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1.
Scand J Immunol ; 80(5): 327-38, 2014 Nov.
Article in English | MEDLINE | ID: mdl-25124713

ABSTRACT

Non-eosinophilic asthma is characterized by infiltration of neutrophils into the lung and variable responsiveness to glucocorticoids. The pathophysiological mechanisms have not been characterized in detail. Here, we present an experimental asthma model in mice associated with non-eosinophilic airway inflammation and airway hyper-responsiveness (AHR). For this, BALB/c mice were sensitized by biolistic DNA immunization with a plasmid encoding the model antigen ß-galactosidase (pFascin-ßGal mice). For comparison, eosinophilic airway inflammation was induced by subcutaneous injection of ßGal protein (ßGal mice). Intranasal challenge of mice in both groups induced AHR to a comparable extent as well as recruitment of inflammatory cells into the airways. In contrast to ßGal mice, which exhibited extensive eosinophilic infiltration in the lung, goblet cell hyperplasia and polarization of CD4(+) T cells into Th2 and Th17 cells, pFascin-ßGal mice showed considerable neutrophilia, but no goblet cell hyperplasia and a predominance of Th1 and Tc1 cells in the airways. Depletion studies in pFascin-ßGal mice revealed that CD4(+) and CD8(+) cells cooperated to induce maximum inflammation, but that neutrophilic infiltration was not a prerequisite for AHR induction. Treatment of pFascin-ßGal mice with dexamethasone before intranasal challenge did not affect neutrophilic infiltration, but significantly reduced AHR, infiltration of monocytes and lymphocytes as well as content of IFN-γ in the bronchoalveolar fluid. Our results suggest that non-eosinophilic asthma associated predominantly with Th1/Tc1 cells is susceptible to glucocorticoid treatment. pFascin-ßGal mice might represent a mouse model to study pathophysiological mechanisms proceeding in the subgroup of asthmatics with non-eosinophilic asthma that respond to inhaled steroids.


Subject(s)
Asthma/drug therapy , Asthma/immunology , Dexamethasone/therapeutic use , T-Lymphocytes, Cytotoxic/immunology , Th1 Cells/immunology , Animals , Biolistics , Bronchoalveolar Lavage Fluid/immunology , DNA/administration & dosage , DNA/immunology , Disease Models, Animal , Eosinophils/immunology , Female , Goblet Cells/pathology , Interferon-gamma/biosynthesis , Interferon-gamma/metabolism , Lung/cytology , Lung/immunology , Lymphocyte Activation/immunology , Lymphocyte Depletion , Mice , Mice, Inbred BALB C , Neutrophil Infiltration/immunology , Neutrophils/immunology , Th17 Cells/immunology , Th2 Cells/immunology , beta-Galactosidase/administration & dosage , beta-Galactosidase/genetics
2.
Clin Exp Allergy ; 40(6): 891-901, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20214662

ABSTRACT

BACKGROUND: The IgE response against protein antigens is profoundly influenced by the dose used for sensitization. OBJECTIVE: The aim of the study was to identify immune cells that are involved in antigen dose-dependent regulation of IgE formation. METHODS: Wild-type mice as well as T helper (Th)1-deficient IL-12p40(-/-) and IFN-gamma(-/-) mice were immunized by repeated intraperitoneal injection of either low doses (K01 mice) or high doses (K100 mice) of keyhole limpet haemocyanin adsorbed to aluminium hydroxide. Splenocytes of immunized mice were restimulated in vitro and antigen-dependent T cell proliferation and cytokine production were measured. The frequency of regulatory T cell subsets among splenocytes from K01 and K100 mice was compared using fluorocytometry and RT-PCR analysis. Splenocytes or T cell subpopulations were transferred into naïve mice and the effect of lymphocyte transfer on IgE production after priming of recipients with low antigen doses was determined. RESULTS: Specific IgE production was considerably impaired in K100 mice. Antigenic restimulation revealed hypoproliferation of K100 splenocytes and reduced production of Th2 cytokines IL-4, IL-5 and IL-13, but no induction of IFN-gamma production. Moreover, lymphocytes from K01 and K100 mice did not show significant differences in the expression of molecules associated with the phenotype or activity of conventional regulatory T cells. Transfer of splenocytes or purified T cells from K100 mice substantially suppressed the induction of IgE production in the recipients in an antigen- and isotype-specific manner. Neither CD4(+) nor CD8(+) T cells from K100 mice were able to inhibit IgE formation; instead, we identified CD4(-)CD8(-) double-negative T cells (dnT cells) as the principal T cell population, which potently suppressed IgE production. CONCLUSION: Our data demonstrate that CD4(-)CD8(-) dnT cells play a major role in the regulation of IgE responses induced by high antigen doses.


