Literature DB >> 12653157

Immune responses to birch in young children during their first 7 years of life.

M F Böttcher1, M C Jenmalm, B Björkstén.   

Abstract

BACKGROUND: The character of immune responses to allergens during the first years of life may decide whether the individual will become tolerant or develop allergy later in life.
OBJECTIVE: To study the development of immune responses to the seasonal inhalant allergen birch over the first 7 years of life.
METHODS: Blood samples were obtained from 21 children who were followed prospectively from the second to the seventh pollen season of life. Birch-induced cytokine production and IgG subclass antibodies to rBet v 1 were analysed with ELISA, mRNA expression with real time PCR, IgE antibodies to birch with Magic Lite and birch-induced mononuclear cell proliferation with 3H-thymidine incorporation.
RESULTS: Birch-induced IFN-gamma and IL-10 production increased with age, both in atopic and non-atopic children, while birch-induced IL-13 production decreased. The two children who were sensitized and developed clinical allergy to birch showed persistent IL-4 and IL-5 production and IL-9 mRNA expression, as well as Th2-associated IgG4 responses. Transient Th2-like responses were observed among the other children. Proliferative responses and IgG1 antibodies were seen in all children.
CONCLUSIONS: Immune responses to birch can be demonstrated in all children, during the first 7 years of life, regardless of atopic status. A transient early Th2-like response is down-regulated after the fourth pollen season, except in children who develop clinical allergy to the particular allergen.

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Year:  2002        PMID: 12653157     DOI: 10.1046/j.1365-2222.2002.01463.x

Source DB:  PubMed          Journal:  Clin Exp Allergy        ISSN: 0954-7894            Impact factor:   5.018


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