The presence and measurement of secretory component in human bile and blood.
Five monoclonal antibodies which recognized three separate epitopes on the free secretory component molecule were produced using free secretory component obtained from human colostrum. Two-site immunoradiometric assays were developed to measure free secretory component and secretory IgA. Monoclonal antibody M9 was used on coated plates as the capture antibody. Monoclonal antibody M7 was used as the labelled signal antibody for the assay of free secretory component and a commercially available monoclonal anti-IgA antibody was used as the labelled signal antibody for the assay of secretory IgA. Free secretory component was found in human serum and bile. In serum, its concentration was raised in patients with high serum alkaline phosphatase due to liver disorders but not in patients with high serum alkaline phosphatase due to non-liver disorders. In bile from bile duct drains collected during the first week after liver transplantation, free secretory component was found in concentrations of up to 33 mg/l, in vast excess of that found in bile from gallstone patients (up to 0.3 mg/l). Bile from gallstone patients but not from liver transplant patients produced proteolytic degradation of free secretory component when incubated in vitro. The finding of large amounts of free secretory component, the free cleaved fragment of the polymeric IgA receptor in human bile, further supports the existence of the blood to bile transhepatocytic pathway in humans.
Perez
J H
JH
Department of Clinical Biochemistry, University of Cambridge, Addenbrooke's Hospital, UK.
Van Schaik
M
M
Mullock
B M
BM
Bailyes
E M
EM
Price
C P
CP
Luzio
J P
JP
D000469:Alkaline Phosphatase / Q000097:blood; D001646:Bile / Q000276:immunology*; D001667:Binding, Competitive; D002769:Cholelithiasis / Q000276:immunology; D003126:Colostrum / Q000276:immunology; D000939:Epitopes; D006801:Humans; D007071:Immunoglobulin A, Secretory / Q000032:analysis / Q000276:immunology; D015592:Immunoradiometric Assay / Q000379:methods*; D008107:Liver Diseases / Q000097:blood / Q000276:immunology / Q000378:metabolism; D016031:Liver Transplantation / Q000276:immunology; D012635:Secretory Component / Q000032:analysis* / Q000276:immunology / Q000378:metabolism; D012680:Sensitivity and Specificity
D000939:Epitopes; D007071:Immunoglobulin A, Secretory; D012635:Secretory Component; D000469:Alkaline Phosphatase