Subject(s)
CD4 Antigens/metabolism , CD8 Antigens/metabolism , Hemocyanins/administration & dosage , Immunoglobulin E/blood , Immunosuppression Therapy , T-Lymphocytes, Regulatory/immunology , Animals , B-Lymphocytes/cytology , B-Lymphocytes/immunology , Cell Differentiation , Dose-Response Relationship, Immunologic , Hemocyanins/immunology , Hypersensitivity, Immediate/immunology , Immunization , Lymphocyte Activation , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL
3.
Gene Ther ; 10(12): 1035-40, 2003 Jun.
Article in English | MEDLINE | ID: mdl-12776161

ABSTRACT

Strong cell-type-specific promoters are basic tools in gene therapy allowing for novel applications and focused strategies by transcriptionally targeting gene expression to selected cells. In immunotherapy, dendritic cells (DC) are of central importance, since they represent the principal inducers of immune responses. Here we describe isolation and use of the promoter of the murine actin-bundling protein fascin to target transcriptionally gene expression to cutaneous DC. Using the reporter gene enhanced green fluorescent protein (EGFP), we demonstrate that the fascin promoter mediates a strong antigen expression that is restricted to mature DC. DNA vaccination with antigen-encoding expression vectors under control of the fascin promoter using a gene gun resulted, consistently, in limited antigen expression by few directly transfected DC. Nevertheless, nearly as many antigen-specific CD8+ T cells directed against the encoded antigens EGFP and beta-galactosidase, respectively, were induced as with expression constructs under control of the ubiquitously expressed CMV promoter. This result impressively underlines the pivotal role of directly transfected DC in DNA vaccination. Immunization using the fascin promoter induced markedly lower levels of antigen-specific antibodies following single or repeated immunization. Thus, our DC-targeted DNA vaccination approach induces qualitatively distinct, predominantly cellular immune responses and provides new opportunities for immunotherapy.


Subject(s)
Carrier Proteins/genetics , Dendritic Cells/immunology , Genetic Therapy/methods , Microfilament Proteins/genetics , Promoter Regions, Genetic/genetics , Vaccines, DNA/immunology , Animals , Biolistics , CD8-Positive T-Lymphocytes/immunology , Carrier Proteins/immunology , Genes, Reporter , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Microfilament Proteins/immunology , Transcription, Genetic
4.
Gene Ther ; 9(2): 147-56, 2002 Jan.
Article in English | MEDLINE | ID: mdl-11857073

ABSTRACT

DNA-based immunization represents an attractive alternative approach to the current treatment of allergic diseases by specific immunotherapy with allergen extracts. In this study, we used a replication-deficient adenovirus vector (AdCMV), to examine the in vivo efficacy of preventive and therapeutic genetic immunization in a mouse model of type I allergy. Primary immunization with a recombinant adenovirus expressing the model antigen beta-galactosidase (AdCMV-(beta)gal) induced a Th1 immune response (predominance of IgG2a antibodies, high frequency of IFN-gamma producing T cells) and large numbers of cytotoxic T lymphocytes. Prophylactic vaccination with AdCMV-(beta)gal abolished the production of specific IgE following subsequent immunization with (beta)gal-protein, and skewed the Th2-biased immune response to a Th1-orientated response. In contrast, therapeutic administration of AdCMV-(beta)gal after priming with (beta)gal-protein neither significantly inhibited ongoing IgE production nor modulated a manifest Th2 immune response. Thus, allergen gene transfer via recombinant adenovirus represents an effective method to establish protection against the development of allergic disorders, but does not qualify as a therapeutic tool to interfere with ongoing high IgE production.


Subject(s)
Adenoviridae/genetics , Allergens/genetics , Genetic Therapy/methods , Genetic Vectors/therapeutic use , Hypersensitivity, Immediate/prevention & control , Allergens/immunology , Animals , CD8-Positive T-Lymphocytes/immunology , Female , Hypersensitivity, Immediate/immunology , Hypersensitivity, Immediate/therapy , Immunization/methods , Immunoglobulin E/biosynthesis , Immunoglobulin G/biosynthesis , Interferon-gamma/biosynthesis , Mice , Mice, Inbred BALB C , Th1 Cells/immunology , beta-Galactosidase/genetics , beta-Galactosidase/immunology
5.
Int Immunopharmacol ; 1(8): 1469-78, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11515812

ABSTRACT

Contact dermatitis or contact hypersensitivity (CHS) is a common T lymphocyte-mediated allergic disease characterized by local inflammatory skin reactions following contact with small reactive compounds called haptens. In common with other allergic processes, the development of contact dermatitis proceeds in two phases: a sensitization phase which occurs on first exposure to allergen, and an elicitation phase which occurs on subsequent exposure when the clinical manifestations of the disease are observed. This process is hapten-specific. While the pathophysiology of the sensitization phase is well characterized, our understanding of the elicitation phase is still incomplete, including the relative contribution of the different effector cells and mediators involved. Here we summarize current knowledge of the contribution of nitric oxide (NO) to skin inflammation with special focus on CHS. A number of inflammatory stimuli trigger expression of NO in human and animal skin, and topical application of an NO-releasing cream results in inflammation. Moreover, expression of the inducible isoform of nitric oxide synthase (iNOS) is induced in CHS and iNOS inhibitors injected intradermally suppress CHS responses. However, iNOS-deficient mice develop an aggravated CHS response late in the elicitation phase, suggesting that NO is involved in downregulation of CHS. Based on these data, we propose a comprehensive model of the role of NO in CHS.


