PMID- 15280196 OWN - NLM STAT- MEDLINE DCOM- 20041223 LR - 20210206 IS - 0006-4971 (Print) IS - 0006-4971 (Linking) VI - 104 IP - 10 DP - 2004 Nov 15 TI - Long-term acquisition of allergen-specific IgE and asthma following allogeneic bone marrow transplantation from allergic donors. PG - 3086-90 AB - Adoptive transfer of allergen-specific immunoglobulin E (IgE) from atopic donors to nonatopic recipients occurs during the first year following bone marrow transplantation (BMT). Mature B- and T-cell clones with allergen-specific memory and hematopoietic progenitor cells are transferred through BMT. The objective of this study was to characterize the long-term rate of allergic sensitization and development of clinical allergic diseases following BMT from atopic donors. A long-term follow-up study was conducted in a cohort of donor and recipient pairs with moderate-to-severe allergic disease in the donor prior to BMT. Assessments of allergen-specific IgE, clinical rhinitis, and asthma were made in the donors prior to BMT and in the recipients with a mean follow-up of 15.5 years after BMT. From an initial cohort of 12 bone marrow transplant recipients who received marrow from allergic donors, 5 long-term survivors were identified. Allergen-specific IgE transferred from donor to recipient following BMT frequently persisted, and a high rate of de novo allergic sensitization was observed between 1 and 14 years after BMT. These events were associated with elevation in total IgE, and development of allergic rhinitis and asthma at long-term follow-up. We conclude that marrow-derived immune cells from allergic donors can transfer the predisposition to allergy and asthma. FAU - Hallstrand, Teal S AU - Hallstrand TS AD - Department of Medicine, University of Washington, BB-1333 Health Sciences, Box 356523, 1959 NE Pacific St, Seattle, WA 98195-6523, USA. FAU - Sprenger, Jay D AU - Sprenger JD FAU - Agosti, Jan M AU - Agosti JM FAU - Longton, Gary M AU - Longton GM FAU - Witherspoon, Robert P AU - Witherspoon RP FAU - Henderson, William R Jr AU - Henderson WR Jr LA - eng GR - HL36444/HL/NHLBI NIH HHS/United States GR - HL04231/HL/NHLBI NIH HHS/United States GR - K23 HL004231-03/HL/NHLBI NIH HHS/United States GR - CA15704/CA/NCI NIH HHS/United States GR - K23 HL004231/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. DEP - 20040727 PL - United States TA - Blood JT - Blood JID - 7603509 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Asthma/*etiology/immunology MH - Bone Marrow Transplantation/*adverse effects/*immunology MH - Female MH - Humans MH - Hypersensitivity/*immunology MH - Immunoglobulin E/*immunology MH - Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy MH - Male MH - Middle Aged MH - Precursor Cell Lymphoblastic Leukemia-Lymphoma/therapy MH - Pyroglyphidae/immunology MH - Rhinitis/immunology MH - Tissue Donors MH - Transplantation, Homologous EDAT- 2004/07/29 05:00 MHDA- 2004/12/24 09:00 CRDT- 2004/07/29 05:00 PHST- 2004/07/29 05:00 [pubmed] PHST- 2004/12/24 09:00 [medline] PHST- 2004/07/29 05:00 [entrez] AID - S0006-4971(20)55863-1 [pii] AID - 10.1182/blood-2004-05-1775 [doi] PST - ppublish SO - Blood. 2004 Nov 15;104(10):3086-90. doi: 10.1182/blood-2004-05-1775. Epub 2004 Jul 27.