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Erschienen in: Inflammation Research 7/2012

01.07.2012 | Original Research Paper

Immunological markers in allergic rhinitis patients treated with date palm immunotherapy

verfasst von: Ghada Boghdadi, Ayman Marei, Atef Ali, Gamal Lotfy, Magdi Abdulfattah, Samir Sorour

Erschienen in: Inflammation Research | Ausgabe 7/2012

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Abstract

Objective

Allergic rhinitis (AR) is regulated by the local production and release of several cytokines. Allergen specific immunotherapy (IT) has been widely used for many years as a specific treatment of allergic diseases. This study aimed to investigate the changes in clinical and immunological markers before and after Phoenix dactylifera IT in AR patients.

Materials and methods

Total symptom score and levels of total immunoglobulin E (IgE), albumin, interferon (IFN)-γ, tumor necrosis factor (TNF)-α, interleukin (IL)-10, IL-4, and IL-13 were measured in the serum and nasal samples of thirty non-atopic healthy controls and thirty patients with allergic rhinitis before and after 15 months of IT.

Results

We found significantly higher concentrations of serum TNF-α and nasal TNF-α and IL-13, and significantly lower concentration of nasal IL-10, in allergic patients than in non-allergic. Moreover, serum and nasal IL-10 increased significantly after IT. However, there was neither a significant reduction in total IgE nor a significant increase in IFN-γ at the end of IT.

