In order to investigate the local immune defense mechanism of urinary tract disease, secretory IgA, which seemed to participate these local defense system, was measured in the urine of patient with lower urinary tract disease. Urinary IgA, IgE, IgG and IgM were estimated simultanously. The single radial immunodiffusion was used for all of the measurement.
The study was done in the patients with acute cystitis, chronic cystitis, acute pyelonephritis, non-infected urinary tract disease and normal adult.
1) Urinary secretory IgA levels showed a high value in most patients with cystitis, both acute and chronic form, but not in acute pyelonephritis.
2) In all of patients with non-infected urinary tract disease, urinary secretory IgA levels were below normal.
3) Urinary secretory IgA levels, in patients with urinary tract tumor, did not show a high value.
4) Furthermore, in urinary IgA, IgE, IgG and IgM, there was no statistical difference among each group, except IgG which was increased in some cases of urinary tract infection, especially chronic cystitis.
From these findings, we suggest that urinary secretory IgA level reflects the antibody response of the lower urinary tract infection.
View full abstract