Atopy patch test reactions are associated with T lymphocyte-mediated allergen-specific immune responses in atopic dermatitis

Background Positive test reactions to epicutaneous application of aeroallergens served as a model of ‘early’ eczema in atopic dermatitis (AD) in a number of dermato‐immunological studies. However, no quantitative evaluation has been performed so far comparing specific T‐cell activation parameters in...

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Veröffentlicht in:Clinical and experimental allergy 1999-04, Vol.29 (4), p.513-521
Hauptverfasser: WISTOKAT-WÜLFING, A, SCHMIDT, P, DARSOW, U, RING, J, KAPP, A, WERFEL, T
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container_end_page 521
container_issue 4
container_start_page 513
container_title Clinical and experimental allergy
container_volume 29
creator WISTOKAT-WÜLFING, A
SCHMIDT, P
DARSOW, U
RING, J
KAPP, A
WERFEL, T
description Background Positive test reactions to epicutaneous application of aeroallergens served as a model of ‘early’ eczema in atopic dermatitis (AD) in a number of dermato‐immunological studies. However, no quantitative evaluation has been performed so far comparing specific T‐cell activation parameters in the peripheral blood of AD patients with positive or negative atopy patch tests (APT). Objective The purpose of this study was to investigate specific immunological parameters in patients with atopic dermatitis showing positive or negative atopy patch tests reactions. Methods APT results (n = 96) were compared with allergen‐specific IgE, specific lymphocyte proliferation, and the expression of ‘activation’ markers on peripheral blood T‐cells upon in vitro stimulation with house dust mite, cat or grass pollen allergens. Results Only a subpopulation (48%) of patients sensitized to aeroallergens (i.e. specific IgE > 0.7 kU/L) developed APT‐reactions to the corresponding allergen. APT reactions were, however, significantly associated with allergen specific lymphocyte proliferation (p 
doi_str_mv 10.1046/j.1365-2222.1999.00510.x
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However, no quantitative evaluation has been performed so far comparing specific T‐cell activation parameters in the peripheral blood of AD patients with positive or negative atopy patch tests (APT). Objective The purpose of this study was to investigate specific immunological parameters in patients with atopic dermatitis showing positive or negative atopy patch tests reactions. Methods APT results (n = 96) were compared with allergen‐specific IgE, specific lymphocyte proliferation, and the expression of ‘activation’ markers on peripheral blood T‐cells upon in vitro stimulation with house dust mite, cat or grass pollen allergens. Results Only a subpopulation (48%) of patients sensitized to aeroallergens (i.e. specific IgE &gt; 0.7 kU/L) developed APT‐reactions to the corresponding allergen. APT reactions were, however, significantly associated with allergen specific lymphocyte proliferation (p &lt; 0.0001), and a higher number of CD54+ or CD30+ T‐cells (p &lt; 0.05) upon in vitro stimulation. Conclusion The association of delayed skin reactions with allergen specific T‐cell parameters in the blood points to an immunologically mediated mechanism leading to positive reactions in the APT.</description><identifier>ISSN: 0954-7894</identifier><identifier>EISSN: 1365-2222</identifier><identifier>DOI: 10.1046/j.1365-2222.1999.00510.x</identifier><identifier>PMID: 10202366</identifier><language>eng</language><publisher>Oxford BSL: Blackwell Science Ltd</publisher><subject>Allergens - immunology ; Allergic diseases ; Animals ; atopic dermatitis ; atopy patch test ; Biological and medical sciences ; cat epithelia ; Dermatitis, Atopic - immunology ; Flow Cytometry ; grass pollen ; house dust mite ; Humans ; Immunopathology ; Lymphocyte Activation ; Medical sciences ; Mites - immunology ; Patch Tests ; Skin allergic diseases. Stinging insect allergies ; T-Lymphocytes - immunology</subject><ispartof>Clinical and experimental allergy, 1999-04, Vol.29 (4), p.513-521</ispartof><rights>Blackwell Science Ltd, Oxford</rights><rights>1999 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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However, no quantitative evaluation has been performed so far comparing specific T‐cell activation parameters in the peripheral blood of AD patients with positive or negative atopy patch tests (APT). Objective The purpose of this study was to investigate specific immunological parameters in patients with atopic dermatitis showing positive or negative atopy patch tests reactions. Methods APT results (n = 96) were compared with allergen‐specific IgE, specific lymphocyte proliferation, and the expression of ‘activation’ markers on peripheral blood T‐cells upon in vitro stimulation with house dust mite, cat or grass pollen allergens. Results Only a subpopulation (48%) of patients sensitized to aeroallergens (i.e. specific IgE &gt; 0.7 kU/L) developed APT‐reactions to the corresponding allergen. APT reactions were, however, significantly associated with allergen specific lymphocyte proliferation (p &lt; 0.0001), and a higher number of CD54+ or CD30+ T‐cells (p &lt; 0.05) upon in vitro stimulation. Conclusion The association of delayed skin reactions with allergen specific T‐cell parameters in the blood points to an immunologically mediated mechanism leading to positive reactions in the APT.</description><subject>Allergens - immunology</subject><subject>Allergic diseases</subject><subject>Animals</subject><subject>atopic dermatitis</subject><subject>atopy patch test</subject><subject>Biological and medical sciences</subject><subject>cat epithelia</subject><subject>Dermatitis, Atopic - immunology</subject><subject>Flow Cytometry</subject><subject>grass pollen</subject><subject>house dust mite</subject><subject>Humans</subject><subject>Immunopathology</subject><subject>Lymphocyte Activation</subject><subject>Medical sciences</subject><subject>Mites - immunology</subject><subject>Patch Tests</subject><subject>Skin allergic diseases. 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However, no quantitative evaluation has been performed so far comparing specific T‐cell activation parameters in the peripheral blood of AD patients with positive or negative atopy patch tests (APT). Objective The purpose of this study was to investigate specific immunological parameters in patients with atopic dermatitis showing positive or negative atopy patch tests reactions. Methods APT results (n = 96) were compared with allergen‐specific IgE, specific lymphocyte proliferation, and the expression of ‘activation’ markers on peripheral blood T‐cells upon in vitro stimulation with house dust mite, cat or grass pollen allergens. Results Only a subpopulation (48%) of patients sensitized to aeroallergens (i.e. specific IgE &gt; 0.7 kU/L) developed APT‐reactions to the corresponding allergen. APT reactions were, however, significantly associated with allergen specific lymphocyte proliferation (p &lt; 0.0001), and a higher number of CD54+ or CD30+ T‐cells (p &lt; 0.05) upon in vitro stimulation. Conclusion The association of delayed skin reactions with allergen specific T‐cell parameters in the blood points to an immunologically mediated mechanism leading to positive reactions in the APT.</abstract><cop>Oxford BSL</cop><pub>Blackwell Science Ltd</pub><pmid>10202366</pmid><doi>10.1046/j.1365-2222.1999.00510.x</doi><tpages>9</tpages></addata></record>
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subjects Allergens - immunology
Allergic diseases
Animals
atopic dermatitis
atopy patch test
Biological and medical sciences
cat epithelia
Dermatitis, Atopic - immunology
Flow Cytometry
grass pollen
house dust mite
Humans
Immunopathology
Lymphocyte Activation
Medical sciences
Mites - immunology
Patch Tests
Skin allergic diseases. Stinging insect allergies
T-Lymphocytes - immunology
title Atopy patch test reactions are associated with T lymphocyte-mediated allergen-specific immune responses in atopic dermatitis
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