Treg Cells In Allergen-Specific Immunotherapy

treg cells
Treg cells or regulatory T cells constitute a large population of cellular infiltrate in atopic/allergic inflammation and a dysregulated immune response appears to be an important pathogenetic factor. Cardinal events during allergic inflammation can be classified as activation, organ-selective homing, survival and reactivation, and effector functions of immune system cells. T cells are activated by aeroallergens, food antigens, autoantigens, and bacterial exotoxins superantigens in allergic inflammation. They are under the influence of the skin, lung, or nose-related chemokine network and show organ-selective homing. (more…)

Foxp3 Forkhead Winged Transcription Factor & Mechanisms Of Suppression

foxp3
The intracellular forkhead winged transcription factor Foxp3 (forkhead box P3) appears to be specifically expressed by naturally occurring Treg cells, particularly in mice, although in humans there is evidence of upregulation of Foxp3 in all T cells on activation. Foxp3 is required for the development and function of naturally occurring regulatory t cells (treg) and expression is sufficient to convert non-regulatory CD4+CD25T cells into cells with regulatory activity. Conversion of peripheral CD4+CD25 naive T cells to Foxp3+CD4+CD25 foxp3+ Treg cells can be induced by TGF-ß. In a murine asthma model, these TGF-ß-induced Treg prevented house-dust mite-induced allergic pathogenesis or infection pathogenesis in lungs. A single independent report has suggested that IL-4 and IL-13 also induce Foxp3+CD25+ Treg from CD4+CD25precursors. (more…)

Effects Of Treatment With Anti-Immunoglobulin E Antibody Omalizumab

IgE plays an important role in allergic asthma. Reducing IgE in the airway mucosa should reduce airway inflammation. Omalizumab has significant anti-inflammatory effect and reduces serum and airway IgE, but IgE or eosinophils may not be causally linked to airway bronchial hyperresponsiveness to methacholine in mild to moderate asthma. (more…)

Antigen-Specific Cd4 T Cells Drive Airways Smooth Muscle Remodeling In Experimental Asthma

Cd4 T Cells
Airway hyper-responsiveness in asthma may involve smooth muscle growth, a manifestation of airway remodelling. The involvement of inflammatory cells in the induction of airway smooth muscle growth was studied in vivo and ex vivo in a brown Norway rat model of asthma. Transfer of CD4 + T lymphocytes from ovalbuminsensitized animals induced an increase in airway smooth muscle mass in naive animals upon repeated ovalbumin challenge. Ex vivo, coculture of antigen-stimulated CD4 + T cells and airway smooth muscle cells led to myocyte proliferation and prolonged T-cell survival. (more…)

Exhaled Leukotrienes In Asthma & Non-Asthmatic Adult Patients With Seasonal Allergic Rhinitis

Exhaled Leukotrienes
Leukotrienes are present in increased amounts in exhaled breath condensate (EBC) in patients with asthma. So far, no data have been reported about leukotriene levels in non-asthmatic patients with Seasonal Allergic Rhinitis. The aim of the study was to find out whether the leukotriene levels in exhaled breath condensate were increased in the non-asthmatic adult patients with Seasonal Allergic Rhinitis both during and after the pollen season in comparison with healthy controls, and to assess changes in leukotriene levels after the pollen season. Twentynine non-asthmatic adult patients with Seasonal Allergic Rhinitis and 50 healthy non-smoking controls underwent measurement of exhaled leukotrienes in the exhaled breath condensate during and after the pollen season. Spirometry, skin-prick tests and total IgE were also evaluated. (more…)

Otitis Media With Effusion: Allergic Inflammation In Middle Ear & Upper Airway

Otitis media with effusion is a chronic inflammatory disease of the middle ear space characterized by the accumulation of fluid. Previous investigations have suggested that the immunopathological mechanism underlying the development of middle ear effusion in allergy patients largely involves the effects of Th2 mediators. The investigators set out to determine whether the middle ear compartment may be a component of the united airways in allergic disease by comparing the inflammatory profiles of the middle ear with those of the upper airway. Middle ear effusions, torus tubaris (Eustachian tube mucosa at the nasopharyngeal orifice) and adenoidal tissue biopsies were obtained from 45 patients undergoing simultaneous tympanostomy tube placement for Otitis media with effusion and adenoidectomy for adenoid hypertrophy. (more…)

Infection and Atopy in the Pathogenesis of Childhood Asthma

infection atopy childhood asthma
It is clear from the results of large epidemiologic studies that while atopy is a major risk factor for asthma, it is usually not sufficient by itself to drive the disease process to chronicity, as less than 25% of atopics develop persistent asthma. The situation in childhood is further complicated by an additional series of development factors, related to postnatal maturation of respiratory function. (more…)

Nose Inflammation and Nasal Allergen

nose inflammation nasal allergen
After nasal allergen challenge, substance P and CGRP are released into nasal secretions of atopic patients . In allergic rhinitis patients, but not in normal control subjects, exogenous substance P induces nasal obstruction. (more…)

Gas Air Pollution and Their Effects to Asthma

air pollutants asthma effects
Sulfur Dioxide

The effects of SO2 have been extensively reviewed. Total emergency room visits for respiratory problems and increased hospital admission rates have been linked with increased ambient exposure to SO2. In children, decreased lung function has been linked to increases in ambient sulfur dioxide levels and the likelihood (more…)

Occupational Asthma Caused by Work Related Environment

work related asthma
Do you have occupational asthma or the condition where your asthma is triggered or even worsen when you are in your office or job? You are not alone in this situation. More than 10 million workers are exposed to allergens agents in their work environment, based on data from the Occupational Safety & Health Administration. Occupational asthma or work asthma or workplace asthma related to job/work is about 15 % from all kind of asthma altogether. Are you one of them? (more…)