PMID- 15074465 OWN - NLM STAT- MEDLINE DCOM- 20041005 LR - 20071114 IS - 1433-6510 (Print) IS - 1433-6510 (Linking) VI - 50 IP - 3-4 DP - 2004 TI - Mechanisms of IVIG action in immune thrombocytopenic purpura. PG - 133-40 AB - Intravenous immunoglobulin (IVIG) has been an important therapy of immune thrombocytopenic purpura (ITP) for more than 20 years; however, questions still remain regarding the mechanisms of IVIG action in ITP. Recent reviews have focused on the hypotheses that IVIG effects are mediated via inhibition of Fc-receptor mediated platelet phagocytosis, suppression of anti-platelet antibody production, and anti-idiotypic inhibition of anti-platelet antibodies; however, new research suggests that a significant portion of IVIG benefit may be due to IVIG-mediated acceleration of the elimination of anti-platelet antibodies. It is anticipated that promising new therapies of ITP, and other autoimmune conditions, will be developed based on a better understanding of IVIG mechanism of action. FAU - Hansen, Ryan J AU - Hansen RJ AD - Department of Pharmaceutical Sciences, University at Buffalo, The State University of New York, Buffalo, New York 14260, USA. FAU - Balthasar, Joseph P AU - Balthasar JP LA - eng GR - HL67347/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - Germany TA - Clin Lab JT - Clinical laboratory JID - 9705611 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Animals MH - Autoantibodies/immunology MH - Blood Platelets/immunology MH - Humans MH - *Immunization, Passive MH - Immunoglobulins, Intravenous/*administration & dosage MH - Purpura, Thrombocytopenic, Idiopathic/*immunology/*therapy RF - 70 EDAT- 2004/04/13 05:00 MHDA- 2004/10/06 09:00 CRDT- 2004/04/13 05:00 PHST- 2004/04/13 05:00 [pubmed] PHST- 2004/10/06 09:00 [medline] PHST- 2004/04/13 05:00 [entrez] PST - ppublish SO - Clin Lab. 2004;50(3-4):133-40.