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嗜碱性粒细胞的被动致敏和组胺释放。调节组胺释放的IgE和细胞因子。

Passive sensitization and histamine release of basophils. IgE and cellular factors regulating histamine release.

作者信息

Nolte H, Poulsen M, Schiøtz P O, Skov P S

机构信息

Department of Pediatrics, University Hospital of Aarhus, Denmark.

出版信息

Allergy. 1990 Aug;45(6):427-35. doi: 10.1111/j.1398-9995.1990.tb01093.x.

Abstract

This study had two purposes. First, to examine a possible functional heterogeneity of IgE regulating basophil histamine release and the effect of using two different donor cells for passive sensitization experiments. Second, to investigate basophils not releasing histamine to anti-IgE by stimulating protein kinase C with the addition of the phorbol-ester, TPA. In consecutive experiments responding donor basophils were passively sensitized with plasma from non-responding subjects. Thus, the first set of experiments included passive sensitization of acid treated donor basophils from one atopic and one non-atopic patient with plasma from 29 children with exogenous asthma to grass pollen, cat dander, or dust mites. Different secretagogues (anti-IgE, Concanavalin A, and N-formyl-methionyl-leucyl-phenylalanine) induced different histamine release responses due to a cellular property of the basophils not related to the type of IgE bound to the cell membrane. It was demonstrated that the allergen-induced histamine release did not depend on the extract or type of IgE when the biological activity of each extract and serum-specific IgE levels were similar. However, the atopic donor cells released significantly (P less than 0.05) more histamine than non-atopic donor cells. Thus, histamine release depends on the type of secretagogues and a cellular property which is maybe influenced by the presence of serum factors and a certain type of IgE in the serum of atopics. The second set of experiments included 10 patients (6 atopics and 4 non-atopics) with non-histamine releasing basophils. In the presence of 10 ng/ml TPA, however, seven of 10 patients released histamine at anti-IgE challenge. Three months later two additional patients became responsive in the presence of TPA. By passive sensitization of responding donor basophils the non-responding patients were shown to possess functionally intact IgE. Thus, the discrepancies sometimes observed between clinical symptoms, serological IgE-antibody measurements and histamine release testing in allergic patients may be related to a cellular property of basophils.

摘要

本研究有两个目的。其一,检测调节嗜碱性粒细胞组胺释放的IgE可能存在的功能异质性,以及使用两种不同供体细胞进行被动致敏实验的效果。其二,通过添加佛波酯TPA刺激蛋白激酶C,研究不向抗IgE释放组胺的嗜碱性粒细胞。在连续实验中,用无反应受试者的血浆对有反应的供体嗜碱性粒细胞进行被动致敏。因此,第一组实验包括用29名外源性哮喘儿童针对草花粉、猫毛屑或尘螨的血浆,对一名特应性患者和一名非特应性患者经酸处理的供体嗜碱性粒细胞进行被动致敏。由于嗜碱性粒细胞的细胞特性与结合到细胞膜上的IgE类型无关,不同的促分泌剂(抗IgE、刀豆球蛋白A和N-甲酰甲硫氨酰亮氨酰苯丙氨酸)诱导出不同的组胺释放反应。结果表明,当每种提取物的生物活性和血清特异性IgE水平相似时,变应原诱导的组胺释放不依赖于提取物或IgE类型。然而,特应性供体细胞释放的组胺明显(P小于0.05)多于非特应性供体细胞。因此,组胺释放取决于促分泌剂的类型以及一种细胞特性,这种特性可能受血清因子的存在以及特应性个体血清中某种类型IgE的影响。第二组实验包括10名嗜碱性粒细胞不释放组胺的患者(6名特应性患者和4名非特应性患者)。然而,在存在10 ng/ml TPA的情况下,10名患者中有7名在抗IgE激发时释放组胺。三个月后,又有两名患者在TPA存在的情况下出现反应。通过对有反应的供体嗜碱性粒细胞进行被动致敏,表明无反应患者拥有功能完整的IgE。因此,在变应性患者中有时观察到的临床症状、血清IgE抗体测量和组胺释放试验之间的差异,可能与嗜碱性粒细胞的细胞特性有关。

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