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季前用L-酪氨酸吸附变应原疫苗治疗对过敏性疾病患儿嗜碱性粒细胞IgE介导的组胺释放的影响。

Influence of preseasonal treatment with L-tyrosine-adsorbed allergoids on IgE-mediated histamine release from basophils of children suffering from allergic diseases.

作者信息

Wegner F, Fenkes A, Stemmann E A, Reinhardt D

出版信息

Agents Actions. 1981 Apr;11(1-2):111-3. doi: 10.1007/BF01991475.

Abstract

In 10 children suffering from allergic pollinosis and/or asthma, a preseasonal hyposensitization scheme with 3 weekly injections of a glutaraldehyde-modified, tyrosine-adsorbed grass-pollen allergen reduced the histamine release from basophils in response to increasing concentrations of antigen. The decrease in histamine release which occurred 1 week after the injection course was even maintained during the pollen season. The inhibition was only obtained when basophils were incubated with the serum of patients, but not with the serum of normals, indicating that blocking antibodies may have occurred. In contrast to what has been observed in the treated patients' group, 5 patients, who were not included in the hyposensitization scheme, showed identical histamine release curves during the whole investigation period. Specific IgE did not increase after the treatment course and shows the same behaviour as the untreated patients. Thus, as treatment with glutaraldehyde modified, tyrosine-adsorbed allergoids is safe to administer, requires only 3 injections, reduces histamine release from basophils by production of "blocking" antibodies, it appears to be a useful tool in the hyposensitization treatment.

摘要

在10名患有过敏性花粉症和/或哮喘的儿童中,一种在季前进行的低敏治疗方案,即每周注射3次经戊二醛修饰、酪氨酸吸附的草花粉过敏原,可减少嗜碱性粒细胞在抗原浓度增加时的组胺释放。注射疗程1周后出现的组胺释放减少在花粉季节期间仍得以维持。只有当嗜碱性粒细胞与患者血清而非正常人血清一起孵育时才会出现抑制作用,这表明可能产生了阻断抗体。与治疗患者组中观察到的情况相反,未纳入低敏治疗方案的5名患者在整个研究期间显示出相同的组胺释放曲线。治疗疗程后特异性IgE并未增加,且表现与未治疗患者相同。因此,由于使用经戊二醛修饰、酪氨酸吸附的类变应原进行治疗给药安全,仅需3次注射,通过产生“阻断”抗体减少嗜碱性粒细胞的组胺释放,它似乎是低敏治疗中的一种有用工具。

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