More than 35 years ago, study of an unknown immunoglobulin (Ig) in the seru
m from a myeloma patient led to the discovery of IgD. Subsequently, the fin
ding that it also exists as a membrane-bound Ig stimulated a large number o
f studies during the 70s. Then, the interest on IgD shrank, largely because
of the lack of known function of secretory IgD (secIgD) and of a stagnatin
g knowledge of the functions of surface IgD. In the recent years, very sign
ificant advances followed the tremendous accumulation of data on the physio
logy of the B cell receptor, of which IgD is the major component, on the ro
le of secIgD in normal and diseased individuals. This review, which is focu
sed on human IgD but integrates data in the mouse and other species when ne
eded, summarizes present data on the structure, synthesis and functions of
both membrane and secIgD, IgD receptors and the involvement of IgD in vario
us diseases, especially the hyperIgD syndrome. (C) 2001 Elsevier Science Lt
d. All rights reserved.