Marsh D G, Freidhoff L R, Ehrlich-Kautzky E, Bias W B, Roebber M
Department of Medicine, Johns Hopkins University School of Medicine, Good Samaritan Hospital, Baltimore, MD 21239.
Immunogenetics. 1987;26(4-5):230-6. doi: 10.1007/BF00346517.
The relationship between HLA type and specific immune responsiveness toward ultrapure Ambrosia artemisiifolia (short ragweed) pollen allergen Amb a VI (Ra6) was explored in a genetic-epidemiologic study of groups of 116 and 81 Caucasoid subjects who were skin-test positive (ST+) toward common environmental allergens. Specific immune responsiveness to Amb a VI was assessed by measuring serum IgE and IgG antibodies (Abs) by double Ab radioimmunoassay in both ST+ groups. Significant associations were found between IgE Ab responsiveness to Amb a VI and the possession of HLA-DR5; P values for the two groups were, respectively, 7 X 10(-7) and 1 X 10(-3) by nonparametric analyses, and 4 X 10(-11) and 5 X 10(-8) by parametric analyses. The levels of significance for the associations between HLA-DR5 and IgG Ab responsiveness were highly dependent on the extent of ragweed immunotherapy (Rx) within the patient group; by parametric statistics, the associations were 10(-11) for the group that had received relatively little Rx and 2 X 10(-3) for the group that had received more intensive Rx. These results provide further striking evidence for the existence of specific HLA-linked human Ir genes involved in responsiveness toward inhaled allergens and illustrate the usefulness of the allergy model in studies of the genetic basis of human immune responsiveness. Extension of these studies to investigation of structure-function relationships involved in antigen recognition by Ia molecules and the T-cell receptor will lead to a better understanding of human susceptibility toward immunologic diseases.
在一项针对116名和81名对常见环境过敏原皮肤试验呈阳性(ST+)的高加索受试者群体的遗传流行病学研究中,探讨了HLA类型与对超纯豚草(短豚草)花粉过敏原Amb a VI(Ra6)的特异性免疫反应性之间的关系。通过双抗体放射免疫测定法在两个ST+组中测量血清IgE和IgG抗体(Abs),评估对Amb a VI的特异性免疫反应性。发现IgE抗体对Amb a VI的反应性与HLA-DR5的存在之间存在显著关联;通过非参数分析,两组的P值分别为7×10⁻⁷和1×10⁻³,通过参数分析分别为4×10⁻¹¹和5×10⁻⁸。HLA-DR5与IgG抗体反应性之间关联的显著水平高度依赖于患者组内豚草免疫疗法(Rx)的程度;通过参数统计,接受相对较少Rx的组的关联为10⁻¹¹,接受更强化Rx的组的关联为2×10⁻³。这些结果为存在参与对吸入性过敏原反应性的特定HLA连锁人类Ir基因提供了进一步的显著证据,并说明了过敏模型在人类免疫反应性遗传基础研究中的有用性。将这些研究扩展到对Ia分子和T细胞受体参与抗原识别的结构-功能关系的研究,将有助于更好地理解人类对免疫性疾病的易感性。