Erschienen in:
01.03.2006
Immunological Basis for IgE Hyper-Production in Enfuvirtide-Treated HIV- Positive Patients
verfasst von:
Samuele E. Burastero, Clara Paolucci, Daniela Breda, Armando Soldarini, Fernanda Dorigatti, Elisa Soprana, Hamid Hasson, Priscilla Biswas, Adriano Lazzarin, Antonella Castagna
Erschienen in:
Journal of Clinical Immunology
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Ausgabe 2/2006
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Abstract
We previously reported that enfuvirtide (ENF) treatment is accompanied by a selective increase of serum IgE. We asked whether ENF had intrinsic capability to direct B-lymphocytes to switch to IgE and/or if it could drive CD4 T cells to a Th2 phenotype. ENF was added in vitro: (a) to B-lymphocytes stimulated with IgE-switch inducing stimuli; (b) to peripheral blood mononuclear cells. Total IgE production by B cells and IL4 and IFN-γ production by CD4 T lymphocytes were evaluated, respectively. ENF had no measurable effect on the IgE production by B-lymphocytes. In contrast, it sharply increased the IL4 to IFN-γ (a correlate of the Th2 phenotype) when added in vitro to T cells from healthy donors or from single ENF-treated patients. The hyper-IgE production in ENF-treated patients is associated with the in vitro induction of a type-2 phenotype in CD4 T cells.