Abstract
Intravenous immunoglobulin is used to an increasing extent in various immune-mediated diseases, but its mechanism(s) of actionin vivo is incompletely understood. Previous studies have shown that intravenous immunoglobulin may interfere with autoantibodies and their production by B cells and also inhibit Fc-mediated antibody-dependent cytotoxicity. Here we describe a novel effect of intravenous immunoglobulin on proliferation ofin vitro activated peripheral blood lymphocytes and autonomously growing cell lines of various origin. Independently of whether proliferation was autonomous or induced by antigen-specific or antigen-nonspecific reagents, proliferation was inhibited in a dose-dependent fashion, as measured by reduced3H-thymidine and BrdU uptake and cell counting. The effect was not due to cytotoxic effects of intravenous immunoglobulin and was reversible after removing the intravenous immunoglobulin by washing. The IgG levels required for this inhibition of proliferation are supraphysiological but are reachedin vivo during treatment with intravenous immunoglobulin.
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van Schaik, I.N., Lundkvist, I., Vermeulen, M. et al. Polyvalent immunoglobulin for intravenous use interferes with cell proliferationin vitro . J Clin Immunol 12, 325–334 (1992). https://doi.org/10.1007/BF00920789
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DOI: https://doi.org/10.1007/BF00920789