Abstract
Background: Immunotherapy involves the modulation of allergen-specific T-cell responses, either TH2-to-TH1 immune deviation or, in bee venom-treated patients, induction of IL-10 production by CD4+CD25+ T cells. IL-10-producing CD4+CD25+ regulatory T cells have emerged as potential mediators of immune tolerance in numerous murine models of immunopathology. Objective: The aim of this study was to evaluate the role of IL-10 production and CD4+CD25+ T cells in the response to grass pollen immunotherapy. Methods: PBMCs were isolated from patients after 1 year of grass pollen immunotherapy and from matched untreated atopic and healthy control subjects. After 6 days of in vitro stimulation with Phleum pratense , production of IL-10, IL-5, IL-4, and IFN-γ and proliferation and numbers of CD4+CD25+ T cells were measured. T cells were then stimulated for a further 5 hours with phorbol 12-myristate 13-acetate and ionomycin and assessed for intracellular IL-10 by means of flow cytometry. Results: Patients undergoing immunotherapy produced significantly more IL-10 than atopic control subjects (patients undergoing immunotherapy, 116 ± 21 pg/mL [n = 11]; atopic patients, 30 ± 5 pg/mL [n = 11]; P < .001), and the number of CD4+CD25+ cells identified after allergen stimulation was also greater in the immunotherapy group. The numbers of CD4+CD25+ T cells correlated positively with activation as measured by proliferation in both of the control groups but not in the immunotherapy group. Moreover, only T cells from patients undergoing immunotherapy were positive for intracellular IL-10, and these were almost exclusively CD4+CD25+ cells. Conclusion: Grass pollen immunotherapy results in a population of circulating T cells that express the IL-10+CD4+CD25+ phenotype in response to allergen restimulation.
Original language | English |
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Pages (from-to) | 1255-1261 |
Number of pages | 7 |
Journal | Journal of Allergy and Clinical Immunology |
Volume | 111 |
Issue number | 6 |
DOIs | |
Publication status | Published - Jun 2003 |
Keywords
- Interleukin-10
- Humans
- Desensitization, Immunologic
- Receptors, Interleukin-2
- Pollen
- CD4-Positive T-Lymphocytes
- Lymphocyte Activation
- Cells, Cultured
- Rhinitis, Allergic, Seasonal
- Allergens
- Poaceae
- Adult
- Cytokines
- Immunophenotyping
- Female
- Male