Subject(s)
Dermatitis, Contact/immunology , Dermatitis, Contact/metabolism , Nitric Oxide/physiology , Animals , Humans
6.
J Invest Dermatol ; 115(4): 658-63, 2000 Oct.
Article in English | MEDLINE | ID: mdl-10998139

ABSTRACT

Dendritic cells are key players of the immune system as they efficiently induce primary immune responses by activating naive T cells. We generated human dendritic cells from CD14+ blood precursors and investigated expression of the actin-bundling protein fascin during maturation by western blotting, immunofluorescence, and cytofluorometry. Cells obtained by culture of CD14+ blood precursors in the presence of granulocyte-macrophage colony-stimulating factor and interleukin-4, which were only weakly positive for the maturation marker CD83, expressed low amounts of fascin. Addition of a cytokine cocktail including tumor necrosis factor alpha, interleukin-1beta, interleukin-6, and prostaglandin E2 induced maturation of the cells and enhanced fascin expression in parallel with CD83 expression. Isolated mature CD83+ cells displayed especially high fascin levels on western blots, as did gated CD83+ dendritic cells in cytofluorometry. Dendritic cells generated from CD34+ blood precursors expressed high levels of fascin as well. Confocal microscopy revealed that location of fascin within the cell was restricted to the area of the submembranous actin cytoskeleton and to the dendritic processes. Suppression experiments using antisense constructs of fascin hint at a retarded morphologic maturation of dendritic cells, supporting the view that fascin expression is pivotal for dendrite formation. Our data suggest that fascin could serve as a marker molecule to monitor the maturation state of in vitro generated dendritic cells for use in clinical trials.


Subject(s)
Carrier Proteins/biosynthesis , Dendritic Cells/metabolism , Microfilament Proteins/biosynthesis , Actins/metabolism , Antigens, CD , Antigens, CD34/blood , Biomarkers/analysis , Blotting, Western , Cell Differentiation/drug effects , Cells, Cultured , Dendritic Cells/cytology , Humans , Immunoglobulins/analysis , Leukocytes, Mononuclear/immunology , Membrane Glycoproteins/analysis , Time Factors , CD83 Antigen
7.
J Allergy Clin Immunol ; 105(5): 967-74, 2000 May.
Article in English | MEDLINE | ID: mdl-10808178

ABSTRACT

BACKGROUND: Hu-PBL-SCID mice generated by the transfer of PBMCs from atopic individuals may provide a physiologic in vivo model for investigating human responses to allergens and potential approaches toward immunotherapy. OBJECTIVE: This study was undertaken to investigate the functional activity and cytokine profile of human allergen-reactive T lymphocytes isolated from hu-PBL-SCID mice. METHODS: PBMCs from allergic individuals were coinjected with allergen into SCID mice. Human lymphocyte migration and phenotype were established by reverse transcription-PCR and immunohistochemistry, IgE levels in sera were determined, and the frequency of allergen-reactive cytokine-producing T lymphocytes was established. RESULTS: After immunization with allergen, specific IgE levels in hu-PBL-SCID sera were comparable with levels in donor sera. Although the majority of lymphocytes remained in the peritoneum, significant numbers of T lymphocytes were located in the spleen, where human IL-4, IL-5, and IFN-gamma messenger RNA expression was detected after stimulation with PHA and phorbol myristate acetate. Failure to induce cytokine production by human T lymphocytes isolated from the peritoneum and spleen of hu-PBL-SCID mice by allergen was reversed by stimulating with allergen in the presence of exogenously added IL-2 and antigen-presenting cells (APC), particularly CD14(+) monocytes. Under these conditions, allergen-reactive T cells expressed a T(H)2-like phenotype. CONCLUSIONS: These data suggest that, after initial activation and induction of antibody production, human T lymphocytes enter a state of unresponsiveness, arising from a loss of human professional APC, in hu-PBL-SCID mice. The use of hu-PBL-SCID mouse models in studies on therapeutic approaches for allergy may benefit from the additional transfer of human professional APC.


Subject(s)
Allergens/immunology , Antigen-Presenting Cells/immunology , Cytokines/immunology , Mice, SCID/blood , T-Lymphocytes/immunology , Animals , Antibody Formation , Cell Movement , Cells, Cultured , Cytokines/genetics , Epitopes , Humans , Immunoglobulin E/blood , Immunoglobulin E/immunology , Lymphoid Tissue/cytology , Mice , Peritoneum/cytology , RNA, Messenger/metabolism , Spleen/cytology , T-Lymphocytes/physiology , Th2 Cells/cytology
8.
Immunobiology ; 201(3-4): 332-46, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10776790

ABSTRACT

CD8-positive cytotoxic T cells (CTL) recognize antigenic peptides in combination with major histocompatibility complex (MHC) class I molecules on the surface of syngeneic antigen presenting cells (APC). In the present paper we show that cells from tumor antigen-specific CTL clones present their cognate antigenic peptide to other CTL from the same clone. Inter-CTL peptide presentation resulted in activation of the cells of one CTL clone to MHC-unrestricted lysis of bystander cells. In contrast to the behaviour of this clone, another CTL clone did not lyse bystander cells after incubation with the cognate peptide, but was activated to self-destruction. The human herpes virus Epstein-Barr virus is involved in the pathogenesis of a broad spectrum of human neoplasias. Using freshly established non-clonal T cells with specificity for a peptide derived from an Epstein-Barr virus encoded antigen we found again lysis of MHC mismatched bystander cells as a consequence of inter-CTL peptide presentation, indicating that bystander lysis following antigen self-presentation is not a phenomenon restricted to long-term in vitro cultured T cell clones. The potential implications for immunosurveillance against cancer and for tumor escape mechanisms are discussed.


