title: Mitogen induced production of polyclonal IgG is decreased in women with severe endometriosis.
abstract: OBJECTIVE
  The etiology and/or pathogenesis of endometriosis may involve aspects of both humoral and cellular immunity.
  
  
  METHODS
  In this investigation, we analyzed the ability of B lymphocytes from distinct patient groups for production of IgG1, IgG2, and IgG3 following in vitro stimulation with polyclonal B-cell mitogens (pokeweed mitogen and Staphylococcus aureus Cowan strain I) after in vitro stimulation with polyclonal B-cell activators.
  
  
  RESULTS
  We observed that the in vitro production of IgG1, IgG2, and IgG3 was identical among fertile controls (no endometriosis; N = 22), infertile women without endometriosis (N = 22), infertile women without endometriosis (N = 20) and patients with stage 1 or 2 endometriosis (N = 31). In contrast, in vitro IgG2 production was significantly reduced among women with stage 3 or 4 endometriosis (N = 11) compared to controls (P < 0.001).
  
  
  CONCLUSIONS
  Since the number of circulating B cells was similar in each patient group studied, the reduced production of IgG2 in patients with stage 3 or 4 disease was not merely due to fewer antibody producing cells in those subjects, and we speculate that the observed decrease in polyclonal IgG2 production among these patients is due to a primary defect. In additional studies, we observed that polyclonal IgG2 production was normal among stage 3 or 4 patients treated with danazol (N = 11), but significantly reduced in patients treated with gonadotropin releasing hormone agonists (N = 8). Although not conclusive, these data suggest that danazol may have the capacity to correct the defective production of polyclonal IgG2 in patients with severe endometriosis.
authors.affiliation: Department of Immunology/Microbiology, Rush Medical College, Chicago, IL 60612.
authors.forename: H M
authors.initials: HM
authors.lastname: Gebel
authors.forename: D P
authors.initials: DP
authors.lastname: Braun
authors.forename: C
authors.initials: C
authors.lastname: Rotman
authors.forename: N
authors.initials: N
authors.lastname: Rana
authors.forename: W P
authors.initials: WP
authors.lastname: Dmowski
mesh_terms: D000917:Antibody Formation / Q000187:drug effects; D001402:B-Lymphocytes / Q000187:drug effects / Q000276:immunology; D003613:Danazol / Q000494:pharmacology* / Q000627:therapeutic use; D004715:Endometriosis / Q000188:drug therapy / Q000276:immunology*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000031:analogs & derivatives / Q000627:therapeutic use; D006801:Humans; D007074:Immunoglobulin G / Q000096:biosynthesis* / Q000276:immunology; D007247:Infertility, Female / Q000276:immunology; D007958:Leukocyte Count; D008213:Lymphocyte Activation / Q000187:drug effects; D016131:Lymphocyte Subsets; D011043:Pokeweed Mitogens / Q000494:pharmacology
chemical_list: D007074:Immunoglobulin G; D011043:Pokeweed Mitogens; D007987:Gonadotropin-Releasing Hormone; D003613:Danazol