Abstract
A high prevalence of work-related symptoms in relation to grain dust exposure
has been reported in grain dust workers, but the role of the specific IgG
antibody is unknown. To study the possible role of specific IgG (sIgG) and
specific IgG4 (sIgG4) in the development of work-related symptoms, sIgG and
sIgG4 subclass antibodies against grain dust antigens were determined by ELISA
in sera from 43 workers and 27 non-exposed controls. They were compared with
results of specific IgE antibodies, exposure intensity and the presence of
respiratory symptoms. SIgG and sIgG4 antibodies were detectable in almost all
sera of exposed workers, and the prevalence were significantly higher than those
of controls (p<0.05). Higher sIgG4 was noted in workers with specific IgE
(p<0.05). The correlation between sIgG and exposure duration was significant
(p<0.05). There was no association between the prevalence of sIgG and sIgG4 and
the presence of respiratory symptoms, or work stations. In conclusion, these
results suggest that the existence of sIgG and sIgG4 might represent a response
to grain dust exposure and may unlikely play a role in the etiology of
respiratory symptoms.