Frequency of allergen-specific T lymphocytes in blood and bronchial response to allergen in asthma

Samuele E. Burastero, Daniela Fenoglio, Emanuele Crimi, Vito Brusasco, Giovanni A. Rossi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This study was designed to investigate whether the bronchial response to the sensitizing allergen in asthma is correlated with the frequency of allergen-specific T lymphocytes. Methods: Twenty-three asthmatic patients sensitized to Dermatophagoides pteryonyssinus who had never received hyposensitizing therapy and 11 healthy control subjects were studied. Allergen-specific T lymphocytes were enumerated in peripheral blood with limiting dilution cultures. Bronchial challenge with methacholine was performed in all subjects; patients with asthma also underwent an allergen bronchial challenge. Correlations between allergen-specific T cell frequencies and nonspecific bronchial hyperresponsiveness to methacholine as independent variables and early and late bronchial responsiveness to allergen challenge as dependent variables were investigated by means of stepwise-multiple regression analysis. Results: We found that the frequency of allergen-specific T lymphocytes was higher than in control subjects in both patients with asthma with (p <0.001) and those without (p <0.05) late-phase asthmatic response to allergen. Moreover, the provocative does of allergen necessary to produce an early 15% fall of forced expiratory volume in 1 second could be predicted in part (59%) by an equation that incorporates methacholine sensitivity and allergen-specific T cell frequency. Conclusions: We conclude that allergen-specific T lymphocytes, which have an established influence on immunoglobulin E production, play an additional role in the induction of the bronchospastic response to inhaled allergen.

Original languageEnglish
Pages (from-to)1075-1081
Number of pages7
JournalJournal of Allergy and Clinical Immunology
Volume91
Issue number5
Publication statusPublished - 1993

Keywords

  • Airway responsiveness
  • Allergen challenge
  • House-dust mite
  • Methacholine challenge
  • T lymphocytes

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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