Hamano N, Terada N, Maesako K, Hohki G, Ito T, Yamashita T, Konno A
Department of Otorhinolaryngology, Chiba University, School of Medicine, Japan.
Acta Otolaryngol Suppl. 1998;537:27-31.
In this study we compared the concentrations of IL-4, IL-13, and IFN-gamma, which were produced by human peripheral blood mononuclear cells (PBMC) in the presence or absence of preincubation with beta-estradiol or progesterone both after a specific antigen challenge and without a specific antigen challenge. The concentrations of IL-4 and IL-13 from PBMC which had been preincubated with progesterone or gamma-estradiol for 18-24 h were significantly greater than those of IL-4 and IL-13 from PBMC which had been preincubated with PBS, the control. On the other hand, the concentration of IFN-gamma from PBMC was unchanged. We were able to confirm that the female hormones beta-estradiol and progesterone, at levels similar to those occurring during pregnancy, have the ability to induce production of IL-4 and IL-13 in human mononuclear cells. These results suggest that female hormones may aggravate nasal allergy symptoms during pregnancy by increasing IgE synthesis and inducing selective eosinophil infiltration.
在本研究中,我们比较了人外周血单个核细胞(PBMC)在有或无β-雌二醇或孕酮预孵育的情况下,经特异性抗原刺激和未经特异性抗原刺激后所产生的白细胞介素-4(IL-4)、白细胞介素-13(IL-13)和干扰素-γ(IFN-γ)的浓度。用孕酮或γ-雌二醇预孵育18 - 24小时的PBMC中IL-4和IL-13的浓度显著高于用对照磷酸盐缓冲液(PBS)预孵育的PBMC中IL-4和IL-13的浓度。另一方面,PBMC中IFN-γ的浓度没有变化。我们能够证实,与孕期水平相似的雌激素β-雌二醇和孕酮能够诱导人单核细胞产生IL-4和IL-13。这些结果表明,雌激素可能通过增加IgE合成和诱导选择性嗜酸性粒细胞浸润而加重孕期的鼻过敏症状。