PMID- 21466545 OWN - NLM STAT- MEDLINE DCOM- 20110520 LR - 20211020 IS - 1365-2249 (Electronic) IS - 0009-9104 (Print) IS - 0009-9104 (Linking) VI - 164 Suppl 2 IP - Suppl 2 DP - 2011 Jun TI - Intravenous immunoglobulins in immunodeficiencies: more than mere replacement therapy. PG - 2-5 LID - 10.1111/j.1365-2249.2011.04387.x [doi] AB - Intravenous immunoglobulin (IVIG) is a therapeutic compound prepared from pools of plasma obtained from several thousand healthy blood donors. For more than 20 years, IVIG has been used in the treatment of a wide range of primary and secondary immunodeficiencies. IVIG now represents a standard therapeutic option for most antibody deficiencies. Routinely, IVIG is used in patients with X-linked agammaglobulinaemia (XLA), common variable immunodeficiency (CVID), X-linked hyper-IgM, severe combined immunodeficiency, Wiskott-Aldrich syndrome, and selective IgG class deficiency. In addition, IVIG is used extensively in the treatment of a wide variety of autoimmune disorders. IVIG is administered at distinct doses in the two clinical settings: whereas immunodeficient patients are treated with replacement levels of IVIG, patients with autoimmune and inflammatory diseases are administered with very high doses of IVIG. Several lines of experimental evidence gathered in the recent years suggest that the therapeutic beneficial effect of IVIG in immunodeficiencies reflects an active role for IVIG, rather than a mere passive transfer of antibodies. CI - (c) 2011 The Authors. Clinical and Experimental Immunology (c) 2011 British Society for Immunology. FAU - Kaveri, S V AU - Kaveri SV AD - Institut National de la Sante et de la Recherche Medicale Unite 872, Paris, France. srini.kaveri@crc.jussieu.fr FAU - Maddur, M S AU - Maddur MS FAU - Hegde, P AU - Hegde P FAU - Lacroix-Desmazes, S AU - Lacroix-Desmazes S FAU - Bayry, J AU - Bayry J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Clin Exp Immunol JT - Clinical and experimental immunology JID - 0057202 RN - 0 (Immunoglobulins, Intravenous) SB - IM MH - Autoimmune Diseases/drug therapy MH - Humans MH - Immunoglobulins, Intravenous/*therapeutic use MH - Immunologic Deficiency Syndromes/*drug therapy MH - Treatment Outcome PMC - PMC3087903 EDAT- 2011/04/16 06:00 MHDA- 2011/05/21 06:00 PMCR- 2012/06/01 CRDT- 2011/04/07 06:00 PHST- 2011/04/07 06:00 [entrez] PHST- 2011/04/16 06:00 [pubmed] PHST- 2011/05/21 06:00 [medline] PHST- 2012/06/01 00:00 [pmc-release] AID - 10.1111/j.1365-2249.2011.04387.x [doi] PST - ppublish SO - Clin Exp Immunol. 2011 Jun;164 Suppl 2(Suppl 2):2-5. doi: 10.1111/j.1365-2249.2011.04387.x.