Kawano Y, Kou K, Yoshizawa I, Itoh M, Noma T
Department of Pediatrics, Saitama Medical School.
Arerugi. 1993 Nov;42(11):1707-14.
The effect of lecithin-bound iodine (LBI) on antigen-induced IL2 responsiveness, useful in in vitro test for the detection of etiological antigen and disease activity in allergic diseases, was investigated. In peripheral blood mononuclear cells (PBMC) from asthmatic children, LBI suppressed Dermatophagoides farinae (Df)-induced IL2 responsiveness in a dose dependent manner, in a range of 0.01 to 100 micrograms/ml. Similarly, LBI also suppressed ovalbumin (OVA)-induced IL2 responsiveness in PBMC from patients with atopic dermatitis, sensitized with OVA, in concentration of 0.1 to 100 micrograms/ml. Moreover, purified protein derivative (PPD)-induced IL2 responsiveness was equally inhibited by LBI, at doses of between 0.1 and 100 micrograms/ml. However, LBI could not overcome the responses induced by concanavalin A (Con A) until it reached unphysiological concentrations of as high as 100 micrograms/ml. The fact that antigen-induced IL2 responsiveness was suppressed by LBI at concentrations comparable to blood levels of LBI in individuals medicated suggests that LBI is a weak immunosuppressant. IL2-responding T cells were more sensitive to LBI than antigen-presenting cells in Df-induced IL2 responsiveness, although LBI suppressed both cell populations. Taken together, LBI could work as a weak immunosuppressant to inhibit lymphocyte responses to allergen and to improve clinical status in allergic diseases, including bronchial asthma caused by Df and atopic dermatitis provoked by OVA.
研究了卵磷脂结合碘(LBI)对抗原诱导的白细胞介素2(IL2)反应性的影响,该反应性在体外检测过敏性疾病的病因抗原和疾病活动中具有重要作用。在哮喘儿童的外周血单核细胞(PBMC)中,LBI在0.01至100微克/毫升的范围内以剂量依赖性方式抑制了粉尘螨(Df)诱导的IL2反应性。同样,LBI也以0.1至100微克/毫升的浓度抑制了卵清蛋白(OVA)致敏的特应性皮炎患者PBMC中OVA诱导的IL2反应性。此外,纯化蛋白衍生物(PPD)诱导的IL2反应性在0.1至100微克/毫升的剂量下同样被LBI抑制。然而,直到LBI达到高达100微克/毫升的非生理浓度时,它才能够克服刀豆蛋白A(Con A)诱导的反应。在接受药物治疗的个体中,LBI在与血液中LBI水平相当的浓度下抑制抗原诱导的IL2反应性,这一事实表明LBI是一种弱免疫抑制剂。在Df诱导的IL2反应性中,尽管LBI抑制了两种细胞群体,但IL2反应性T细胞比抗原呈递细胞对LBI更敏感。综上所述,LBI可作为一种弱免疫抑制剂,抑制淋巴细胞对过敏原的反应,并改善过敏性疾病的临床状况,包括由Df引起的支气管哮喘和由OVA引发的特应性皮炎。