PMID- 23255498 OWN - NLM STAT- MEDLINE DCOM- 20130805 LR - 20160511 IS - 2042-6984 (Electronic) IS - 2042-6976 (Linking) VI - 3 IP - 2 DP - 2013 Feb TI - Upregulated levels of human beta-defensins in patients with seasonal allergic rhinitis after allergen-specific immunotherapy treatment. PG - 99-103 LID - 10.1002/alr.21127 [doi] AB - BACKGROUND: Antimicrobial peptides (AMPs) are important actors in the innate immune system. One class of AMPs is the human beta-defensins (HBDs), a group of small peptides with a broad spectrum of antimicrobial activities. Expression of HBDs is downregulated in different manifestations of allergic disease. In this study, we examine whether allergen-specific immunotherapy (ASIT) affects the nasal levels of HBDs in patients with seasonal allergic rhinitis (SAR). METHODS: Nasal biopsies were examined for the occurrence of HBD1-3 with real-time reverse-transcription polymerase chain reaction (RT-PCR) and immunohistochemistry. Nasal lavage (NAL) fluids from healthy individuals, untreated SAR patients and SAR patients before and after ASIT were analyzed for levels of HBD1-3 using enzyme-linked immunosorbent assay (ELISA). RESULTS: Examination of nasal biopsies revealed HBD1-3 expression at gene level as well as at protein level in all samples tested. HBD1 and HBD3 messenger RNA (mRNA) levels were downregulated in SAR patients compared to healthy individuals. All HBDs were found in NAL fluids. SAR patients having completed 3 years of ASIT displayed higher levels of HBD1 and HBD2 than before treatment, whereas levels of HBD3 were unaffected. CONCLUSION: The present study demonstrates an upregulation of HBD1 and HBD2 in SAR patients after completion of ASIT. This may reflect the importance of an intact innate immune response as part of our defense against infections among allergic individuals. CI - (c) 2013 ARS-AAOA, LLC. FAU - Bogefors, Jesper AU - Bogefors J AD - Laboratory of Clinical and Experimental Allergy Research, Department of Otorhinolaryngology, Skane University Hospital, Lund University, Malmo, Sweden. FAU - Kvarnhammar, Anne Mansson AU - Kvarnhammar AM FAU - Cardell, Lars-Olaf AU - Cardell LO LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20121216 PL - United States TA - Int Forum Allergy Rhinol JT - International forum of allergy & rhinology JID - 101550261 RN - 0 (RNA, Messenger) RN - 0 (beta-Defensins) SB - IM MH - Adolescent MH - Adult MH - Case-Control Studies MH - Desensitization, Immunologic/*methods MH - Female MH - Humans MH - Male MH - Middle Aged MH - Nasal Lavage Fluid/*immunology MH - RNA, Messenger/immunology/*metabolism MH - Real-Time Polymerase Chain Reaction MH - Reverse Transcriptase Polymerase Chain Reaction MH - Rhinitis, Allergic, Seasonal/immunology/*metabolism MH - Treatment Outcome MH - Young Adult MH - beta-Defensins/*metabolism EDAT- 2012/12/21 06:00 MHDA- 2013/08/06 06:00 CRDT- 2012/12/21 06:00 PHST- 2012/04/16 00:00 [received] PHST- 2012/10/05 00:00 [revised] PHST- 2012/10/10 00:00 [accepted] PHST- 2012/12/21 06:00 [entrez] PHST- 2012/12/21 06:00 [pubmed] PHST- 2013/08/06 06:00 [medline] AID - 10.1002/alr.21127 [doi] PST - ppublish SO - Int Forum Allergy Rhinol. 2013 Feb;3(2):99-103. doi: 10.1002/alr.21127. Epub 2012 Dec 16.