Subject(s)
Antigen Presentation/immunology , T-Lymphocytes, Cytotoxic/immunology , Cell Line, Transformed , Cytotoxicity, Immunologic , HLA-A2 Antigen/immunology , Humans , Tumor Cells, Cultured
9.
Exp Dermatol ; 8(6): 487-94, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10597138

ABSTRACT

Epidermal Langerhans cells (LC) represent immature dendritic cells. During in vitro culture in the presence of keratinocytes they mature into potent immunostimulatory cells for naive T cells. This process is thought to simulate in vivo maturation of LC following activation by antigen contact. Maturation of LC is accompanied by morphological alterations. Applying a differential screening procedure we isolated differentially expressed cDNAs involved in the maturation events including cDNAs of the cytoskeletal actin isoforms beta- and gamma-actin. Stronger signals with hybridization probes derived from cultured LC compared with probes derived from freshly isolated LC indicate upregulation of actin expression. Upregulated expression of actin was confirmed by RT-PCR, Western blot and immunofluorescence analysis. Staining with fluorescence-labelled phalloidin that selectively binds to polymerized F-actin, indicates an increase in F-actin levels in cultured LC. Thus our data show that maturation of LC, which involves formation of dendritic structures and movement of formerly immobile cells, is accompanied by augmented expression of actin and formation of additional actin filaments. Furthermore, actin mRNA, often used as reference to assess mRNA amounts for Northern blotting or competitive RT-PCR because of its high and ubiquitous expression, is an inappropriate standard for the analysis of LC and DC.


Subject(s)
Actins/metabolism , Langerhans Cells/cytology , Langerhans Cells/metabolism , Actins/genetics , Animals , Base Sequence , Cell Differentiation , DNA Primers/genetics , DNA, Complementary/genetics , Dendritic Cells/cytology , Dendritic Cells/immunology , Dendritic Cells/metabolism , In Vitro Techniques , Langerhans Cells/immunology , Mice , Mice, Inbred BALB C , Protein Isoforms/genetics , Protein Isoforms/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Up-Regulation
10.
J Invest Dermatol ; 113(6): 991-8, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10594742

ABSTRACT

Epidermal Langerhans cells represent an immature population of dendritic cells, not yet able to prime naïve T cells. Following in vitro culture Langerhans cells mature into potent immunostimulatory cells. We constructed a representative cDNA library of in vitro matured murine Langerhans cells. Applying a differential screening procedure 112 differentially expressed cDNA clones were isolated. Thirty-six clones represented cDNA fragments of the same gene, identifying it to be the most actively expressed gene induced in maturing Langerhans cells. A full-length cDNA was sequenced completely. The open reading frame codes for a protein of 92 amino acids containing a leader peptide of 24 amino acids, yielding a mature protein of 7.8 kDa molecular weight. Database searches revealed 99.4% sequence identity on the nucleotide level to the recently described mouse CC chemokine ABCD-1, as well as 74% sequence identity to the human CC chemokine, the macrophage-derived chemokine/stimulated T cell chemotactic protein. Expression was analyzed by reverse transcriptase-polymerase chain reaction on a large panel of cell types. Unlike the macrophage-derived chemokine, expression was not detected in macrophages stimulated by various cytokines. Expression is restricted to cultured Langerhans cells, in vitro cultured dendritic cells, and lipopolysaccharide-activated B cells. Recombinant protein was expressed in the yeast Pichia pastoris and purified to homogeneity. Whereas no chemotactic activity was observed in chemotaxis assays for naïve T cells, B cells, cultured dendritic cells, and Langerhans cells, a strong chemoattractant activity was exerted on activated T cells. Thus, production of this chemokine by dendritic cells may be essential for the establishment and amplification of T cell responses.


Subject(s)
Chemokines, CC/biosynthesis , Chemotactic Factors/biosynthesis , Langerhans Cells/metabolism , T-Lymphocytes/immunology , Amino Acid Sequence , Animals , B-Lymphocytes/physiology , Chemokine CCL22 , DNA, Complementary/isolation & purification , Lymphocyte Activation , Mice , Mice, Inbred BALB C , Molecular Sequence Data , RNA, Messenger/analysis , Recombinant Proteins/biosynthesis
11.
Wien Med Wochenschr ; 149(14-15): 394-402, 1999.
Article in German | MEDLINE | ID: mdl-10584282

ABSTRACT

Efficacy monitoring of immunotherapy (IT) is performed to adjust the therapy according to the patient's reactions, to collect data for scientific studies and to evaluate the efficacy of IT. A decrease of allergy symptoms and of drug use are the main parameters. For this, allergy diaries are most suitable. Pollen exposition should be monitored with Burkhard traps. Wheal and flare reactions in skin tests can be measured by visual inspection with quantification of the diameter on transparent foils or by means of laser scanners. Nasal provocation testing leads to subjective and objective (rhinomanometry, acoustic rhinometry) results. A change in the threshold concentration of allergen, which is needed to provoke a positive test reaction, can be used to evaluate the success of an IT. Additionally, systemic or local side-effects should be carefully revealed. Cytologic measures can be achieved by nasal lavages. Cotton samplers, cytology brushes and suction techniques are used to collect cells and nasal secretions. Early and late allergic reactions can be evaluated. Specific cell activation markers like ECP or tryptase are useful parameters in nasal secretions. T-lymphocyte subpopulations and T-cell-lymphokine-profiles can be detected. During IT, a change from a dominating TH2-cytokine-profile to a dominating TH1-cytokine-profile can be seen. For the reason of their expense, those methods are restricted to scientific investigations and only rarely used for routine diagnostics.


