PMID- 10651777 OWN - NLM STAT- MEDLINE DCOM- 20000314 LR - 20190831 IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 30 IP - 2 DP - 2000 Feb TI - Phleum pratense-specific T cells of allergic rhinitis patients display a broader recognition pattern than phleum pratense-specific serum immunoglobulin E. PG - 242-54 AB - BACKGROUND: The role of allergen-specific CD4+ T lymphocytes in the pathophysiology of atopic disease is well established. Previous studies on allergen-specific T-cell responses have focused on the recognition of single major allergens to identify T-cell epitopes. OBJECTIVE: However, it is not clear whether immune responses to allergen extracts are exclusively targeted at major allergens or whether additional proteins are recognized. METHODS: Here we describe the Phleum pratense-specific immunoglobulin E (IgE) and T-cell responses of six allergic rhinitis patients. Reactivity was measured to size-separated fractions of a P. pratense extract as well as to the purified major allergens Phl p 1, Phl p 2/3 and Phl p 5. RESULTS: The specificity of the patients' serum IgE, measured in a fluid phase assay, was restricted to one or two of the major allergens. Even though the majority of the patients had IgE antibodies reactive with a single major allergen, one patient reacted with both Phl p 5 and with Phl p 2/3. Analysis of the T-cell repertoire with P. pratense-specific T-cell lines (TCLs) and CD4+ T-cell clones (TCCs) revealed that at least six different proteins were recognized, including the three major allergens, most notably Phl p 5. Simultaneous production of IL-5 and interferon (IFN) -gamma was detected in supernatants of the TCLs stimulated with P. pratense extract and the major allergens. CONCLUSION: These results indicate that allergic rhinitis patients have a large pool of circulating allergen-specific CD4+ T cells that recognize many different proteins in an allergenic extract, whereas only a small number of these proteins are recognized by serum IgE. FAU - Van Neerven, R J AU - Van Neerven RJ AD - ALK-Abello, Horsholm, Denmark; Current address: Tanox Pharma BV, Amsterdam, The Netherlands. FAU - Arnved, J AU - Arnved J FAU - Ipsen, H AU - Ipsen H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Allergens) RN - 0 (Cytokines) RN - 0 (Plant Proteins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/immunology MH - CD4-Positive T-Lymphocytes/*immunology MH - Cell Line MH - Chromatography, Gel/methods MH - Cytokines/metabolism MH - Humans MH - Immunoglobulin E/blood/*immunology MH - Plant Proteins/*immunology MH - Poaceae/*immunology MH - Pollen/immunology MH - Rhinitis, Allergic, Seasonal/*immunology EDAT- 2000/01/29 09:00 MHDA- 2000/03/18 09:00 CRDT- 2000/01/29 09:00 PHST- 2000/01/29 09:00 [pubmed] PHST- 2000/03/18 09:00 [medline] PHST- 2000/01/29 09:00 [entrez] AID - cea707 [pii] AID - 10.1046/j.1365-2222.2000.00707.x [doi] PST - ppublish SO - Clin Exp Allergy. 2000 Feb;30(2):242-54. doi: 10.1046/j.1365-2222.2000.00707.x.