Summary:
The paper reviews results reached so far about avidity of immunoglobulins G in viral, parasitic and
bacterial infectious diseases.
The general introductory part begins with explanation of immunologic basis in maturation of
avidity of immunoglobulins G and proceeds up to a survey of methods used for the determination
of avidity. It also deals with the modes of evaluation in these methods and comments on their
advantages and disadvantages.
The part devoted to individual infectious diseases brings the most important information about
avidity of immunoglobulins G in specific infections, especially in view of their (even potential)
practical medical application, mainly in determining the phase of infection in pregnant women and
in patients after transplantation.
The highest attention is paid to herpes virus infections, especially the cytomegalus virus and the
infections with Epstein-Barr virus, rubella and toxoplasmosis, therefore those infections, which in
the given situations clearly demonstrated the contribution of avidity analysis in the solution of
interpretation-difficult conditions typical for serology, such as lasting levels of immunoglobulins M
and cross-reactivity of antibodies.
Key words:
avidity – immunoglobulins G – infectious diseases.
|