Subject(s)
Immunotherapy , Monitoring, Immunologic/methods , Rhinitis, Allergic, Perennial/diagnosis , Rhinitis, Allergic, Perennial/immunology , Biomarkers , Humans , Nasal Provocation Tests , Nose , Rhinitis, Allergic, Perennial/therapy , T-Lymphocyte Subsets , Therapeutic Irrigation
12.
Wien Med Wochenschr ; 149(14-15): 415-20, 1999.
Article in German | MEDLINE | ID: mdl-10584285

ABSTRACT

Specific immunotherapy (SIT) has been practised successfully for about 80 years. In classic immunotherapy, an allergen-extract is repeatedly injected subcutaneously in increasing doses. A large number of clinically controlled studies have proved the efficacy of this kind of immunotherapy, while its mode of action is not precisely known yet. A successful SIT leads to an impairment of allergic symptoms (symptom score), and a concordant decrease in drug use. Furthermore, a reduced reactivity in specific dermal, nasal and bronchial provocation tests is induced as well as a diminished unspecific reagibility in the affected tissues. Several studies showed reduced values for allergen-specific IgE (serum) that followed an initial increase. A reduced immigration of eosinophils was found, both after provocation with allergen and during the pollen season, as well as diminished values of markers for the activity of eosinophils, e.g. eosinophil cationic protein (ECP). Also, a reduced allergen-induced histamine-liberation from mast cells and basophils has been reported. The underlying mechanism for these effects of SIT might be a reorientation of the allergen-induced lymphokine-production to a dominant TH1-cytokine-profile. Because the relation between the quantity of IL-4 and its regulator IFN-gamma controls the extent of IgE-synthesis by B-cells, the reorientation leads to a diminished production of IgE. IFN-gamma inhibits the differentiation of TH2-cells; by this less TH2-cells are present to help B-cells to produce IgE-antibodies, and to induce the differentiation of mast cells and basophils as well as immigration, differentiation and activation of eosinophils. Thus, the positive effects of SIT can be explained by the reorientation T-cell lymphokine profile. The mechanism under discussion for explaining this reorientation include: 1) an increased differentiation of allergen-specific CD4+ precursor-cells or a reorientation of established TH2-cells to the production of IFN-gamma, 2) the differentiation of IFN-gamma-producing CD8+ T-cells and of T-cells with receptors for T-cell-antigenes of the gamma, delta-type; and 3) the induction of an energy in TH2-cells.


Subject(s)
Allergens/therapeutic use , Desensitization, Immunologic , Rhinitis, Allergic, Perennial/therapy , T-Lymphocyte Subsets/metabolism , Allergens/pharmacology , CD4-Positive T-Lymphocytes/metabolism , CD8-Positive T-Lymphocytes/metabolism , Cell Differentiation , Humans , Interferon-gamma/metabolism , Models, Immunological , Receptors, Antigen, T-Cell, gamma-delta/metabolism , Rhinitis, Allergic, Perennial/immunology
13.
Clin Exp Allergy ; 29(10): 1326-35, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10520053

ABSTRACT

BACKGROUND: [corrected] Birch pollen allergic rhinitis can be sufficiently treated with specific subcutaneous allergoid immunotherapy (IT). However, little is known about the clinical and immunological effects of short-term therapy protocols. OBJECTIVE: To investigate the clinical efficacy of a birch pollen allergoid IT using seven preseasonal injections and to evaluate immunological parameters that might explain clinical findings. METHODS: Thirty-seven patients were included into the study and randomized to either a symptomatic treatment or allergoid IT plus symptomatic treatment. Patients were examined during the pre-IT season, at two extraseasonal visits both before and after IT and during the post-IT season. At each visit, nasal secretion samples were taken and analysed for levels of IL-4, IL-5 and IFNgamma. In addition, short-term birch-specific T-cell lines (TCLs) were cultured from peripheral blood mononuclear cells of 10 patients of the IT group, both before and after IT, and the ratios of lymphocyte subpopulations were determined. Cytokine production by TCLs (IL-4, IL-5, IFNgamma, IL-10) and proliferation of TCLs in response to stimulation with birch pollen allergen were measured. RESULTS: It was possible to evaluate 27 patients in accordance with the study protocol. Clinical symptoms and medication intake were reduced as a result of the IT as were nasal secretion levels of IL-5 (P = 0.007). IFNgamma was increased in nasal secretions (P = 0.01), while IL-4 was not measurable in most samples. No effect was found on proliferation of birch pollen-reactive TCLs, cytokine production by TCLs and the frequency and ratio of CD4+ and CD8bright or CD45RA+ and CD45RO+ cells in peripheral blood (all P > 0.05). Conclusion Preseasonal IT with a birch pollen allergoid is clinically effective in allergic rhinitis and influences cytokine production in the nose, but does not modulate the measured responses of peripheral blood T cells.


