PMID- 8828946 OWN - NLM STAT- MEDLINE DCOM- 19961210 LR - 20170112 IS - 0392-856X (Print) IS - 0392-856X (Linking) VI - 14 Suppl 15 DP - 1996 May-Jun TI - Effect of intravenous gammaglobulin on organ specific antibodies and lymphocyte subsets. PG - S37-40 AB - OBJECTIVE: The intravenous (i.v.) administration of immunoglobulins (Ig) has resulted in clinical improvement and decreased autoantibody titers in a large number of autoimmune diseases. In this study, the in vivo effects of polyvalent Ig for i.v. use (IVIG) on the level and course of organ-specific antibodies and lymphocyte subsets in patients with autoimmune thyroid disease (ATD) were assessed. METHODS: 19 patients were treated with prednisolone (P) while 21 patients received IVIG. Thyroid microsomal, thyroglobulin- and thyrotropin-receptor autoantibodies (Abs), as well as the lymphocyte ratio CD4/CD8, were measured before and at the end of immunosuppressive therapy. RESULTS: Among the patients treated with IVIG, there was a marked decrease (p < 0.0001) in the microsomal, thyroglobulin and TSH-receptor Abs titers. Significant changes in the titers were also observed after P therapy. The lymphocyte ratio dropped markedly in both groups (p < 0.0005). CONCLUSION: The significant decrease in organ specific Abs in the IVIG group may be explained in terms of a direct and local immunosuppressive effect of the drug on the intrathyroid lymphocytes. FAU - Kahaly, G J AU - Kahaly GJ AD - Department of Medicine III, Gutenberg-University Hospital, Mainz, Germany. LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - Italy TA - Clin Exp Rheumatol JT - Clinical and experimental rheumatology JID - 8308521 RN - 0 (Autoantibodies) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Receptors, Thyrotropin) RN - 554Z48XN5E (Methimazole) RN - 9PHQ9Y1OLM (Prednisolone) SB - IM MH - Antibody Formation/*drug effects MH - Autoantibodies/immunology MH - CD4-CD8 Ratio MH - Humans MH - Immunity, Cellular/*drug effects MH - Immunoglobulins, Intravenous/*pharmacology MH - Lymphocyte Subsets/*drug effects MH - Methimazole/administration & dosage MH - Microsomes/immunology MH - Prednisolone/pharmacology MH - Receptors, Thyrotropin/immunology MH - Thyroid Gland/immunology EDAT- 1996/05/01 00:00 MHDA- 1996/05/01 00:01 CRDT- 1996/05/01 00:00 PHST- 1996/05/01 00:00 [pubmed] PHST- 1996/05/01 00:01 [medline] PHST- 1996/05/01 00:00 [entrez] PST - ppublish SO - Clin Exp Rheumatol. 1996 May-Jun;14 Suppl 15:S37-40.