1. CD4+ cells proliferate after peanut-extract-specific and CD8+ cells proliferate after polyclonal stimulation of PBMC of children with atopic dermatitis.
- Author
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Laan MP, Tibbe GJ, Oranje AP, Bosmans EP, Neijens HJ, and Savelkoul HF
- Subjects
- Antibodies, Monoclonal immunology, Arachis adverse effects, Arachis chemistry, CD4-Positive T-Lymphocytes immunology, CD4-Positive T-Lymphocytes metabolism, CD8-Positive T-Lymphocytes immunology, CD8-Positive T-Lymphocytes metabolism, Case-Control Studies, Child, Child, Preschool, Cytokines genetics, Cytokines metabolism, Dermatitis, Atopic complications, Epitopes, Female, Food Hypersensitivity complications, Food Hypersensitivity immunology, Gene Expression genetics, Humans, Infant, Ki-67 Antigen analysis, Ki-67 Antigen drug effects, Leukocytes, Mononuclear drug effects, Leukocytes, Mononuclear immunology, Lymphocyte Activation genetics, Male, Phenotype, Plant Extracts immunology, Antibodies, Monoclonal pharmacology, CD4-Positive T-Lymphocytes cytology, CD8-Positive T-Lymphocytes cytology, Dermatitis, Atopic immunology, Leukocytes, Mononuclear metabolism, Lymphocyte Activation drug effects, Plant Extracts pharmacology
- Abstract
Background: Few studies describe in vitro food-allergen induced proliferative responses and cytokine production of PBMC of children with atopic dermatitis. This is especially true for peanut-allergen., Objectives: To analyse the specificity of the T cell in proliferative responses, in children with atopic dermatitis with or without peanut allergy and healthy age-matched children., Methods: Proliferative responses were measured by [3H]-thymidine incorporation and by expression of the intracellular Ki67-antigen using flow cytometry after antigen-specific stimulation of PBMC with peanut-extract (day 7) or polyclonal stimulation with Phorbol-12myristate-13acetate and Ca-ionophore (day 3). Cytokine mRNA (Interferon-gamma (IFNgamma), IL-4) was detected by semiquantitative RT-PCR. Cytokine production (IL-4, IFNgamma) was measured by ELISA., Results: Peanut-extract induced proliferative responses of PBMC from children with atopic dermatitis and peanut allergy (AD+PA+) were significantly higher as compared with the other groups studied. Ki67-antigen double staining revealed that 80-100% of the proliferating cells were CD4+. These proliferative responses correlated significantly with the increase in IL-4 mRNA expression after peanut-extract specific stimulation. After polyclonal stimulation, however, CD8+ cells preferentially proliferated. The degree of proliferation after polyclonal stimulation correlated inversely with the ratio of IL-4/IFNgamma production., Conclusions: The principal responding population of T cells in proliferative responses is different after peanut-extract specific and polyclonal stimulation of PBMC from AD+PA+ patients. Furthermore, we found indirect evidence that the PBMC fraction of AD+PA+ children contains increased frequencies of peanut-specific T helper-2 cells.
- Published
- 1998
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