Subject(s)
Allergens/therapeutic use , Cytokines/metabolism , Phytotherapy , Pollen/immunology , Rhinitis, Allergic, Seasonal/therapy , T-Lymphocytes/immunology , Trees/immunology , Allergens/adverse effects , Allergens/immunology , Antigens, CD/biosynthesis , Biomarkers/analysis , Cell Line , Cytokines/biosynthesis , Desensitization, Immunologic , Humans , Lymphocyte Activation , Nasal Mucosa/immunology , Nasal Mucosa/metabolism , Rhinitis, Allergic, Seasonal/immunology
14.
Biochem J ; 340 ( Pt 3): 723-8, 1999 Jun 15.
Article in English | MEDLINE | ID: mdl-10359657

ABSTRACT

The inducible-type NO synthase (NOS II; iNOS) is constitutively expressed in slow-twitch skeletal muscle fibres of guinea-pigs [Gath, Closs, Gödtel-Armbrust, Schmitt, Nakane, Wessler and Förstermann (1996) FASEB J. 10, 1614-1620]. Here we studied the expression of NOS II in skeletal muscle of wild-type and NOS II-deficient mice and investigated the molecular basis for the membrane association of this NOS in muscle. A basal expression of NOS II mRNA and protein was detected in skeletal muscle from untreated wild-type mice; expression increased when mice were treated with bacterial lipopolysaccharide (LPS). No NOS II was found in any tissue of untreated or LPS-treated NOS II-deficient mice. Immunoprecipitation experiments were performed with homogenates of gastrocnemius muscle from untreated or LPS-treated wild-type mice. A NOS II-specific antibody precipitated caveolin 3 in all homogenates investigated, the effect being most pronounced in skeletal muscle from LPS-treated animals. Conversely, an antibody against caveolin 3 co-precipitated NOS II in muscle homogenates. Similarly, a weak co-precipitation of NOS II and caveolin 3 was seen in homogenates of untreated murine C2C12 myotubes; co-precipitation was markedly enhanced in cells stimulated with LPS/interferon gamma. The association of NOS II with caveolin 3 might have implications for the regulation of contraction of, and/or glucose uptake by, slow-twitch muscle fibres.


Subject(s)
Caveolins , Membrane Proteins/metabolism , Muscle, Skeletal/enzymology , Nitric Oxide Synthase/metabolism , Animals , Blotting, Western , Caveolin 3 , Cell Line , Cell Membrane/enzymology , Cerebellum/drug effects , Cerebellum/enzymology , Enzyme Induction/drug effects , Interferon-gamma/pharmacology , Lipopolysaccharides/pharmacology , Liver/drug effects , Liver/enzymology , Mice , Mice, Knockout , Muscle, Skeletal/cytology , Muscle, Skeletal/drug effects , Nitric Oxide Synthase/deficiency , Nitric Oxide Synthase/genetics , Precipitin Tests , Protein Binding/drug effects , RNA, Messenger/analysis , RNA, Messenger/genetics , RNA, Messenger/metabolism
15.
Clin Exp Immunol ; 115(2): 221-8, 1999 Feb.
Article in English | MEDLINE | ID: mdl-9933446

ABSTRACT

Leflunomide has been identified as an immunoregulatory and anti-inflammatory compound. Allergic disease is characterized by elevated serum IgE levels, production of allergen-specific IgE and the release of inflammatory mediators from mast cells and granulocytes. Here we demonstrate, using an in vivo murine model, the ability of leflunomide to down-regulate levels of total and allergen-specific serum IgE production. Mice receiving leflunomide (45 mg/kg) orally at the time of primary immunization with ovalbumin adsorbed to aluminium hydroxide adjuvant, showed a reduction in total serum IgE levels of 95%, 41% and 32% following primary, secondary and tertiary immunizations, respectively (P < 0.05). When leflunomide was administered both at the time of primary and subsequent immunizations, reductions in total and specific serum IgE levels of > 80% and > 38%, respectively, were observed (P < 0.05). Administration of leflunomide to mice which had already developed an IgE response resulted in reductions in total and specific serum IgE levels of > 80% and > 45%, respectively (P < 0.05). Following leflunomide treatment, animals failed to develop immediate cutaneous hypersensitivity responses when challenged intradermally with allergen. Down-regulation of immunoglobulin production was not restricted to IgE, since levels of allergen-specific IgG1 and IgG2a in serum were also reduced. The finding of significant reductions in total and allergen-specific IgM suggests that the mechanism of action does not involve selective inhibition of immunoglobulin class switching. A loss in production of the T helper cell-derived B cell differentiation factor IL-5 may account for the reduction in immunoglobulin levels. In adoptive transfer experiments leflunomide did not induce tolerance in allergen-reactive Th2 populations, contrary to animal disease models of transplantation and autoimmunity, where leflunomide was shown to induce tolerance in the effector T cell population.


