Abstract
Background and objectives: We previously found that interferon-y (IFN-γ)antibodies in intravenous immunoglobulins (IVIG) can block not only IFN-γproduction and tumor necrosis factor-a secretion, but also T-cell proliferation. Since the presence of IFN-γ antibodies has been attributed to previous viral infection,we hypothesized that the viral status of the plasma donors used for IVIG pools might be a decisive factor in controlling the immunosuppressive capacity of IVIG. Materials and methods: We tested three different pooled, human IVIG preparations for the presence of IFN-γ antibodies by ELISA. Results:Comparison of the immunomodulatory activity of polyvalent IVIG with that of specific CMV and HBs IVIG showed that the latter had higher levels of IFN-γantibodies and an increased capacity to block mixed lymphocyte reaction and cytokine production. Conclusion: We propose that these in vitro assays constitute a basis for the selection of plasma intended for manufacturing IVIG aimed at immunosuppression in the transplant setting.