PMID- 25007029 OWN - NLM STAT- MEDLINE DCOM- 20150911 LR - 20181202 IS - 1557-7465 (Electronic) IS - 1079-9907 (Linking) VI - 35 IP - 1 DP - 2015 Jan TI - Upregulated interleukin-21 receptor on B cells associated with the downregulation of IgE in patients with allergic rhinitis. PG - 42-8 LID - 10.1089/jir.2014.0036 [doi] AB - Allergic diseases, such as allergic rhinitis, caused by an immunoglobulin E (IgE)-mediated reaction to specific allergens are a common chronic condition worldwide. Interleukin-21 (IL-21), a type I cytokine that is produced by T cells, exerts regulatory effects on a variety of immune cells. In our previous study, we found that serum levels of IL-21 were significantly decreased in patients with severe atopic dermatitis, suggesting that IL-21 might play a role in allergic reactions. In this study, we investigated the role of IL-21/IL-21 receptor (IL-21R) in patients with allergic rhinitis. Our results demonstrated that there was no difference in IL-21 serum levels between allergic rhinitis patients and controls. However, allergic patients had significantly increased expression of IL-21R on naive and memory B cells. IL-21R was upregulated through stimulation by the combination of CD40 ligand (CD40L) and IL-4. IL-21 alone neither induced nor inhibited IgE secretion from CD40L-stimulated B cells. However, IL-21 inhibited IgE secretion of B cells that were induced by the combination of CD40L and IL-4 in allergic patients. Moreover, a negative correlation between the expression of IL-21R and serum levels of IgE was found in patients with allergy. These results suggest that the role of IL-21 in an ongoing allergic reaction is to downregulate the IgE level by binding to IL-21R on B cells, which increases the expression in allergic patients. FAU - Jen, Hsiao-Yu AU - Jen HY AD - 1 Department of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University , Taipei, Taiwan . FAU - Yang, Yao-Hsu AU - Yang YH FAU - Chiang, Bor-Luen AU - Chiang BL FAU - Chuang, Ya-Hui AU - Chuang YH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140709 PL - United States TA - J Interferon Cytokine Res JT - Journal of interferon & cytokine research : the official journal of the International Society for Interferon and Cytokine Research JID - 9507088 RN - 0 (IL21R protein, human) RN - 0 (Interleukin-21 Receptor alpha Subunit) RN - 0 (Interleukins) RN - 147205-72-9 (CD40 Ligand) RN - 37341-29-0 (Immunoglobulin E) RN - EC 1.4.3.2 (IL4I1 protein, human) RN - EC 1.4.3.2 (L-Amino Acid Oxidase) RN - MKM3CA6LT1 (interleukin-21) SB - IM MH - Adult MH - B-Lymphocytes/*immunology MH - CD40 Ligand/immunology MH - Down-Regulation MH - Female MH - Humans MH - Immunoglobulin E/*biosynthesis/blood/immunology MH - Interleukin-21 Receptor alpha Subunit/*biosynthesis/immunology MH - Interleukins/blood/*immunology/metabolism MH - L-Amino Acid Oxidase/immunology MH - Male MH - Protein Binding MH - Rhinitis, Allergic/*immunology MH - Up-Regulation MH - Young Adult EDAT- 2014/07/10 06:00 MHDA- 2015/09/12 06:00 CRDT- 2014/07/10 06:00 PHST- 2014/07/10 06:00 [entrez] PHST- 2014/07/10 06:00 [pubmed] PHST- 2015/09/12 06:00 [medline] AID - 10.1089/jir.2014.0036 [doi] PST - ppublish SO - J Interferon Cytokine Res. 2015 Jan;35(1):42-8. doi: 10.1089/jir.2014.0036. Epub 2014 Jul 9.