Subject(s)
Adjuvants, Immunologic/therapeutic use , Hypersensitivity, Immediate/prevention & control , Immunoglobulin E/blood , Isoxazoles/therapeutic use , Skin Diseases/prevention & control , Adoptive Transfer , Allergens/immunology , Animals , Antibody Formation/drug effects , Down-Regulation , Female , Hypersensitivity, Immediate/immunology , Immunologic Memory/drug effects , Interleukin-5/metabolism , Leflunomide , Mice , Mice, Inbred BALB C , Ovalbumin/immunology , Skin Diseases/immunology , T-Lymphocytes/immunology , Vaccination
16.
Biotechniques ; 26(1): 150-5, 1999 Jan.
Article in English | MEDLINE | ID: mdl-9894604

ABSTRACT

The analysis of differential gene expression has become increasingly important in recent years. Typically, differentially expressed genes are identified in a primary screening procedure, yielding candidate genes whose differential expression has to be verified. We provide a highly sensitive, efficient and nonradioactive differential screening procedure to analyze numerous candidate genes in a single step. This comprises labeling of poly(A)+ RNA of the cell types analyzed with DIG Chem-Link and differential hybridization to the candidate genes fixed on dot blots. DIG Chem-Link allows, to our knowledge, for the first time efficient and direct nonradioactive labeling of RNA in vitro. Advantages of this method include extremely short exposure times and the feasibility to re-use the probes after prolonged storage. Using this procedure, we isolated several genes that are differentially expressed in maturing Langerhans cells.


Subject(s)
DNA, Complementary/genetics , Genes/genetics , Molecular Probe Techniques , RNA Probes/genetics , Animals , DNA, Complementary/chemistry , Digoxigenin/chemistry , Female , Gene Expression Regulation , Genomic Library , Humans , Langerhans Cells/cytology , Langerhans Cells/metabolism , Luminescent Measurements , Male , Mice , Mice, Inbred BALB C , Nucleic Acid Hybridization , RNA Probes/chemistry , Sensitivity and Specificity
17.
Clin Exp Allergy ; 28(11): 1374-83, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9824410

ABSTRACT

BACKGROUND: Allergoids are widely used in specific immunotherapy for the treatment of IgE-mediated allergic diseases. OBJECTIVE: The aim of this study was to analyse whether a modification of birch pollen allergens with formaldehyde affects the availability of T-cell epitopes. METHODS: Efficient modification of the allergens was verified by determining IgE and IgG binding activity using ELISA inhibition tests. T-cell responses to birch pollen allergoids were analysed in polyclonal systems, using peripheral blood mononuclear cells (PBMC) of five birch pollen-allergic individuals, as well as birch pollen extract-reactive T-cell lines (TCL), established from the peripheral blood of 14 birch pollen-allergic donors. To determine whether the modification of natural (n)Bet v 1 with formaldehyde or maleic anhydride results in epitope-specific changes in T-cell reactivities, 22 Bet v 1-specific T-cell clones (TCC), established from nine additional birch pollen-allergic individuals, were tested for their reactivity with these products. RESULTS: The majority of PBMC and TCL showed a reduced response to the birch pollen extract allergoid. Bet v 1-specific TCC could be divided into allergoid-reactive and -non-reactive TCC. No simple correlation between possible modification sites of formaldehyde in the respective T-cell epitopes and the stimulatory potential of the allergoid was observed. Mechanisms of suppression or of anergy induction were excluded as an explanation for the non-reactivity of representative TCC. All TCC could be stimulated by maleylated and unmodified nBet v 1 to a similar extent. CONCLUSION: These results demonstrate differences in the availability of T-cell epitopes between allergoids and unmodified allergens, which are most likely due to structural changes within the allergen molecule.


Subject(s)
Allergens/pharmacology , Plant Extracts/pharmacology , Pollen/immunology , T-Lymphocytes/drug effects , Allergoids , Amino Acid Sequence , Antigens, Plant , Formaldehyde/chemistry , Humans , Molecular Sequence Data , Plant Extracts/chemistry , Plant Extracts/immunology , Plant Proteins/chemistry , Plant Proteins/immunology , Plant Proteins/pharmacology , Pollen/adverse effects , Respiratory Hypersensitivity/etiology , Respiratory Hypersensitivity/immunology , T-Lymphocytes/cytology , T-Lymphocytes/immunology
18.
Med Microbiol Immunol ; 187(1): 17-21, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9749979

ABSTRACT

Cytotoxic T cells (CTL) not only act as effector cells, but can also serve as antigen-presenting cells (APC) for other CTL due to their expression of major histocompatibility complex (MHC) class I molecules. In the present study we show that independently derived CTL lines (CTLL) with specificity for an L(d)-presented nonapeptide corresponding to amino acids 168-176 of the immediate-early 1 (IE1) protein of murine cytomegalovirus not only lyse syngeneic but also allogeneic target cells, if the peptide is present during the cytolytic assay. Whereas a short peptide pulse is sufficient to render syngeneic cells susceptible to lysis, continued presence of soluble peptide is mandatory for the lysis of allogeneic target cells. This indicates a difference in the mechanisms involved. Syngeneic BALB/c B cell blasts (K(d)D(d)L(d)) and mutant BALB/c-H-2dm2 B cell blasts lacking the restricting Ld molecules (K(d)D(d)0) were lysed to a similar extent in the absence of the IE1 nonapeptide, provided that the IE1-specific CTL had been pre-incubated with the peptide before the cytolytic assay. Since the mutant cells cannot present the IE1 peptide, their lysis indicates an MHC-unrestricted, peptide-independent mode of recognition by the CTLL. In addition, proliferation of the CTLL takes place after incubation with the cognate peptide, even in the absence of professional APC. These data indicate inter-CTL antigen self-presentation, resulting in activation of the lytic machinery leading to peptide-independent bystander lysis of allogeneic as well as syngeneic target cells.