Conclusions

Our data show a clinical improvement associated with a decline in some inflammation parameters after IT. Moreover, date palm IT induced a significant increase in serum and nasal IL-10 levels.
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Literatur
1.
Zurück zum Zitat Bousquet J, Van Cauwenberge P, Khaltaev N. Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol. 2001;108(Suppl 5):S147–334.PubMedCrossRef Bousquet J, Van Cauwenberge P, Khaltaev N. Allergic rhinitis and its impact on asthma. J Allergy Clin Immunol. 2001;108(Suppl 5):S147–334.PubMedCrossRef
2.
Zurück zum Zitat Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, van Wijk RG, Ohta K, Zuberbier T, Schunemann HJ. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126(3):466–76.PubMedCrossRef Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, van Wijk RG, Ohta K, Zuberbier T, Schunemann HJ. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126(3):466–76.PubMedCrossRef
3.
Zurück zum Zitat Min YG. The pathophysiology, diagnosis and treatment of allergic rhinitis. Allergy Asthma Immunol Res. 2010;2:65–76.PubMedCrossRef Min YG. The pathophysiology, diagnosis and treatment of allergic rhinitis. Allergy Asthma Immunol Res. 2010;2:65–76.PubMedCrossRef
4.
Zurück zum Zitat Leung DY. Immunologic basis of chronic allergic diseases: clinical messages from the laboratory bench. Pediatr Res. 1997;42(5):559–68.PubMedCrossRef Leung DY. Immunologic basis of chronic allergic diseases: clinical messages from the laboratory bench. Pediatr Res. 1997;42(5):559–68.PubMedCrossRef
5.
Zurück zum Zitat Ng ML, Warlow RS, Chrishanthan N, Ellis C, Walls RS. Preliminary criteria for the definition of allergic rhinitis: a systematic evaluation of clinical parameters in a disease cohort (II). Clin Exp Allergy. 2000;30(10):1417–22.PubMedCrossRef Ng ML, Warlow RS, Chrishanthan N, Ellis C, Walls RS. Preliminary criteria for the definition of allergic rhinitis: a systematic evaluation of clinical parameters in a disease cohort (II). Clin Exp Allergy. 2000;30(10):1417–22.PubMedCrossRef
6.
Zurück zum Zitat Passalacqua G, Durham SR. Allergic rhinitis and its impact on asthma update: allergen immunotherapy. J Allergy Clin Immunol. 2007;119(4):881–91.PubMedCrossRef Passalacqua G, Durham SR. Allergic rhinitis and its impact on asthma update: allergen immunotherapy. J Allergy Clin Immunol. 2007;119(4):881–91.PubMedCrossRef
7.
Zurück zum Zitat Rossi RE, Monasterolo G, Coco G, Silvestro L, Operti D. Evaluation of serum IgG4 antibodies specific to grass pollen allergen components in the follow up of allergic patients undergoing subcutaneous and sublingual immunotherapy. Vaccine. 2007;25(5):957–64.PubMedCrossRef Rossi RE, Monasterolo G, Coco G, Silvestro L, Operti D. Evaluation of serum IgG4 antibodies specific to grass pollen allergen components in the follow up of allergic patients undergoing subcutaneous and sublingual immunotherapy. Vaccine. 2007;25(5):957–64.PubMedCrossRef
8.
Zurück zum Zitat Jayasekera NP, Toma TP, Williams A, Rajakulasingam K. Mechanisms of immunotherapy in allergic rhinitis. Biomed Pharmacother. 2007;61(1):29–33.PubMedCrossRef Jayasekera NP, Toma TP, Williams A, Rajakulasingam K. Mechanisms of immunotherapy in allergic rhinitis. Biomed Pharmacother. 2007;61(1):29–33.PubMedCrossRef
9.
Zurück zum Zitat Wilson DR, Irani AM, Walker SM, Jacobson MR, Mackay IS, Schwartz LB, Durham SR. Grass pollen immunotherapy inhibits seasonal increases in basophils and eosinophils in the nasal epithelium. Clin Exp Allergy. 2001;31(11):1705–13.PubMedCrossRef Wilson DR, Irani AM, Walker SM, Jacobson MR, Mackay IS, Schwartz LB, Durham SR. Grass pollen immunotherapy inhibits seasonal increases in basophils and eosinophils in the nasal epithelium. Clin Exp Allergy. 2001;31(11):1705–13.PubMedCrossRef
10.
Zurück zum Zitat Varney VA, Hamid QA, Gaga M, Ying S, Jacobson M, Frew AJ, Kay AB, Durham SR. Influence of grass pollen immunotherapy on cellular infiltration and cytokine mRNA expression during allergen-induced late-phase cutaneous responses. J Clin Invest. 1993;92(2):644–51.PubMedCrossRef Varney VA, Hamid QA, Gaga M, Ying S, Jacobson M, Frew AJ, Kay AB, Durham SR. Influence of grass pollen immunotherapy on cellular infiltration and cytokine mRNA expression during allergen-induced late-phase cutaneous responses. J Clin Invest. 1993;92(2):644–51.PubMedCrossRef
11.
Zurück zum Zitat Marcucci F, Sensi L, Di Cara G, Incorvaia C, Puccinelli P, Scurati S, Frati F. Which allergen extract for grass pollen immunotherapy? An in vitro study. Immunol Invest. 2010;39(6):635–44.PubMedCrossRef Marcucci F, Sensi L, Di Cara G, Incorvaia C, Puccinelli P, Scurati S, Frati F. Which allergen extract for grass pollen immunotherapy? An in vitro study. Immunol Invest. 2010;39(6):635–44.PubMedCrossRef
12.
Zurück zum Zitat Kwaasi AA, Harfi HA, Parhar RS, Al-Sedairy ST, Collison KS, Panzani RC, Al-Mohanna FA. Allergy to date fruits: characterization of antigens and allergens of fruits of the date palm (Phoenix dactylifera L.). Allergy. 1999;54(12):1270–7.PubMedCrossRef Kwaasi AA, Harfi HA, Parhar RS, Al-Sedairy ST, Collison KS, Panzani RC, Al-Mohanna FA. Allergy to date fruits: characterization of antigens and allergens of fruits of the date palm (Phoenix dactylifera L.). Allergy. 1999;54(12):1270–7.PubMedCrossRef
13.
