Victor Jefferson Russo, Fusaro Ana Elisa, Duarte Alberto José da Silva, Sato Maria Notomi
Laboratory of Clinical and Experimental Allergy and Immunology, School of Medicine, University of São Paulo, Av. Dr. Arnaldo 455, Cerqueira César-São Paulo 01246-903-SP, Brazil.
J Allergy Clin Immunol. 2003 Feb;111(2):269-77. doi: 10.1067/mai.2003.39.
The maternal immunologic experience associated with early life exposure to allergens might contribute to the development of allergy during infancy.
We sought to analyze the effect of the mother's immunization before conception with the dust mite Dermatophagoides pteronyssinus on the allergen priming and hypersensitivity response in early immunized offspring. The kinetics of D pteronyssinus immunization were observed from newborn to adult age, and the secondary response to D pteronyssinus was followed in offspring immunized in early life.
Female A/Sn mice were immunized or not with D pteronyssinus and mated with male C57BL/6 mice. The hybrid offspring were immunized to investigate allotypes and subclasses of anti-D pteronyssinus antibody, as well as total IgE levels, by using ELISA and anti-D pteronyssinus IgE antibody by using the passive cutaneous anaphylaxis reaction. Ovalbumin was used for heterologous immunization. Cytokines were measured in the cell-culture supernatant by means of ELISA, and CD4(+)CD25(+) cells were analyzed by means of flow cytometry.
Offspring from immune mothers have not shown evidence of prenatal or postnatal allergen priming with respect to humoral level. Immunization with D pteronyssinus of offspring at very early life and in the postweaning period inhibited anti-D pteronyssinus IgE and IgG1 antibody production, along with the expected presence of maternal antibody. Furthermore, offspring antibody responsiveness from immune mothers has remained quiescent on secondary allergenic challenge. This maternal influence on the offspring antibody response was specific to D pteronyssinus because the immunization with a heterologous antigen did not alter IgE response. Maternal D pteronyssinus immunization induced a significant decrease of the IFN-gamma level in the offspring, avoided an exacerbation of T(H)2 cytokine secretion, and, concomitantly, upregulated the number of CD4(+)CD25(+) T cells.
Maternal immunization to D pteronyssinus seems to protect offspring from the development of allergy.
与早年接触过敏原相关的母体免疫经历可能有助于婴儿期过敏的发展。
我们试图分析孕前用尘螨屋尘螨免疫母亲对早期免疫后代的过敏原致敏和超敏反应的影响。观察从新生到成年期屋尘螨免疫的动力学,并追踪早年免疫后代对屋尘螨的二次反应。
雌性A/Sn小鼠用屋尘螨免疫或不免疫,然后与雄性C57BL/6小鼠交配。对杂交后代进行免疫,通过酶联免疫吸附测定(ELISA)研究抗屋尘螨抗体的同种异型和亚类以及总IgE水平,并通过被动皮肤过敏反应研究抗屋尘螨IgE抗体。用卵清蛋白进行异源免疫。通过ELISA测定细胞培养上清液中的细胞因子,并通过流式细胞术分析CD4(+)CD25(+)细胞。
免疫母亲的后代在体液水平方面未显示出产前或产后过敏原致敏的证据。在生命早期和断奶后用屋尘螨免疫后代可抑制抗屋尘螨IgE和IgG1抗体的产生,同时存在母体抗体。此外,免疫母亲的后代抗体反应在二次过敏原攻击时保持静止。母体对后代抗体反应的这种影响对屋尘螨具有特异性,因为用异源抗原免疫不会改变IgE反应。母体屋尘螨免疫导致后代中干扰素-γ水平显著降低,避免了辅助性T细胞2(TH2)细胞因子分泌的加剧,并同时上调了CD4(+)CD25(+)T细胞的数量。
母体对屋尘螨的免疫似乎可保护后代免于过敏的发展。