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IgG4 in Human Colostrum and Human Milk: Continued Local Production or Selective Transport from Serum

ABSTRACT. Colostrum, mature milk, and paired plasma samples were obtained from 10 postpartum women who had not been previously studied. The geometric mean concentration of IgG4 in colostrum (3.3 μg/ml) was similar to the mean concentration in mature milk (3.0 μg/ml). The arithmetic mean for the percent of IgG = IgG4 was 10.3±3.3% for colostrum, 10.3±3.1% for mature milk, 2.6±0.3% for early plasma, and 1.7±0.3% for later plasma. Local mammary production of immunoglobulin was determined by subtracting the estimated serum contribution from the measured concentration in colostrum or milk. Evidence for local mammary production of IgG4 was found in 5 of 10 colostrum samples and 8 of 10 mature milk samples. These observations indicate that the previously observed selective enrichment of IgG4 in colostrum is also true for mature milk. These are the first studies suggesting continued local production of any immunoglobulin other than IgA in mature human breast milk.