PMID- 10886251 OWN - NLM STAT- MEDLINE DCOM- 20000809 LR - 20190513 IS - 0009-9104 (Print) IS - 1365-2249 (Electronic) IS - 0009-9104 (Linking) VI - 121 IP - 1 DP - 2000 Jul TI - Intravenous immunoglobulin (IVIG) attenuates antibody binding in acute haemorrhagic immunopneumonitis in a rat model of complement-dependent lung injury. PG - 139-45 AB - Administration of rabbit anti-rat lung serum (PNTS) to rats produces a fulminant haemorrhagic pneumonitis sensitive to the availability of complement. The present experiments were undertaken to assess whether a high dose of IVIG can affect the development of this kind of cytotoxic reaction. The experimental design included groups of Wistar rats pretreated intravenously with physiologic saline, IVIG or a preparation of human F(ab')2 fragments. One hour later the animals were challenged with either saline or PNTS. At 30 min after challenge, blood was collected and the lungs were removed. Pulmonary damage was evaluated by light microscopy; C3 deposits and the binding of immunoglobulins to the alveolar septa were assayed by immunofluorescence. The serum complement activity of the classical and alternative pathways was estimated by a kinetic technique. Pretreatment with IVIG decreased binding of rabbit anti-lung antibodies to alveolar septa and prevented the deposition of C3. These results indicate that pretreatment with IVIG inhibits the binding of the pathogenic antibody to lung tissue. Human IgG binding was not detected in any animal. The protection against lung injury afforded by pretreatment with IVIG, in contrast to the pneumotoxic effect of PNTS observed in control animals, was evident despite the administration of F(ab')2 to the rats. Since pretreatment with F(ab')2 failed to prevent the acute lung lesion, our results indicate that the attenuation afforded by IVIG in this model of complement-dependent tissue injury seems to be related to the integrity of the IgG molecule. FAU - Dantas, M AU - Dantas M AD - Department of Clinical Medicine, School of Medicine of Ribeirao Preto, University of Sao Paulo, Ribeirao Preto, SP, Brazil. FAU - Costa, R S AU - Costa RS FAU - Barbosa, J E AU - Barbosa JE FAU - Graeff, M S AU - Graeff MS FAU - Sarti, W AU - Sarti W FAU - De Carvalho, I F AU - De Carvalho IF LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Complement C3) RN - 0 (Immunoglobulin Fab Fragments) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Acute Disease MH - Animals MH - Antibody Affinity/immunology MH - Complement C3/*immunology MH - Disease Models, Animal MH - Female MH - Humans MH - Immunoglobulin Fab Fragments MH - Immunoglobulin G/blood MH - Immunoglobulins, Intravenous/*immunology MH - Lung/*immunology/pathology MH - *Lung Injury MH - Pneumonia/*immunology/pathology MH - Rabbits MH - Rats MH - Rats, Wistar PMC - PMC1905663 EDAT- 2000/07/11 11:00 MHDA- 2000/08/12 11:00 PMCR- 2001/07/01 CRDT- 2000/07/11 11:00 PHST- 2000/07/11 11:00 [pubmed] PHST- 2000/08/12 11:00 [medline] PHST- 2000/07/11 11:00 [entrez] PHST- 2001/07/01 00:00 [pmc-release] AID - cei1252 [pii] AID - 10.1046/j.1365-2249.2000.01252.x [doi] PST - ppublish SO - Clin Exp Immunol. 2000 Jul;121(1):139-45. doi: 10.1046/j.1365-2249.2000.01252.x.