Immunoglobulin G (IgG) is the most abundant antibody in your bloodstream, and it plays a central role in defending against bacteria, viruses, and toxins. What many people don’t realize is that IgG isn’t just one type of antibody—it comes in four distinct subclasses: IgG1, IgG2, IgG3, and IgG4. Each subclass has subtle but important structural and functional differences that allow your immune system to respond with remarkable precision to different types of threats. Measuring the levels of these subclasses can uncover nuanced immune problems that standard IgG tests might miss.
Here’s how the subclasses differ and why they matter:
Measuring IgG subclasses is particularly helpful when someone has frequent infections but normal total IgG levels. This test can detect subtle deficiencies—like low IgG2 or IgG3—that impair the body’s ability to respond to specific types of bacteria or viruses. For example, a person might struggle with recurring sinus or lung infections due to a hidden IgG2 deficiency that affects their response to pneumococcal vaccines.
On the other end of the spectrum, abnormally high levels of a single subclass can point to autoimmune conditions or blood cancers. Elevated IgG4 is associated not just with allergy and chronic inflammation, but also with autoimmune skin conditions (like pemphigus) and kidney diseases such as membranous nephropathy.
Importantly, subclass imbalances can also occur in healthy people and don’t always signal disease. That’s why results are interpreted in the context of symptoms, vaccine responses, and sometimes genetic background. For instance, some inherited “allotypes”—natural variations in antibody structure—can cause unusually high levels of a single subclass. In these cases, the results are still useful, but the interpretation is more complex.