'Gamma globulins', or Ig's, are a class of
proteins in the blood, identified by their position after
serum protein electrophoresis. The most significant gamma globulins are
antibodies.
Injections
Gamma globulin injections are usually given in an attempt to temporarily boost a patient's immunity against disease. Injections are most commonly used on patients who have been exposed to
hepatitis A or
measles, or to make a donor and a kidney recipient compatible regardless of blood type of tissue match. Injections are also used to boost immunity in patients who lack the ability to produce gamma globulins because of an
immune deficiency, such as
X-linked agammaglobulinemia and
hyper IgM syndrome. Such injections are less common in modern medical practice than they were previously, and injections of gamma globulin previously recommended for travelers have largely been replaced by the use of
hepatitis A vaccine.
Gamma globulin infusions are also used to treat immunological diseases, such as immunological thrombocytopenia purpura (ITP), a disease in which the platelets are being attacked by antibodies, leading to seriously low platelet counts. Gamma globulin apparently causes the spleen to ignore the antibody-tagged platelets, thus allowing them to survive and function.
Another theory on how gamma globulin administration works in autoimmune disease is by overloading the mechanisms which degrade gamma globulins. Over loading the degradation mechanism causes the harmful gamma globulins to have a much shorter halflife in sera.
Pathology
An excess is known as
hypergammaglobulinemia.
A disease of gamma globulins is called a "gammopathy" (for example, in
monoclonal gammopathy of undetermined significance.)
Disease treatments
★
Kawasaki disease
Kidney Transplant: Intravenous Gamma globulin was FDA approved in 2004 to reduce antibodies in a patient in kidney failure to allow that person to accept a kidney from a donor who has a different blood type, (ABO incompatible) or is an unacceptable tissue match. Dr. Stanley Jordan at Cedars-Sinai Medical Center in Los Angeles pioneered this treatment.
External links
★
★ http://www.sciencedaily.com/releases/2004/12/041208234532.htm