Zurück zum Zitat Postigo I, Guisantes JA, Negro JM, Rodriguez-Pacheco R, David-Garcia D, Martinez J. Identification of 2 new allergens of Phoenix dactylifera using an immunoproteomics approach. J Invest Allergol Clin Immunol. 2009;19(6):504–7. Postigo I, Guisantes JA, Negro JM, Rodriguez-Pacheco R, David-Garcia D, Martinez J. Identification of 2 new allergens of Phoenix dactylifera using an immunoproteomics approach. J Invest Allergol Clin Immunol. 2009;19(6):504–7.
14.
Zurück zum Zitat Schatz M, Meltzer EO, Nathan R, Derebery MJ, Mintz M, Stanford RH, Dalal AA, Silvey MJ, Kosinski M. Psychometric validation of the rhinitis control assessment test: a brief patient-completed instrument for evaluating rhinitis symptom control. Ann Allergy Asthma Immunol. 2010;104(2):118–24.PubMedCrossRef Schatz M, Meltzer EO, Nathan R, Derebery MJ, Mintz M, Stanford RH, Dalal AA, Silvey MJ, Kosinski M. Psychometric validation of the rhinitis control assessment test: a brief patient-completed instrument for evaluating rhinitis symptom control. Ann Allergy Asthma Immunol. 2010;104(2):118–24.PubMedCrossRef
15.
Zurück zum Zitat Krouse JH, Mabry RL. Skin testing for inhalant allergy 2003: current strategies. Otolaryngol Head Neck Surg. 2003;129(4 Suppl):S33–49.PubMedCrossRef Krouse JH, Mabry RL. Skin testing for inhalant allergy 2003: current strategies. Otolaryngol Head Neck Surg. 2003;129(4 Suppl):S33–49.PubMedCrossRef
16.
Zurück zum Zitat Maezawa Y, Nakajima H, Seto Y, Suto A, Kumano K, Kubo S, Karasuyama H, Saito Y, Iwamoto I. IgE-dependent enhancement of Th2 cell-mediated allergic inflammation in the airways. Clin Exp Immunol. 2004;135(1):12–8.PubMedCrossRef Maezawa Y, Nakajima H, Seto Y, Suto A, Kumano K, Kubo S, Karasuyama H, Saito Y, Iwamoto I. IgE-dependent enhancement of Th2 cell-mediated allergic inflammation in the airways. Clin Exp Immunol. 2004;135(1):12–8.PubMedCrossRef
17.
Zurück zum Zitat Maggi E, Parronchi P, Manetti R, Simonelli C, Piccinni MP, Rugiu FS, De Carli M, Ricci M, Romagnani S. Reciprocal regulatory effects of IFN-gamma and IL-4 on the in vitro development of human Th1 and Th2 clones. J Immunol. 1992;148(7):2142–7.PubMed Maggi E, Parronchi P, Manetti R, Simonelli C, Piccinni MP, Rugiu FS, De Carli M, Ricci M, Romagnani S. Reciprocal regulatory effects of IFN-gamma and IL-4 on the in vitro development of human Th1 and Th2 clones. J Immunol. 1992;148(7):2142–7.PubMed
18.
19.
Zurück zum Zitat Prescott SL. New concepts of cytokines in asthma: is the Th2/Th1 paradigm out the window? J Paediatr Child Health. 2003;39(8):575–9.PubMedCrossRef Prescott SL. New concepts of cytokines in asthma: is the Th2/Th1 paradigm out the window? J Paediatr Child Health. 2003;39(8):575–9.PubMedCrossRef
20.
Zurück zum Zitat Robinson DS, Tsicopoulos A, Meng Q, Durham S, Kay AB, Hamid Q. Increased interleukin-10 messenger RNA expression in atopic allergy and asthma. Am J Respir Cell Mol Biol. 1996;14(2):113–7.PubMed Robinson DS, Tsicopoulos A, Meng Q, Durham S, Kay AB, Hamid Q. Increased interleukin-10 messenger RNA expression in atopic allergy and asthma. Am J Respir Cell Mol Biol. 1996;14(2):113–7.PubMed
21.
Zurück zum Zitat Magnan A, van Pee D, Bongrand P, Vervloet D. Alveolar macrophage interleukin (IL)-10 and IL-12 production in atopic asthma. Allergy. 1998;53(11):1092–5.PubMedCrossRef Magnan A, van Pee D, Bongrand P, Vervloet D. Alveolar macrophage interleukin (IL)-10 and IL-12 production in atopic asthma. Allergy. 1998;53(11):1092–5.PubMedCrossRef
22.
Zurück zum Zitat Kosaka S, Tamauchi H, Terashima M, Maruyama H, Habu S, Kitasato H. IL-10 controls Th2-type cytokine production and eosinophil infiltration in a mouse model of allergic airway inflammation. Immunobiology. 2010;216:811–20.PubMedCrossRef Kosaka S, Tamauchi H, Terashima M, Maruyama H, Habu S, Kitasato H. IL-10 controls Th2-type cytokine production and eosinophil infiltration in a mouse model of allergic airway inflammation. Immunobiology. 2010;216:811–20.PubMedCrossRef
23.
24.
Zurück zum Zitat Mo JH, Kang EK, Quan SH, Rhee CS, Lee CH, Kim DY. Anti-tumor necrosis factor-alpha treatment reduces allergic responses in an allergic rhinitis mouse model. Allergy. 2011;66(2):279–86.PubMedCrossRef Mo JH, Kang EK, Quan SH, Rhee CS, Lee CH, Kim DY. Anti-tumor necrosis factor-alpha treatment reduces allergic responses in an allergic rhinitis mouse model. Allergy. 2011;66(2):279–86.PubMedCrossRef
25.
Zurück zum Zitat Iwasaki M, Saito K, Takemura M, Sekikawa K, Fujii H, Yamada Y, Wada H, Mizuta K, Seishima M, Ito Y. TNF-alpha contributes to the development of allergic rhinitis in mice. J Allergy Clin Immunol. 2003;112(1):134–40.PubMedCrossRef Iwasaki M, Saito K, Takemura M, Sekikawa K, Fujii H, Yamada Y, Wada H, Mizuta K, Seishima M, Ito Y. TNF-alpha contributes to the development of allergic rhinitis in mice. J Allergy Clin Immunol. 2003;112(1):134–40.PubMedCrossRef
26.
Zurück zum Zitat Walker SM, Pajno GB, Lima MT, Wilson DR, Durham SR. Grass pollen immunotherapy for seasonal rhinitis and asthma: a randomized, controlled trial. J Allergy Clin Immunol. 2001;107(1):87–93.PubMedCrossRef Walker SM, Pajno GB, Lima MT, Wilson DR, Durham SR. Grass pollen immunotherapy for seasonal rhinitis and asthma: a randomized, controlled trial. J Allergy Clin Immunol. 2001;107(1):87–93.PubMedCrossRef
Metadaten
Titel
Immunological markers in allergic rhinitis patients treated with date palm immunotherapy
verfasst von
Ghada Boghdadi
Ayman Marei
Atef Ali
Gamal Lotfy
Magdi Abdulfattah
Samir Sorour
Publikationsdatum
01.07.2012
Verlag
SP Birkhäuser Verlag Basel
Erschienen in
Inflammation Research / Ausgabe 7/2012
Print ISSN: 1023-3830
Elektronische ISSN: 1420-908X
DOI
https://doi.org/10.1007/s00011-012-0464-4

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