European Journal of Clinical Pharmacology

, Volume 27, Issue 1, pp 81–83 | Cite as

The IgA immune system in epileptics on anticonvulsant therapy

  • O. Meissner
  • P. H. Joubert
  • H. F. Joubert
  • C. A. van der Merwe
Originals

Summary

Disturbances in IgA have often been reported in white epileptics on anticonvulsant therapy. The clinical significance of these disorders is of interest as this aspect does not appear to have been sufficiently explored. In a previous study neither African nor Caucasian epileptics on treatment showed a deficiency of serum IgA. Since secretory IgA is the main defence factor in protecting mucosal surfaces, the object of the present study was simultaneously to determine serum and salivary IgA in suitable subjects and to monitor related clinical events. A similar elevation of salivary IgA level was found in Black and White epileptics on treatment. Clinical events were rare and were not related either to serum or secretory IgA concentrations. It is concluded that at present epileptics do not seem to require special immunological or clinical monitoring.

Key words

epilepsy anticonvulsants immunodefficiency clinical implications serum IgA salivary IgA 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Delamere JP, Grindulis KA (1983) Sulphasalazine induced selective IgA deficiency in rheumatoid arthritis. Br Med J 286: 1547–1548Google Scholar
  2. 2.
    Aarli JA, Tönder O (1975) Effect of antiepileptic drugs on serum and salivary IgA. Epilepsia 17: 283–291Google Scholar
  3. 3.
    Joubert PH, Aucamp AK, Potgieter GM et al. (1977) Epilepsy and IgA deficiency — the effect of sodium valproate. S Afr Med J 52: 642–644Google Scholar
  4. 4.
    Schulman G, Gilich GC, Andrew MJA (1975) Serum immunoglobulins G, A and M in White and Black adults on the Witwatersrand. S Afr Med J 49: 1160–1164Google Scholar
  5. 5.
    Dreyer MJ, de Coning JP, Farrell Z (1983) Technical note — reading of low concentration radial immunodiffusion plates. S Afr Med J Lab Techn 29: 5Google Scholar
  6. 6.
    Siegel S (1956) Nonparametric statistics. Mc Graw-Hill, New York Toronto LondonGoogle Scholar
  7. 7.
    Dunn OJ (1964) Multiple comparisons using rank sums. Technometrics 6: 241Google Scholar
  8. 8.
    Galvez S, Chiofalo N, Fercas A et al. (1979) Immunoglobulins and C3 levels in cerebrospinal fluid, serum and saliva in epileptic patients. Neurocirurgia 37: 5–12Google Scholar
  9. 9.
    Seager J, Jamison DL, Wilson J et al. (1975) IgA deficiency, epilepsy and phenytoin treatment. Lancet 2: 632–635Google Scholar
  10. 10.
    Brandtzaeg P, Guy-Grand D, Griscelli C (1981) Intestinal, salivary and tonsillar IgA and J-chain production in a patient with severe deficiency of serum IgA. Scand J Immunol 13: 313–325Google Scholar
  11. 11.
    Moore EC, Laffin RJ, Tomasi T et al. (1979) Regional deficiency of secretory IgA in a patient with combined immunodeficiency of the ADA deficient type. Acta Paediatr Scand 68: 453–458Google Scholar
  12. 12.
    Amelio RD, Palmisano L, Le Moli S et al. (1982) Serum and salivary IgA levels in normal subjects: comparison between tonsillectomized and non-tonsillectomized subjects. Int Arch Allergy Appl Immunol 68: 256–259Google Scholar
  13. 13.
    Modéer T, Tomson G, Falk O et al. (1981) Phenytoin and IgA concentrations in plasma and saliva in epileptic children. Acta Paediatr Scand 70: 373–378Google Scholar
  14. 14.
    Monari M, Sevilla A, Galvez S et al. (1976) Immunoglobulin A in cerebrospinal fluid, serum and saliva of epileptic patients. Neurocirurgia 34: 93–103Google Scholar
  15. 15.
    Smith QT, Hamilton MJ, Biros MH et al. (1979) Salivary and plasma IgA of seizure subjects receiving phenytoin. Epilepsia 20: 17–23Google Scholar
  16. 16.
    Martinez-Cairo S, Guiscafre H, Alvarez MT et al. (1980) Effect of diphenylhydantoin on serum and secretory IgA concentrations. Arch Invest Med 11: 1–8Google Scholar
  17. 17.
    Aarli JA (1976) Phenytoin-induced depression of salivary IgA and gingival hyperplasia. Epilepsia 17: 283–291Google Scholar
  18. 18.
    Burns CA, Ebersole JL, Allansmith MR (1982) Immunoglobulin A antibody levels in human tears, saliva and serum. Infect Immun 36: 1019–1027Google Scholar
  19. 19.
    Gilhuis NE, Aarli JA (1981) Respiratory disease and nasal immunoglobulin concentrations in phenytoin-treated epileptic patients. Acta Neurol Scand 63: 34–43Google Scholar
  20. 20.
    Østergaard PA (1982) Combined IgA and alpha-1-antitrypsin deficiency in a boy with severe respiratory tract infections and asthma. Eur J Pediatr 138: 83–85Google Scholar
  21. 21.
    Buckley RH (1975) Clinical and immunological features of selective IgA deficiency. Birth Defects: Original Article Series XI: 134–142Google Scholar
  22. 22.
    Cooper MD, Buckley RH (1982) Developmental immunology and immunodeficiency diseases. J Am Med Assoc 248: 2658–2669Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • O. Meissner
    • 1
  • P. H. Joubert
    • 1
  • H. F. Joubert
    • 2
  • C. A. van der Merwe
    • 3
  1. 1.Department of Pharmacology and TherapeuticsMedunsaRepublic of South Africa
  2. 2.Department of Chemical PathologyMedunsaRepublic of South Africa
  3. 3.Institute for BiostatisticsTransvaalRepublic of South Africa

Personalised recommendations