Abstract
Background
With various methods, secretory immunoglobulin M (sIgM) was assessed in tears of patients with rhino-conjunctivitis.
Methods
Tears were analyzed by microimmunoelectrophoresis (MIE), size-exclusion high-pressure liquid chromatography (SE-HPLC), sodium dodecyl sulphate (SDS) electrophoresis and isoelectric focusing.
Results
Only very small traces of serum IgM could be found in tears of healthy volunteers. MIE showed that tear sIgM is different from serum IgM. The former migrates in the direction of the anode, while serum IgM migrates to the cathode. The SDS electropherogram of a number of patients showed an additional strong band of the sIgM μ-chain of ~68 kDa, after rhino-conjunctivitis. SE-HPLC showed two additional peaks for these patients, at 10.97 min and at 12.94 min, which were attributed to tear sIgM. The former peak consists of a complex of four sIgM molecules. One year later the chromatograms of the former rhino-conjunctivitis patients did not show any peak of sIgM in SE-HPLC.
Conclusions
Serum IgM of a molecular weight (MW) 970 kDa appears only in normal tears at very low concentrations, as a result of transudation from the serum. In contrast, sIgM is synthesized during rhino-conjunctivitis in high concentrations in the human lacrimal glands and the conjunctiva. These increased levels of tear sIgM are due to stimuli for specific protein synthesis.
Similar content being viewed by others
References
Aho HJ, Saari KM, Kallajoki M, Nevalainen TJ (1996) Synthesis of group II phospholipase A2 and lysozyme in lacrimal glands. Invest Ophthalmol Vis Sci 37:1826–1832
Allansmith MR (1973) Immunology of the tears. Int Ophthalmol Clin 13:47–72
Allansmith MR (1979) Defence of the ocular surface. Int Ophthalmol Clin 19:93–109
Allansmith MR, Kajiyama BA, Abelson MB, Simon MA (1976) Plasma cell content of main and accessory lacrimal glands and conjunctiva. Am J Ophthalmol 82:819–826
Allansmith MR, Ross RN (1986) Immunology of the tear film. In: Holly FJ (ed) The preocular tear film in health, disease and contact lens wear. Dry Eye Institute, Lubbock, Texas, pp 750–769
Altland K, Rossmann U (1985) Hybrid isoelectric focusing in rehydrated immobilized pH-gradients with added carrier ampholytes: demonstration of human globulins. Electrophoresis 6:314–325
Ballow M, Donshik P, Mendelson L, Rapacs P, Sparks K (1983) IgG specific antibodies to rye grass and ragweed pollen antigens in the tear secretions of patients with vernal conjunctivitis. Am J Ophthalmol 95:161–168
Ballow M, Mendelson L, Donshik P, Rooklin A, Rapacz P (1984) Pollen-specific IgG antibodies in the tears of patients with allergic-like conjunctivitis. J Allergy Clin Immunol 73:376–380
Bessems GJH, Bours J, Hofmann D, Födisch HJ (1990) Molecular mass distribution of water-soluble crystallins from the human foetal lens during development. J Chromatogr Biomed Appl 529:277–286
Bours J (2000) The protein distribution of aqueous humor, cerebrospinal, subretinal and tear fluid of several species, before and after disruption of the blood/body fluid barriers. Shaker, Aachen, pp. 1–262 (monograph, in German) {http://www.shaker.de and info@shaker.de; ISBN 3-8265-7212-2}
Bours J, Reitz C, Strobel J, Breipohl W (2000) The occurrence of sIgM in tears of patients with primary infections. Ophthalmic Res 32(S2):140
Coyle PK, Sibony PA (1986) Tear immunoglobulins measured by ELISA. Invest Ophthalmol Vis Sci 27:622–625
Domingo I, Coll J, Ribas-Montobio J, Marrugat J, Rubies-Prat J (1998) Lacrimal immunoglobulins in rheumatoid arthritis patients with or without Sjogren’s syndrome. Ophthalmologica (Basel) 212:30–33
Donshik PC, Ballow M (1983) Tear immunoglobulins in giant papillary conjunctivitis induced by contact lenses. Am J Ophthalmol 96:460–466
Fields BN, Knipe DM, Howley PM (2001) Virology, vol 1. Lippincott-Raven, Philadelphia
Franklin RM, Kenyon KR, Tomasi T (1973) Immunohistologic studies of human lacrimal gland: localization of immunoglobulins, secretory component and lactoferrin. J Immunol 110:984–992
Fullard RJ (1988) Identification of proteins in small tear volumes with and without size exclusion HPLC fractionation. Curr Eye Res 7:163–179
Fullard RJ, Snyder C (1990) Protein levels in nonstimulated and stimulated tears of normal human subjects. Invest Ophthalmol Vis Sci 31:1119–1126
Glasson MJ, Molloy MP, Walsh BJ, Willcox MDP, Morris CA, Williams KL (1998) Development of mini-gel technology in two-dimensional electrophoresis for mass-screening of samples: application to tears. Electrophoresis 19:852–855
Grabar P, Williams AC (1953) Méthode permettant l’étude conjugée des propriétés électrophorétiques et immuno-chimiques d’un mélange de protéines. Application au sérum sanguin. Biochim Biophys Acta 10:193–194
Greiling A, Gressner AM (1985) Spezielle pathobiochemie und klinisch-chemische Diagnostik. In: Greiling A, Gressner AM (eds) Lehrbuch der Klinischen Chemie und Pathobiochemie. Schattauer, Stuttgart, pp 193–529
Janeway CA, Travers P (1996) Immunobiology. The immune system in health and disease. Current biology, 2nd edn. Churchill Livingstone, Garland, pp 299–308
Knop N, Knop E (2000) Conjunctiva-associated lymphoid tissue in the human eye. Invest Ophthalmol Vis Sci 41:1270–1279
Kuizenga A, Stolwijk TR, van Agtmaal EJ, van Haeringen NJ, Kijlstra A (1990) Detection of secretory IgM in tears of IgA deficient individuals. Curr Eye Res 9:997–1005
Kuizenga A, van Haeringen NJ, Kijlstra A (1991) SDS-minigel electrophoresis of human tears. Effect of sample treatment on protein patterns. Invest Ophthalmol Vis Sci 32:381–386
Kijlstra A, Kuizenga A (1994) Analysis and function of the human tear proteins. In: Sullivan DA (ed) Lacrimal gland, tear film and dry eye syndromes. Plenum, New York, pp 299–308
Lal H, Ahluwalia BK, Khurana AK, Aggarwal DC, Sharma A (1990) Serum and tear immunoglobulins in bacterial, fungal and viral corneal ulcers. Acta Ophthalmol (Kbh) 68:71–74
Lundh RL (1985) Biochemical and immunological response of tears of 30 aphakic eyes half of which had received implants and the other half contact lenses. Ophthalmologica (Basel) 91:164–171
Mannucci LL, Pozzan M, Fregona I, Sacchi AG (1984) The effect of extended wear contact lenses on tear immunoglobulins. CLAO J 10:163–165
Martino G, Servalli C, Filippi M, Buscemi M, Martinelli V, Furlan R, et al (1993) Absence of oligoclonally restricted immunoglobulins in tears from multiple sclerosis patients. J Neuroimmunol 44:149–156
McClellan BH, Whitney CR, Newman LP, Allansmith MR (1993) Immunoglobulins in tears. Am J Ophthalmol 76:89–96
Michov BM (1990) Electrophoresis in an expanded stationary boundary. Electrophoresis 11:289–292
Michov BM (1992) A TRIS formate taurinate buffer system for SDS electrophoresis in homogeneous polyacrylamide gel slabs. GIT Fachz Lab 36:746–749
Reitz C (1997) Electrophoretic and chromatographic studies of proteins in human tears. PhD thesis, University of Bonn
Reitz C, Breipohl W, Augustin A, Bours J (1998) Analysis of tear proteins by one-and two-dimensional thin-layer isoelectric focusing, sodium dodecylsulfate electrophoresis and lectin blotting. Detection of a new component: cystatin C. Graefes Arch Clin Exp Ophthalmol 236:894–899
Saari KM, Aine E, Parviainen MT (1985) Determination of protein content in ocular fluids by high-performance gel filtration chromatography. In: O’Connor GR, Chandler JW (eds) Advances in immunology and immunopathology of the eye. Masson, New York, pp 258–262, Chapter 63
Saleh AM, Ibrahim IM (1995) Electrophoretic polymorphism in rabbit tear lysozyme. Comp Biochem Physiol 112B:21–30
Sen DK, Sarin GS (1979) Immunoglobulin concentrations in human tears in ocular diseases. Br J Ophthalmol 63:297–300
Schauer R (1982) Chemistry, metabolism and biological functions of sialic acids. Academic, New York, pp 131–232
Stuchell RN, Feldman JJ, Farris RL, Mandel ID (1984) The effect of collection technique on tear composition. Invest Ophthalmol Vis Sci 25:374–377
Sullivan DA (1999) Immunology of the lacrimal gland and tear film. In: Pleyer U, Zierhut M, Behrens-Baumann W (eds) Immuno-ophthalmology. Karger, Basel, Developm Ophthalmol 30:39–53
Van Haeringen NJ (1981) Clinical biochemistry of tears. Surv Ophthalmol 26:84–96
Wotherspoon AC, Hardman-Lea S, Isaacson PG (1994) Mucosa-associated lymphoid tissue (MALT) in the human conjunctiva. J Pathol 174:33–37
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Bours, J., Reitz, C., Strobel, J. et al. Detection of secretory IgM in tears during rhino-conjunctivitis. Graefe's Arch Clin Exp Ophthalmol 243, 456–463 (2005). https://doi.org/10.1007/s00417-004-1048-y
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00417-004-1048-y