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and Immunological Aspects of Penicillin Allergy 239 Fractionation and ultracentrifugation studies have indicated th at at least two types o f antibodies may be responsible for the hem agglutination reactions observed in hum an sera (22, 50, 59). T he most frequently encountered antibody is a 19 S macroglobulin with y 1 electrophoretic mobility. This IgM antibody may be present even in patients treated with PN w ithout any apparent allergic reaction. It does not seem to transfer PPL or PN skin hypersensitivity to guinea-pigs (50, 16), m an (16) or monkeys (16). Its pathogenic significance is therefore questionable and it might possibly be con sidered as analogous to the ‘blocking’ antibodies appearing in the sera of allergic and normal individuals upon injection with pollen allergens. Another hem agglutinating antibody to be less frequently en countered is a 7 S y globulin with y 2 electrophoretic mobility. The relationship of this antibody w’ith PN allergy and its ability to trans fer PPL skin hypersensitivity have not yet been sufficiently investi gated. Finally, antibodies ofreaginic type responsible for the transfer of PPL skin hypersensitivity may be separated from the macroglobu lin hemagglutinating hum an anti-PN C O yl antibodies (16).
International Archives of Allergy and Immunology – Karger
Published: Jan 1, 2010
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