no intermediate affinity 21 days Quota cord maternity concentrations blood Based on data from a Japanese study on 228 mothers 14 Note IgG affinity to Fc receptors on phagocytic cells is specific to individual species from which the antibody comes as well as the class The structure of the hinge regions region 6 in the diagram contributes to the unique biological properties of each of the four IgG classes Even though there is about 95 similarity between their Fc regions the structure of the hinge regions is relatively different citation needed Given the opposing properties of the IgG subclasses fixing and failing to fix complement binding and failing to bind FcR and the fact that the immune response to most antigens includes a mix of all four subclasses it has been difficult to understand how IgG subclasses can work together to provide protective immunity In 2013 the Temporal Model of human IgE and IgG function was proposed 15 This model suggests that IgG3 and IgE appear early in a response The IgG3 though of relatively low affinity allows IgG mediated defences to join IgM mediated defences in clearing foreign antigens Subsequently higher affinity IgG1 and IgG2 are produced The relative balance of these subclasses in any immune complexes that form helps determine the strength of the inflammatory processes that follow Finally if antigen persists high affinity IgG4 is produced which dampens down inflammation by helping to curtail FcR mediated processes citation needed The relative ability of different IgG subclasses to fix complement may explain why some anti donor antibody responses do harm a graft after organ transplantation 16 In a mouse model of autoantibody mediated anemia using IgG isotype switch variants of an anti erythrocytes autoantibody it was found that mouse IgG2a was superior to IgG1 in activating complement Moreover it was found that the IgG2a isotype was able to interact very efficiently with FcgammaR As a result 20 times higher doses of IgG1 in relationship to IgG2a autoantibodies were required to induce autoantibody mediated pathology 17 Since mouse IgG1 and human IgG1 are not entirely similar in function and the inference of human antibody function from mouse studies must be done with great care However both human and mouse antibodies have different abilities to fix complement and to bind to Fc receptors citation needed Role in diagnosis edit nbsp Adalimumab is an IgG antibody The measurement of immunoglobulin G can be a diagnostic tool for certain conditions such as autoimmune hepatitis if indicated by certain symptoms 18 Clinically measured IgG antibody levels are generally considered to be indicative of an individual s immune status to particular pathogens A common example of this practice are titers drawn to demonstrate serologic immunity to measles mumps and rubella MMR hepatitis B virus and varicella chickenpox among others 19 Testing of IgG is not indicated for diagnosis of allergy and there is no evidence that it has any relationship to food intolerances 20 21 22 See also editEpitope IgG4 related diseaseReferences edit Vidarsson Gestur Dekkers Gillian Rispens Theo 2014 IgG subclasses and allotypes from structure to effector functions Frontiers in Immunology 5 520 doi 10 3389 fimmu 2014 00520 ISSN 1664 3224 PMC 4202688 PMID 25368619 Mallery DL McEwan WA Bidgood SR Towers GJ Johnson CM James LC 2010 Antibodies mediate intracellular immunity through tripartite motif containing 21 TRIM21 Proceedings of the National Academy of Sciences USA 107 46 19985 19990 Bibcode 2010PNAS 10719985M doi 10 1073 pnas 1014074107 PMC 2993423 PMID 21045130 Vidarsson Gestur Dekkers Gillian Rispens Theo 2014 IgG subclasses and allotypes from structure to effector functions Frontiers in Immunology 5 520 doi 10 3389 fimmu 2014 00520 ISSN 1664 3224 PMC 4202688 PMID 25368619 a b c Finkelman Fred D September 2007 Anaphylaxis Lessons from mouse models Journal of Allergy and Clinical Immunology 120 3 506 515 doi 10 1016 j jaci 2007 07 033 PMID 17765751 Khondoun MV Strait R Armstrong L Yanase N Finkelman FD 2011 Identification of markers that distinguish IgE from IgG mediated anaphylaxis Proceedings of the National Academy of Sciences USA 108 30 12413 12418 Bibcode 2011PNAS 10812413K doi 10 1073 pnas 1105695108 PMC 3145724 PMID 21746933 Janeway CA Jr Travers P Walport M et al 2001 Ch3 Antigen Recognition