PMID- 35844573 OWN - NLM STAT- MEDLINE DCOM- 20220719 LR - 20220719 IS - 1664-3224 (Electronic) IS - 1664-3224 (Linking) VI - 13 DP - 2022 TI - Immunological Changes of Basophil Hyperreactivity to Sweat in Patients With Well-Controlled Atopic Dermatitis. PG - 883605 LID - 10.3389/fimmu.2022.883605 [doi] LID - 883605 AB - BACKGROUND: Sweat aggravates atopic dermatitis (AD). In patients with AD, type-I hypersensitivity to sweat may be shown by histamine release from patients' basophils in response to the semi-purified sweat antigen (QR), and the presence of specific immunoglobulin E (IgE) binding to MGL_1304, the component of QR. However, there has been no information on the immunological changes of type-I hypersensitivity to the sweat antigen in patients with well-controlled AD using topical corticosteroids (TCSs) and/or biologics as treatments. METHOD: Histamine-releasing tests using patients' basophils and QR and the detection of serum IgE against MGL_1304 and mite allergen Der f 1 were performed in patients with AD who were well controlled by topical TCS with/without dupilumab for 53-96 weeks. RESULTS: In total, 14 patients were enrolled. Seven patients received TCS therapy alone (TCS group), and seven patients received TCS with dupilumab therapy (dupilumab group). In all participants, the level of specific IgE against MGL_1304 decreased after treatments, but histamine release from basophils in response to QR did not show a statistically significant reduction; rather, it increased. In the dupilumab group, all changes in histamine release induced by QR (increase), the IgE level against MGL_1304 (decrease), and that against Der f 1 (decrease) were statistically significant, whereas the TCS group showed no significant change in any of them. CONCLUSION: The well-controlled condition for 53-96 weeks resulted in no reduction of the hyperreactivity of basophils against in patients with AD, even with the treatment with dupilumab. This study suggests persistent basophil hyperreactivity to sweat antigen over a year or longer. CI - Copyright (c) 2022 Numata, Takahagi, Ishii, Morioke, Kan, Mizuno, Yanase, Kawaguchi, Tanaka and Hide. FAU - Numata, Tomofumi AU - Numata T AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Takahagi, Shunsuke AU - Takahagi S AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Ishii, Kaori AU - Ishii K AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Morioke, Satoshi AU - Morioke S AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Kan, Takanobu AU - Kan T AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Mizuno, Hayato AU - Mizuno H AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Yanase, Yuhki AU - Yanase Y AD - Department of Pharmacotherapy, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Kawaguchi, Tomoko AU - Kawaguchi T AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Tanaka, Akio AU - Tanaka A AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. FAU - Hide, Michihiro AU - Hide M AD - Department of Dermatology, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20220629 PL - Switzerland TA - Front Immunol JT - Frontiers in immunology JID - 101560960 RN - 0 (Antigens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Antigens MH - *Basophils MH - *Dermatitis, Atopic MH - Histamine Release MH - Humans MH - Immunoglobulin E MH - Sweat/metabolism PMC - PMC9277351 OTO - NOTNLM OT - IgE OT - MGL_1304 OT - Malassezia OT - atopic dermatitis OT - basophil OT - dupilumab OT - histamine release OT - sweat antigen COIS- TN has received a research grant from Sun pharma and Kyowa-Kirin. ST has received a research grant from Sanofi, Maruho, and Taiho Pharma and an honorarium from Novartis. MH has received a research grant from GlaxoSmithKline, Kaken Pharmaceutical, Mitsubishi-Tanabe, Novartis, Sanofi, and Taiho Pharma, honorarium from Ely-Lilly, Kaken-Pharmaceutical, Kyowa-Kirin, Mitsubishi-Tanabe, MSD, Novartis, Sanofi, Taiho Pharma, Teikoku seiyaku, and Uriach. AT has received a research grant from Maruho, Sanofi, Eisai, and Mitsubishi Tanabe Pharma and an honorarium from Maruho, Torii Pharma, Mitsubishi Tanabe Pharma, Sanofi, and Taiho Pharma. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/07/19 06:00 MHDA- 2022/07/20 06:00 PMCR- 2022/01/01 CRDT- 2022/07/18 03:39 PHST- 2022/02/25 00:00 [received] PHST- 2022/05/23 00:00 [accepted] PHST- 2022/07/18 03:39 [entrez] PHST- 2022/07/19 06:00 [pubmed] PHST- 2022/07/20 06:00 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fimmu.2022.883605 [doi] PST - epublish SO - Front Immunol. 2022 Jun 29;13:883605. doi: 10.3389/fimmu.2022.883605. eCollection 2022.