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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
3
pubmed:dateCreated
1998-5-21
pubmed:abstractText
The mechanisms behind the effects of immunotherapy (IT) with birch-pollen extract are largely unknown. In this pilot study, we measured the cytokine secretion in vitro from peripheral blood mononuclear cells (PBMC) obtained from birch-pollen-allergic patients undergoing IT treatment (n = 4) or placebo administration (n = 4), collected before treatment, 1 and 4 weeks after start of treatment, and during and just after the pollen season (12-14 weeks after start of treatment). The PBMC were stimulated with birch-pollen extract in vitro for 7 days, followed by restimulation with the mitogens phytohemagglutinin (PHA) and phorbol 12-myristate 13-acetate (PMA) for 24 h, to enhance the production of cytokines. The supernatants were analyzed with ELISA and radioimmunoassay for interferon-gamma (IFN-gamma), interleukin (IL)-4, and IL-5. In the therapy group, we noted an increased secretion of IL-4 and IL-5 from PBMC collected at 4 weeks after the start of treatment (IL-4: 29 +/- 21 pg/ml [day 0] to 374 +/- 448 pg/ml [week 4], mean +/- SD; IL-5: 95 +/- 48 pg/ml to 1147 +/- 697 pg/ml). No increase was seen in the placebo group. During the pollen season, we noted a trend toward increased IL-4 and IL-5 secretion in both groups. We conclude that the temporary increase in serum IgE observed in many IT studies may be a consequence of increased IL-4 production due to the allergen exposure.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0105-4538
pubmed:author
pubmed:issnType
Print
pubmed:volume
53
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
275-81
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:9542607-Adult, pubmed-meshheading:9542607-Allergens, pubmed-meshheading:9542607-Asthma, pubmed-meshheading:9542607-Cells, Cultured, pubmed-meshheading:9542607-Desensitization, Immunologic, pubmed-meshheading:9542607-Double-Blind Method, pubmed-meshheading:9542607-Female, pubmed-meshheading:9542607-Humans, pubmed-meshheading:9542607-Immunoglobulin E, pubmed-meshheading:9542607-Immunoglobulin G, pubmed-meshheading:9542607-Interferon-gamma, pubmed-meshheading:9542607-Interleukin-4, pubmed-meshheading:9542607-Interleukin-5, pubmed-meshheading:9542607-Leukocytes, Mononuclear, pubmed-meshheading:9542607-Lymphocyte Activation, pubmed-meshheading:9542607-Male, pubmed-meshheading:9542607-Middle Aged, pubmed-meshheading:9542607-Pilot Projects, pubmed-meshheading:9542607-Pollen, pubmed-meshheading:9542607-Rhinitis, Allergic, Seasonal
pubmed:year
1998
pubmed:articleTitle
Allergen-specific increase in interleukin (IL)-4 and IL-5 secretion from peripheral blood mononuclear cells during birch-pollen immunotherapy.
pubmed:affiliation
Department of Asthma/Allergy, Pharmacia & Upjohn Diagnostics AB, Uppsala, Sweden.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial