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Jens Christian Jensenius

Reconstitution of opsonizing activity by infusion of mannan-binding lectin (MBL) to MBL-deficient humans

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  • Department of Medical Microbiology and Immunology
Mannan-binding lectin (MBL, previously named mannan-binding protein, MBP) is a serum collectin, which activates complement upon binding to microbial carbohydrates. This results in opsonization of the microorganisms as well as direct complement-mediated killing. Clinical evidence indicates that MBL has an important role in the innate immune defence against various pathogens. Genetically determined MBL deficiency is associated with increased susceptibility to infections. We have infused two MBL-deficient individuals with clinical grade MBL, purified from pooled donor plasma, in doses sufficient to attain normal concentration of MBL in serum. This resulted in normalization of complement-mediated opsonization. An initial rapid decrease in the serum concentration of MBL was followed by a slower decline with an estimated half-life of about 6 days. No adverse effects were observed and anti-MBL antibodies could not be detected following several MBL infusions. One of the two MBL recipient, a two-year-old girl, who had been suffering from repeated infections from the age of 4 months, was given a total of six MBL infusions. She has subsequently remained healthy for more than three years.
Original languageEnglish
JournalScandinavian Journal of Immunology
Volume48
Issue2
Pages (from-to)116-23
Number of pages8
ISSN0300-9475
Publication statusPublished - 1 Aug 1998

    Research areas

  • Adult, Carrier Proteins, Child, Preschool, Collectins, Drug Stability, Female, Humans, Immunologic Deficiency Syndromes, Lectins, Male, Mannans, Opsonin Proteins

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