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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1983-7-8
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pubmed:abstractText |
IgE-levels are markedly elevated following bone-marrow transplantation in patients with and without GVHD. In patients with GVHD, there is a significant correlation between the timing of the IgE-increase and the appearance of clinical GVHD (p less than 0.01). The highest IgE-level (8000 kU/l) was noted in a recipient of a syngeneic graft. During the IgE-peak, the serum from this patient contained low concentrations of IgE reacting with several tested allergens as well as for the hapten TNP, which indicated polyclonal activation. In a patient with a known allergy to animal danders, RAST tests were positive against dog and cat both before and six weeks after total body irradiation and transplantation with marrow from a non-allergic donor. A slight increase in the amount of allergen-specific, IgE-antibodies was seen during the increase in total IgE. A non-allergic patient was transplanted with marrow from a donor allergic to timothy. Timothy-specific, IgE-antibodies were detected immediately after transplantation but they disappeared within a few days and could not be detected during the period of increase in total IgE. We believe that the IgE-elevation seen after conditioning with cytotoxic drugs and total body irradiation in BMT-patients is a polyclonal response in host B-cells induced during an acute, GVHR and influenced by disturbed regulatory T-cells. Lymphocytes from patients with acute GVHD had unusually large numbers of IgG/PFC in vitro after stimulation with staph. aureus Cowan 1 (p less than 0.001), which may reflect a clonal expansion of responsive B-cells.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0105-2896
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
71
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
57-75
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:6343226-Adolescent,
pubmed-meshheading:6343226-Adult,
pubmed-meshheading:6343226-B-Lymphocytes,
pubmed-meshheading:6343226-Bone Marrow Transplantation,
pubmed-meshheading:6343226-Child,
pubmed-meshheading:6343226-Child, Preschool,
pubmed-meshheading:6343226-Female,
pubmed-meshheading:6343226-Graft vs Host Reaction,
pubmed-meshheading:6343226-Humans,
pubmed-meshheading:6343226-Immunoglobulin E,
pubmed-meshheading:6343226-Immunoglobulin G,
pubmed-meshheading:6343226-Immunologic Deficiency Syndromes,
pubmed-meshheading:6343226-Male,
pubmed-meshheading:6343226-Time Factors
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pubmed:year |
1983
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pubmed:articleTitle |
Are increased IgE-levels a signal of an acute graft-versus-host reaction?
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pubmed:publicationType |
Journal Article,
Comparative Study,
In Vitro,
Review,
Research Support, Non-U.S. Gov't
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