Sublingual immunotherapy for 4 years increased the number of Foxp3+ Treg cells, which correlated with clinical effects

Objective At least 3 years of sublingual immunotherapy (SLIT) is required to achieve long-term clinical tolerance for allergens. However, immunological changes with more than 3 years of SLIT have not yet been elucidated in detail. The present study investigated whether the numbers of regulatory T (T...

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Veröffentlicht in:Inflammation research 2021-05, Vol.70 (5), p.581-589
Hauptverfasser: Terada, Tetsuya, Matsuda, Masaya, Inaba, Miki, Hamaguchi, Junpei, Takemoto, Naoki, Kikuoka, Yusuke, Inaka, Yuko, Sakae, Harumi, Hashimoto, Kennosuke, Shimora, Hayato, Kitatani, Kazuyuki, Kawata, Ryo, Nabe, Takeshi
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container_end_page 589
container_issue 5
container_start_page 581
container_title Inflammation research
container_volume 70
creator Terada, Tetsuya
Matsuda, Masaya
Inaba, Miki
Hamaguchi, Junpei
Takemoto, Naoki
Kikuoka, Yusuke
Inaka, Yuko
Sakae, Harumi
Hashimoto, Kennosuke
Shimora, Hayato
Kitatani, Kazuyuki
Kawata, Ryo
Nabe, Takeshi
description Objective At least 3 years of sublingual immunotherapy (SLIT) is required to achieve long-term clinical tolerance for allergens. However, immunological changes with more than 3 years of SLIT have not yet been elucidated in detail. The present study investigated whether the numbers of regulatory T (Treg) cells and regulatory B (Breg) cells increased with 4 years of SLIT and if these increases correlated with clinical effects for pollinosis. Methods Seven Japanese cedar pollinosis patients received SLIT in 2014 or 2015 and continued treatment until May 2019. In May 2017 and May 2019, peripheral blood mononuclear cells (PBMCs) were collected from the patients, and analyzed by flow cytometer. Results (1) The visual analogue scale (VAS) was significantly higher in 2019 than in 2017. (2) The percentages of Foxp3 + Treg cells, type 1 regulatory T (Tr1) cells, and Breg cells in PBMCs were significantly higher in 2019 than in 2017. (3) The percentage of Foxp3 + Treg cells in PBMCs positively correlated with VAS, whereas those of Tr1 cells and Breg cells did not. Conclusions These results suggest that 4 years of SLIT is needed to achieve sustained increases in Foxp3 + Treg cells, which are closely associated with the efficacy of SLIT.
doi_str_mv 10.1007/s00011-021-01460-3
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However, immunological changes with more than 3 years of SLIT have not yet been elucidated in detail. The present study investigated whether the numbers of regulatory T (Treg) cells and regulatory B (Breg) cells increased with 4 years of SLIT and if these increases correlated with clinical effects for pollinosis. Methods Seven Japanese cedar pollinosis patients received SLIT in 2014 or 2015 and continued treatment until May 2019. In May 2017 and May 2019, peripheral blood mononuclear cells (PBMCs) were collected from the patients, and analyzed by flow cytometer. Results (1) The visual analogue scale (VAS) was significantly higher in 2019 than in 2017. (2) The percentages of Foxp3 + Treg cells, type 1 regulatory T (Tr1) cells, and Breg cells in PBMCs were significantly higher in 2019 than in 2017. (3) The percentage of Foxp3 + Treg cells in PBMCs positively correlated with VAS, whereas those of Tr1 cells and Breg cells did not. Conclusions These results suggest that 4 years of SLIT is needed to achieve sustained increases in Foxp3 + Treg cells, which are closely associated with the efficacy of SLIT.</description><identifier>ISSN: 1023-3830</identifier><identifier>EISSN: 1420-908X</identifier><identifier>DOI: 10.1007/s00011-021-01460-3</identifier><identifier>PMID: 33837438</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Allergens ; Allergology ; Biomedical and Life Sciences ; Biomedicine ; Correlation ; Dermatology ; Foxp3 protein ; Immunological tolerance ; Immunology ; Immunotherapy ; Leukocytes (mononuclear) ; Lymphocytes T ; Neurology ; Oral administration ; Original Research Paper ; Patients ; Peripheral blood mononuclear cells ; Pharmacology/Toxicology ; Pollinosis ; Rheumatology</subject><ispartof>Inflammation research, 2021-05, Vol.70 (5), p.581-589</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021</rights><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-8297c16333fc706570c6f1979461fa58cb878555b2de62c5394e00909c3334613</citedby><cites>FETCH-LOGICAL-c375t-8297c16333fc706570c6f1979461fa58cb878555b2de62c5394e00909c3334613</cites><orcidid>0000-0002-5225-8375</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00011-021-01460-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00011-021-01460-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33837438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Terada, Tetsuya</creatorcontrib><creatorcontrib>Matsuda, Masaya</creatorcontrib><creatorcontrib>Inaba, Miki</creatorcontrib><creatorcontrib>Hamaguchi, Junpei</creatorcontrib><creatorcontrib>Takemoto, Naoki</creatorcontrib><creatorcontrib>Kikuoka, Yusuke</creatorcontrib><creatorcontrib>Inaka, Yuko</creatorcontrib><creatorcontrib>Sakae, Harumi</creatorcontrib><creatorcontrib>Hashimoto, Kennosuke</creatorcontrib><creatorcontrib>Shimora, Hayato</creatorcontrib><creatorcontrib>Kitatani, Kazuyuki</creatorcontrib><creatorcontrib>Kawata, Ryo</creatorcontrib><creatorcontrib>Nabe, Takeshi</creatorcontrib><title>Sublingual immunotherapy for 4 years increased the number of Foxp3+ Treg cells, which correlated with clinical effects</title><title>Inflammation research</title><addtitle>Inflamm. Res</addtitle><addtitle>Inflamm Res</addtitle><description>Objective At least 3 years of sublingual immunotherapy (SLIT) is required to achieve long-term clinical tolerance for allergens. However, immunological changes with more than 3 years of SLIT have not yet been elucidated in detail. The present study investigated whether the numbers of regulatory T (Treg) cells and regulatory B (Breg) cells increased with 4 years of SLIT and if these increases correlated with clinical effects for pollinosis. Methods Seven Japanese cedar pollinosis patients received SLIT in 2014 or 2015 and continued treatment until May 2019. In May 2017 and May 2019, peripheral blood mononuclear cells (PBMCs) were collected from the patients, and analyzed by flow cytometer. Results (1) The visual analogue scale (VAS) was significantly higher in 2019 than in 2017. (2) The percentages of Foxp3 + Treg cells, type 1 regulatory T (Tr1) cells, and Breg cells in PBMCs were significantly higher in 2019 than in 2017. (3) The percentage of Foxp3 + Treg cells in PBMCs positively correlated with VAS, whereas those of Tr1 cells and Breg cells did not. 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subjects Allergens
Allergology
Biomedical and Life Sciences
Biomedicine
Correlation
Dermatology
Foxp3 protein
Immunological tolerance
Immunology
Immunotherapy
Leukocytes (mononuclear)
Lymphocytes T
Neurology
Oral administration
Original Research Paper
Patients
Peripheral blood mononuclear cells
Pharmacology/Toxicology
Pollinosis
Rheumatology
title Sublingual immunotherapy for 4 years increased the number of Foxp3+ Treg cells, which correlated with clinical effects
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