Gall Bladder: the Predominant Source of Bile IgA in Man?

The sedimentation profiles of IgA and Secretory Component (SC) and the concentrations of IgA, IgG, IgM, SC and albumin were evaluated after an overnight fast in gall bladder bile of six adult subjects without hepatobiliary disease. The sedimentation profiles differed from those previously obtained in hepatic bile in three ways: gall bladder bile contained a greater percentage of free-SC, a greater percentage of polymeric-IgA (p-IgA), and a major peak of 14 to 19 S p-IgA associated to SC. In contrast to hepatic bile in which IgG is the predominant Ig, IgA clearly was the predominant Ig in gall-bladder bile, its concentration averaging 92 micrograms/ml. Relative-to-albumin coefficients of excretion of proteins in gall bladder bile averaged 0.99 for IgG, 8.6 for monomeric IgA, 196 for p-IgA and 31 for IgM, indicating that there was a selective excretion of IgA and IgM into gall bladder bile. As compared to hepatic bile, the enrichment of gall bladder bile with IgA and IgM was respectively 6.5 and 11.5 times greater than with IgG. These results suggest that quite a significant amount of p-IgA could have been added to bile during its storage in the gall bladder which should therefore be regarded as the predominant source of bile IgA in humans.