Subject(s)
Antigen Presentation , Histocompatibility Antigens Class I/immunology , Immediate-Early Proteins/immunology , Major Histocompatibility Complex/immunology , T-Lymphocytes, Cytotoxic/immunology , Viral Proteins , Animals , Antigens, Viral/immunology , Cells, Cultured , Lymphocyte Activation , Mice , Mice, Inbred BALB C , Tumor Cells, Cultured
19.
J Immunol ; 160(8): 3776-82, 1998 Apr 15.
Article in English | MEDLINE | ID: mdl-9558080

ABSTRACT

Dendritic cells (DC) are characterized by their unique potential to prime naive T cells. Epidermal Langerhans cells (LC), the DC resident in the epidermis, gain this immunostimulatory capacity following Ag contact in vivo or during in vitro culture of epidermal cell suspensions. To analyze differential gene expression in maturing LC, we constructed a highly representative cDNA library of cultivated LC (cLC) in lambda ZAP II containing 18 x 10(6) independent clones. This library was screened with freshly isolated Langerhans cell (fLC)- and cLC-derived probes for cLC-specific cDNAs. The cDNAs identified were sequenced and analyzed by database searches. Two cDNA fragments were identified as fragments of fascin, indicating that fascin is differentially expressed in LC. By competitive RT-PCR, we confirmed that fascin is highly expressed in cLC cultivated for 1, 2, and 3 days, while no signals were obtained with fLC. Western blot and immunofluorescence analysis revealed cLC-specific expression of fascin on the protein level as well. Fascin is known to be involved in the organization of the actin cytoskeleton in cytoplasmatic extensions of nerve growth cones. Its differential expression in maturing LC coincides with the formation of numerous dendritic projections in LC. Their formation was inhibited by incubation of LC with fascin antisense oligonucleotides during cultivation. Therefore, we conclude that fascin is necessary for the formation of the dendritic processes of maturing Langerhans cells and may thus influence T cell-LC interaction.


Subject(s)
Actins/metabolism , Carrier Proteins/metabolism , Langerhans Cells/cytology , Langerhans Cells/metabolism , Microfilament Proteins , Animals , Base Sequence , Carrier Proteins/genetics , Cell Differentiation , DNA Primers/genetics , DNA, Complementary/genetics , Gene Expression , Langerhans Cells/immunology , Mice , Mice, Inbred BALB C , Polymerase Chain Reaction , RNA, Messenger/genetics , RNA, Messenger/metabolism
20.
Int Immunol ; 10(1): 61-9, 1998 Jan.
Article in English | MEDLINE | ID: mdl-9488156

ABSTRACT

The NO synthases (NOS) generate NO from L-arginine. High concentrations of NO have been shown to be responsible for tissue injury and cell death, while low concentrations of NO induce vasodilatation and other signaling effects. We have investigated the involvement of NO in contact hypersensitivity (CHS) reactions. CHS induced by treatment of BALB/c mice with the contact allergen 2,4-dinitrofluorobenzene (DNFB) was significantly reduced by the NOS inhibitor N-methyl-L-arginine (L-NMA), but not by the stereoisomer D-NMA, as shown by reduced ear swelling responses and evaluation of ear tissue sections. The CHS response was also reduced by aminoguanidine, which is known to preferentially inhibit the inducible isoform of the enzyme (iNOS), suggesting that iNOS contributed to the inflammatory response. We therefore investigated whether iNOS was expressed by epidermal cells. Epidermal Langerhans cells produced low but significant amounts of iNOS mRNA at the single-cell level as indicated by RT-PCR. Likewise, keratinocytes expressed basic iNOS mRNA levels. Elicitation of a CHS response by DNFB in vivo resulted in enhanced iNOS mRNA expression in Langerhans cells and keratinocytes, with higher levels of expression in Langerhans cells. The enhanced mRNA expression in Langerhans cells correlated with iNOS protein production as shown by immunofluorescence staining of epidermal sheets performing double staining with anti-iNOS and anti-MHC class II antibodies. Our data suggest that epidermal cell-derived NO contributes to the ear swelling reaction in CHS.


Subject(s)
Dermatitis, Contact/metabolism , Nitric Oxide/metabolism , Allergens/immunology , Allergens/pharmacology , Animals , Arginine/analogs & derivatives , Arginine/pharmacology , Dermatitis, Contact/drug therapy , Dermatitis, Contact/enzymology , Dinitrofluorobenzene/immunology , Dinitrofluorobenzene/pharmacology , Enzyme Inhibitors/pharmacology , Guanidines/pharmacology , Haptens/immunology , Histocompatibility Antigens Class II/immunology , Injections, Intradermal , Langerhans Cells/immunology , Mice , Mice, Inbred BALB C , Nitric Oxide Synthase/antagonists & inhibitors , Nitric Oxide Synthase/biosynthesis , Nitric Oxide Synthase/metabolism , Nitric Oxide Synthase Type II , RNA, Messenger/metabolism , Skin/cytology , Skin/enzymology , Skin/immunology , T-Lymphocytes/immunology
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