Marsh D G, Lichtenstein L M, Norman P S
Immunology. 1972 Jun;22(6):1013-28.
The major (Group I) allergen of rye grass pollen and two of its allergoids, adsorbed on alumina gel, were injected into three groups of non-allergic humans. In addition to inducing the anticipated blocking antibody (IgG) response, all individuals developed immediate skin hypersensitivity to the allergen and its allergoids characteristic of reaginic antibody-(IgE-)mediated reactions. At some time during the course of the study, virtually every individual's peripheral blood leucocytes were also found to release histamine when challenged with low concentrations of allergen and allergoids. Quantitatively, each person's skin and leucocyte sensitivities were not as well correlated as in naturally allergic people. Leucocyte responsiveness was generally shortlived, but could be restored by antigenic restimulation. Allergoid: allergen sensitivity ratios were greater in allergen-than allergoid-immunized individuals, but less than in naturally allergic individuals. Unexpectedly, allergoid-immunized individuals' leucocytes were more sensitive to allergen than allergoid. Despite the observed skin and leucocyte reactivities, none of the people showed clinical manifestations of hay fever following natural exposure to pollen. The skin sensitivity of the artificially sensitized individuals could be passively transferred to non-allergic humans by intradermal injection of serum (P-K Test), thereby implicating the involvement of IgE antibody. Further proof of the role of IgE was obtained by blocking the P-K test, either by heating the serum or by adsorbing it using an anti-IgE immunosorbent.
将吸附在氧化铝凝胶上的黑麦草花粉主要(I组)变应原及其两种类变应原注射到三组非过敏人群中。除了诱导预期的封闭抗体(IgG)反应外,所有个体均对变应原及其类变应原产生了速发型皮肤超敏反应,这是反应素抗体(IgE)介导反应的特征。在研究过程中的某个时候,实际上发现几乎每个个体的外周血白细胞在受到低浓度变应原和类变应原刺激时也会释放组胺。从数量上看,每个人的皮肤和白细胞敏感性之间的相关性不如自然过敏的人。白细胞反应性通常持续时间较短,但可通过抗原再刺激恢复。类变应原免疫个体的类变应原:变应原敏感性比值高于变应原免疫个体,但低于自然过敏个体。出乎意料的是,类变应原免疫个体的白细胞对变应原比对类变应原更敏感。尽管观察到皮肤和白细胞反应性,但没有人在自然接触花粉后出现花粉症的临床表现。通过皮内注射血清(P-K试验),可将人工致敏个体的皮肤敏感性被动转移至非过敏人群,从而提示IgE抗体的参与。通过加热血清或使用抗IgE免疫吸附剂吸附血清来阻断P-K试验,进一步证明了IgE的作用。