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The causes of increase and decrease in immunoglobulin M

 
, medical expert
Last reviewed: 19.10.2021
 
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Since IgM-ATs appear in the first stage of the immune response and are mainly in the vascular bed, they play an important protective role in bacteremia in the early stages of infection. The polyvalence of these antibodies makes them particularly active in agglutination and lysis reactions. A decrease in their content indicates a lack of humoral immunity, a violation of synthesis or an increase in the catabolism of immunoglobulin M, and also its adsorption on immune complexes in inflammatory processes.

Changes in the concentration of immunoglobulin M in the blood serum for various diseases

Increase in concentrationReduction in concentration

Acute bacterial, fungal, parasitic and viral infections

Acute viral hepatitis

Autoimmune diseases

Cirrhosis of the liver

Rheumatoid arthritis

Systemic lupus erythematosus

Endothelioma, osteosarcoma

Myeloma disease

Waldenström macroglobulinemia

Candidamycosis, cystic fibrosis

Diseases of the respiratory tract

Monoclonal Gammopathy

Acute and chronic lymphatic leukemia

Physiological hypogammaglobulinemia (in children aged 3-5 months)

Congenital hypogammaglobulinemia or agammaglobulinemia

Diseases that lead to the exhaustion of the immune system:

  • neoplasms of the immune system;
  • condition after spleen removal;
  • intestinal and renal protein loss syndromes

Treatment with cytostatics and immunosuppressants, ionizing radiation

Chronic viral infection

Insufficiency of humoral immunity

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