PMID- 15972499 OWN - NLM STAT- MEDLINE DCOM- 20050714 LR - 20220331 IS - 0019-9567 (Print) IS - 1098-5522 (Electronic) IS - 0019-9567 (Linking) VI - 73 IP - 7 DP - 2005 Jul TI - Saturation of immunoglobulin E (IgE) binding sites by polyclonal IgE does not explain the protective effect of helminth infections against atopy. PG - 4106-11 AB - One hypothesis for the decreased rates of atopy observed among helminth-infected individuals is that parasite-induced polyclonal immunoglobulin E (IgE) out-competes allergen-specific IgE for FcepsilonRI binding on basophils and mast cells. In experiments with fresh blood drawn from filaria-infected patients, we found no association between ratios of polyclonal to Brugia malayi antigen (BmAg)-specific IgE (range, 14:1 to 388:1) and basophil responses to BmAg as measured by histamine release. Using serum samples from a filaria-infected patient who also had dust mite (Dermatophagoides pteronyssinus)-specific IgE antibodies from time points with various ratios of polyclonal to D. pteronyssinus-specific IgE (16:1 to 86:1), we demonstrated that increased ratios of polyclonal to D. pteronyssinus-specific IgE did not attenuate basophil sensitization as measured by D. pteronyssinus-specific histamine release. Suppression of histamine release was likely not observed in either of these sets of experiments because polyclonal to antigen-specific IgE ratios were not sufficiently high, as concurrent passive sensitization of basophil experiments required ratios of polyclonal to antigen-specific IgE of greater than 500:1 to suppress basophil histamine release. Further, the intensity of IgE staining in basophil populations from 20 patients with active filaria infections correlated strongly with total serum IgE levels (rho = 0.698; P = 0.0024) with no plateau in intensity of IgE staining, even though some patients had total IgE levels of greater than 10,000 ng/ml. Our data therefore suggest that in helminth infections (and in filarial infections in particular), the ratios of polyclonal to allergen-specific IgE rarely reach those levels necessary to inhibit allergen-specific IgE-FcepsilonRI binding and to suppress allergen-induced degranulation of mast cells and basophils. FAU - Mitre, Edward AU - Mitre E AD - Helminth Immunology Section, Laboratory of Parasitic Diseases, National Institute of Allergy and Infectious Diseases, 4 Center Lane, Room 4/126, National Institutes of Health, Bethesda, Maryland 20892, USA. emitre@niaid.nih.gov FAU - Norwood, Stephanie AU - Norwood S FAU - Nutman, Thomas B AU - Nutman TB LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Infect Immun JT - Infection and immunity JID - 0246127 RN - 0 (Receptors, IgE) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Basophils/physiology MH - Binding Sites MH - Dermatophagoides pteronyssinus/immunology MH - Helminthiasis/*immunology MH - Histamine Release MH - Humans MH - Hypersensitivity/*prevention & control MH - Immunoglobulin E/blood/*metabolism MH - Receptors, IgE/analysis/*metabolism PMC - PMC1168579 EDAT- 2005/06/24 09:00 MHDA- 2005/07/15 09:00 PMCR- 2005/07/01 CRDT- 2005/06/24 09:00 PHST- 2005/06/24 09:00 [pubmed] PHST- 2005/07/15 09:00 [medline] PHST- 2005/06/24 09:00 [entrez] PHST- 2005/07/01 00:00 [pmc-release] AID - 73/7/4106 [pii] AID - 1821-04 [pii] AID - 10.1128/IAI.73.7.4106-4111.2005 [doi] PST - ppublish SO - Infect Immun. 2005 Jul;73(7):4106-11. doi: 10.1128/IAI.73.7.4106-4111.2005.