Source:http://linkedlifedata.com/resource/pubmed/id/15208578
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
2004-6-21
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pubmed:abstractText |
Specific allergen injection immunotherapy is highly effective in IgE-mediated diseases, such as allergic rhinitis and venom anaphylaxis. Immunotherapy inhibits both early and late responses to allergen exposure. Immunotherapy is accompanied by increases in allergen-specific IgG, particularly the IgG4 isotype, which blocks not only IgE-dependent histamine release from basophils but also IgE-mediated antigen presentation to T cells. Immunotherapy acts on T cells to modify peripheral and mucosal T(H)2 responses to allergen in favor of T(H)1 responses. Recent studies have identified increased IL-10 production in peripheral blood and mucosal surfaces after immunotherapy. IL-10 has numerous potential antiallergic properties, including suppression of mast cell, eosinophil, and T-cell responses, as well as acting on B cells to favor heavy chain class switching to IgG4. These IL-10-producing cells might be so-called regulatory T cells and appear to be identified by the CD4(+)CD25(+) phenotype. Studies in mice suggest that dendritic cells play a vital role in induction of regulatory T cells. Novel approaches to immunotherapy currently being explored include the use of adjuvants, such as monophosphoryl lipid A or nucleotide immunostimulatory sequences derived from bacteria that potentiate T(H)1 responses. Alternative strategies include the use of allergen-derived peptides or modified recombinant allergen vaccines that act on T cells while minimizing the IgE-dependent mast cell activation that is dependent on the native allergen conformation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0091-6749
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
113
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1025-34; quiz 1035
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:15208578-Animals,
pubmed-meshheading:15208578-Desensitization, Immunologic,
pubmed-meshheading:15208578-Humans,
pubmed-meshheading:15208578-Immunoglobulin E,
pubmed-meshheading:15208578-Immunoglobulin G,
pubmed-meshheading:15208578-Interleukin-10,
pubmed-meshheading:15208578-T-Lymphocytes
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pubmed:year |
2004
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pubmed:articleTitle |
Mechanisms of immunotherapy.
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pubmed:affiliation |
Upper Respiratory Medicine, National Heart and Lung Institute, Imperial College School of Medicine, Doverhouse Street, London SW3 6LY, United Kingdom. stephen.till@imperial.ac.uk
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pubmed:publicationType |
Journal Article,
Review
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