Serum proteins and fractions, HDL-cholesterol and total IgG and IgE levels in cases of acute and chronic paracoccidioidomycosis

Rev Soc Bras Med Trop. 2009 May-Jun;42(3):245-9. doi: 10.1590/s0037-86822009000300002.

Abstract

This study evaluated serum protein fractions, HDL-cholesterol, total immunoglobulin G and total immunoglobulin E levels in patients with acute and chronic paracoccidioidomycosis, by means of electrophoresis, enzymatic reaction and immunoenzymatic assay. The results demonstrated elevated levels of total immunoglobulin G, total immunoglobulin E, alpha-2 and gamma-globulins, which were more evident in acute than in chronic PCM, but no increase in HDL-cholesterol levels. There was a correlation between the levels of total immunoglobulin E and gamma-globulins and the alpha-2 and beta-globulin fractions in the acute form and between beta and gamma-globulins in both the acute and the chronic form. In conclusion, changes in total immunoglobulin G and immunoglobulin E levels and in the electrophoretic profile may be important markers for the prognosis and therapeutic follow-up of PCM cases, especially because protein electrophoresis is a simple laboratory test that can be applied when specific PCM serological tests are not available. In addition, levels of the gamma-globulin fraction greater than 2.0 g/dl may suggest that the patient is developing a more severe form of PCM.

MeSH terms

  • Acute Disease
  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Blood Proteins / analysis*
  • Child
  • Cholesterol, HDL / blood*
  • Chronic Disease
  • Electrophoresis, Cellulose Acetate
  • Enzyme-Linked Immunosorbent Assay
  • Female
  • Humans
  • Immunodiffusion
  • Immunoglobulin E / blood
  • Immunoglobulin G / blood*
  • Male
  • Middle Aged
  • Paracoccidioidomycosis / blood*
  • Paracoccidioidomycosis / immunology
  • Reference Values
  • Young Adult

Substances

  • Biomarkers
  • Blood Proteins
  • Cholesterol, HDL
  • Immunoglobulin G
  • Immunoglobulin E