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Increased serum and salivary immunoglobulins against Candida albicans in HIV-infected patients with oral candidiasis.

Abstract
The aim of this study was to explore anti-Candida albicans systemic and mucosal humoral responses against Candida virulence antigens such as somatic antigen and secreted aspartic proteases (Saps) in HIV-infected patients with oral candidiasis. Twenty-eight subjects were included in the study: 11 HIV-positive patients without oral candidiasis (group A), 6 HIV-positive patients with oral candidiasis (group B) and 11 HIV-negative healthy controls (group C). Total IgA, IgG and IgM concentrations and antibodies to C. albicans (somatic antigen, Sap1, Sap6) were measured in serum and saliva. We developed a time-resolved immunofluorometric assay with biotin and europium-labeled streptavidin for this purpose. Salivary total IgA, IgG and IgM concentrations were higher in group B. IgA, IgG and IgM anti-C. albicans antibodies (against somatic antigen, Sap1, Sap6) were higher in saliva and serum from patients from group B compared with patients from group A and controls. Our results suggest that, in oral candidiasis, HIV-infected patients have a high mucosal response, specifically directed against C. albicans virulence antigens, such as somatic antigen, Sap1 and Sap6.
AuthorsC Drobacheff, L Millon, M Monod, R Piarroux, E Robinet, R Laurent, D Meillet
JournalClinical chemistry and laboratory medicine (Clin Chem Lab Med) Vol. 39 Issue 6 Pg. 519-26 (Jun 2001) ISSN: 1434-6621 [Print] Germany
PMID11506465 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antibodies, Fungal
  • Antigens, Fungal
  • Immunoglobulin A
  • Immunoglobulin A, Secretory
  • Immunoglobulin G
  • Immunoglobulin M
  • Aspartic Acid Endopeptidases
Topics
  • AIDS-Related Opportunistic Infections (immunology)
  • Adult
  • Antibodies, Fungal (blood, metabolism)
  • Antigens, Fungal
  • Aspartic Acid Endopeptidases (immunology)
  • Candida albicans (enzymology, immunology, pathogenicity)
  • Candidiasis, Oral (complications, immunology)
  • Case-Control Studies
  • Female
  • HIV Infections (immunology)
  • Humans
  • Immunity, Mucosal
  • Immunoglobulin A (blood)
  • Immunoglobulin A, Secretory (metabolism)
  • Immunoglobulin G (blood, metabolism)
  • Immunoglobulin M (blood, metabolism)
  • Male
  • Middle Aged
  • Saliva (immunology)

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