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PMID: 15742161 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't

Immunological status in the aetiology of recurrent otitis media with effusion: serum immunoglobulin levels, functional mannose-binding lectin and Fc receptor polymorphisms for IgG.

Journal of clinical immunology ·Vol. 25 ·No. 1 ·2005-01-00 ·Pages 78-86

Straetemans M, Wiertsema SP, Sanders EA, Rijkers GT, Graamans K, van der Baan B, Zielhuis GA

Abstract

The objective was to study the role of serum immunoglobulin levels, mannose-binding lectin (MBL), and Fc gamma receptor (FcgammaR) polymorphisms on the development of recurrent otitis media with effusion (OME). Children aged between two and seven years with persisting OME received bilateral tympanostomy tubes and immunological parameters were investigated in relation with OME recurrence within six months after tube extrusion. No statistically significant differences in serum immunoglobulin levels were present between children with and without OME recurrence. In children with bilateral recurrence (n = 56), median levels of MBL were 1.39 mg/L compared to 2.48 mg/L in children with OME recurrence (n = 17) (p = 0.29). In addition, 34% of the children with bilateral recurrence were homozygous for the genotype FcgammaRIIa-R/R131, whereas less than 20% of the children with unilateral recurrence or those without recurrence were homozygous for this Fcgamma receptor (p = 0.26). Serum mannose-binding lectin and FcgammaRIIa-R/R131 polymorphism may play a role in the aetio-pathogenesis of recurrent OME.

MeSH Terms
Child Child, Preschool Homozygote Humans Immunoglobulin G/blood Immunoglobulins/blood,immunology Mannose-Binding Lectin/blood Otitis Media with Effusion/genetics,immunology Polymorphism, Genetic Receptors, IgG/blood,genetics Recurrence
Chemicals
Immunoglobulin G Immunoglobulins Mannose-Binding Lectin Receptors, IgG
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Straetemans Masja
Department of Epidemiology and Biostatistics, University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Wiertsema Selma P
Sanders Elisabeth A M
Rijkers Ger T
Graamans Kees
van der Baan Bert
Zielhuis Gerhard A
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Article Info
Journal
Journal of clinical immunology
Abbr.
J Clin Immunol
ISSN
0271-9142
Published
2005-01-00
Pages
78-86
Language
English
Region
Netherlands
NLM ID
8102137
Subset
IM
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