by B Cell and T cell Receptors Immunobiology The Immune System in Health and Disease 5th ed New York Garland Science Antibody Basics Sigma Aldrich Retrieved 2014 12 10 Cobb Brian A 2019 08 27 The History of IgG Glycosylation and Where We Are Now Glycobiology 30 4 202 213 doi 10 1093 glycob cwz065 ISSN 1460 2423 PMC 7109348 PMID 31504525 Parekh R B Dwek R A Sutton B J Fernandes D L Leung A Stanworth D Rademacher T W Mizuochi T Taniguchi T Matsuta K 1 7 August 1985 Association of rheumatoid arthritis and primary osteoarthritis with changes in the glycosylation pattern of total serum IgG Nature 316 6027 452 457 Bibcode 1985Natur 316 452P doi 10 1038 316452a0 ISSN 0028 0836 PMID 3927174 Stadlmann J Pabst M Kolarich D Kunert R Altmann F 2008 Analysis of immunoglobulin glycosylation by LC ESI MS of glycopeptides and oligosaccharides Proteomics 8 14 2858 2871 doi 10 1002 pmic 200700968 PMID 18655055 S2CID 22821543 de Haan Noortje Falck David Wuhrer Manfred 2019 07 08 Monitoring of Immunoglobulin N and O glycosylation in Health and Disease Glycobiology 30 4 226 240 doi 10 1093 glycob cwz048 ISSN 1460 2423 PMC 7225405 PMID 31281930 Vidarsson Gestur Dekkers Gillian Rispens Theo 2014 IgG subclasses and allotypes from structure to effector functions Frontiers in Immunology 5 520 doi 10 3389 fimmu 2014 00520 ISSN 1664 3224 PMC 4202688 PMID 25368619 Bonilla FA Immuno Allergy Clin N Am 2008 803 819 Hashira S Okitsu Negishi S Yoshino K August 2000 Placental transfer of IgG subclasses in a Japanese population Pediatrics International 42 4 337 342 doi 10 1046 j 1442 200x 2000 01245 x PMID 10986861 S2CID 24750352 Collins Andrew M Katherine J L Jackson 2013 08 09 A temporal model of human IgE and IgG antibody function Frontiers in Immunology 4 235 doi 10 3389 fimmu 2013 00235 PMC 3738878 PMID 23950757 Gao ZH McAlister VC Wright Jr JR McAlister CC Peltekian K MacDonald AS 2004 Immunoglobulin G subclass antidonor reactivity in transplant recipients Liver Transplantation 10 8 1055 1059 doi 10 1002 lt 20154 PMID 15390333 Azeredo da Silveira S Kikuchi S Fossati Jimack L Moll T Saito T Verbeek JS Botto M Walport MJ Carroll M Izui S 2002 03 18 Complement activation selectively potentiates the pathogenicity of the IgG2b and IgG3 isotypes of a high affinity anti erythrocyte autoantibody Journal of Experimental Medicine 195 6 665 672 doi 10 1084 jem 20012024 PMC 2193744 PMID 11901193 Lakos G Soos L Fekete A Szabo Z Zeher M Horvath IF Danko K Kapitany A Gyetvai A Szegedi G Szekanecz Z Mar Apr 2008 Anti cyclic citrullinated peptide antibody isotypes in rheumatoid arthritis association with disease duration rheumatoid factor production and the presence of shared epitope Clinical and Experimental Rheumatology 26 2 253 260 PMID 18565246 Archived from the original on 2014 12 11 Retrieved 2014 02 26 Teri Shors August 2011 Ch5 Laboratory Diagnosis of Viral Diseases and Working with Viruses in the Research Laboratory Understanding Viruses 2nd ed Jones amp Bartlett Publishers pp 103 104 ISBN 978 0 7637 8553 6 American Academy of Allergy Asthma and Immunology American Academy of Allergy Asthma and Immunology Five Things Physicians and Patients Should Question PDF Choosing Wisely an initiative of the ABIM Foundation American Academy of Allergy Asthma and Immunology Archived from the original PDF on November 3 2012 Retrieved August 14 2012 Cox L Williams B Sicherer S Oppenheimer J Sher L Hamilton R Golden D 2008 Pearls and pitfalls of allergy diagnostic testing report from the American College of Allergy Asthma and Immunology American Academy of Allergy Asthma and Immunology Specific IgE Test Task Force Annals of Allergy Asthma amp Immunology 101 6 580 592 doi 10 1016 s1081 1206 10 60220 7 PMID 19119701 Stapel Steven O Asero R Ballmer Weber B K Knol E F Strobel S Vieths S Kleine Tebbe J EAACI Task Force July 2008 Testing for IgG4 against foods is not recommended as a diagnostic tool EAACI Task Force Report Allergy 63 7 793 796 doi 10 1111 j 1398 9995 2008 01705 x ISSN 1398 9995 PMID 18489614 S2CID 14061223 External links editJaneway Immunobiology The structure of a typical antibody IgG A booklet with everything you wanted to know about IgG subclasses Retrieved from https en wikipedia org w index php title Immunoglobulin G amp oldid 1195245653, wikipedia, wiki, book, books, library,

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