The role of circulating food antigen-specific lymphocytes in food allergic children with atopic dermatitis.

Autor: Reekers, R., Beyer, K., Niggemann, B., Wahn, U., Freihorst, J., Kapp, A., Werfel, T.
Předmět:
Zdroj: British Journal of Dermatology; Dec1996, Vol. 135 Issue 6, p935-941, 8p
Abstrakt: In this study we evaluated antigen-specific in vitro responses of peripheral blood lymphocytes to lipopolysaccharide (LPS)-depleted food allergens in children who reacted to food challenge (cow's milk or hen's egg) with a deterioration of their atopic dermatitis (AD). Some of the children showed immediate symptoms (urticaria. bronchial asthma or gastrointestinal symptoms) as well. The proliferation of casein-stimulated lymphocytes from children reacting to cow's milk (age 0.7-5.9 years) was significantly higher (P < 0.01) than the proliferation of lymphocytes from 15 children with AD without milk allergy (age: 2.1-9.1 years). Twenty-eight T-cell clones (TCC) were established from the blood of three children sensitized to cow's milk and hen's egg who reacted to double-blind, placebo-controlled oral food challenge both with a deterioration of AD and with immediate symptoms. Surprisingly. 16 of 28 casein- or ovalbumin-specific TCC were CD8+. All TCC produced high amounts of IFN-γ upon stimulation with concanavalin A. in addition, 75% of the CD4+ TCC and 44% of the CD8+ TCC secreted IL-4. Our results indicate that: (i) food-specific proliferation of blood lymphocytes can be detected in patients with clinically relevant food allergy with LPS-depleted allergens in vitro and (ii) circulating food-specific lymphocytes are CD4+ and CD8+. T cells with the capacity of producing both type 1 and type 2 cytokines. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index