The table below summarises the characteristics of the 5 types of immunoglobulin found in the body:

Type Frequency Shape Notes
IgG 75% Monomer • Enhance phagocytosis of bacteria and viruses
• Fixes complement and passes to the fetal circulation
• Most abundant isotype in blood serum
IgA 15% Monomer/ dimer • IgA is the predominant immunoglobulin found in breast milk. It is also found in the secretions of digestive, respiratory and urogenital tracts and systems
• Provides localized protection on mucous membranes
• Most commonly produced immunoglobulin in the body (but blood serum concentrations lower than IgG.)
• Transported across the interior of the cell via transcytosis
IgM 10% Pentamer • First immunoglobulins to be secreted in response to an infection
• Fixes complement but does not pass to the fetal circulation
• Anti-A, B blood antibodies (note how they cannot pass to the fetal circulation, which could of course result in haemolysis)
Pentamer when secreted
IgD 1% Monomer • Role in immune system largely unknown
• Involved in activation of B cells
IgE 0.1% Monomer • Mediates type 1 hypersensitivity reactions
• Synthesised by plasma cells
• Binds to Fc receptors found on the surface of mast cells and basophils
• Provides immunity to parasites such as helminths
• Least abundant isotype in blood serum

Disease Associated raised immunoglobulin subtype
Alcoholic liver disease IgA
Primary biliary cirrhosis IgM
Autoimmune hepatitis IgG

Therapeutic IVIG

Uses

Basics