PMID- 9311509 OWN - NLM STAT- MEDLINE DCOM- 19971201 LR - 20190822 IS - 0903-1936 (Print) IS - 0903-1936 (Linking) VI - 10 IP - 9 DP - 1997 Sep TI - Co-stimulation of cultured peripheral blood mononuclear cells from intrinsic asthmatics with exogenous recombinant IL-6 produce high levels of IL-4-dependent IgE. PG - 2091-6 AB - Asthma is an inflammatory airway disorder, traditionally subdivided into extrinsic, immunoglobulin E (IgE)-mediated, and intrinsic asthma of unknown aetiology. IgE synthesis requires contact between T- and B-cells and a signal provided by interleukin (IL)-4, which can be modulated by IL-6. The objective of this study was to evaluate the effects of IL-4 and IL-6 on total IgE synthesis by peripheral blood mononuclear cells from intrinsic and extrinsic asthmatics. Peripheral blood mononuclear cells from intrinsic and extrinsic asthmatic patients and from healthy subjects were cultured and stimulated with pokeweed mitogen, recombinant IL-4 and IL-6. The IgE level in serum and supernatants was measured by an enzyme-linked immunoassay. Serum IgE was significantly lower in intrinsic asthma than in extrinsic asthma, but significantly higher than in control subjects. IgE production by cultured mononuclear cells from extrinsic asthmatics was not modified after exogenous IL-4 and IL-6 addition. However, intrinsic asthmatics showed enhancement of IgE synthesis in response to IL-4 stimulation, reaching a threefold increase of the spontaneous IgE values, when simultaneous recombinant IL-4 plus IL-6 stimulus was used. Our results indicate that exogenous recombinant interleukin-6 can significantly upregulate the interleukin-4-dependent immunoglobulin E synthesis in intrinsic asthma. This suggests that immunoglobulin E could also play a role in the pathogenesis of intrinsic asthma, in which an interleukin-6 threshold would be critical. FAU - Sanchez-Guerrero, I M AU - Sanchez-Guerrero IM AD - Allergy Unit, Hospital Rafael Mendez, Murcia, Spain. FAU - Herrero, N AU - Herrero N FAU - Muro, M AU - Muro M FAU - Vegara, R P AU - Vegara RP FAU - Campos, M AU - Campos M FAU - Garcia-Alonso, A M AU - Garcia-Alonso AM FAU - Alvarez, M R AU - Alvarez MR LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Eur Respir J JT - The European respiratory journal JID - 8803460 RN - 0 (Interleukin-6) RN - 0 (Pokeweed Mitogens) RN - 0 (Recombinant Proteins) RN - 207137-56-2 (Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Asthma/*immunology MH - Cells, Cultured MH - Child MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - Humans MH - Immunoglobulin E/*biosynthesis MH - Interleukin-4/*pharmacology/physiology MH - Interleukin-6/*pharmacology MH - Leukocytes, Mononuclear/*immunology MH - Male MH - Middle Aged MH - Pokeweed Mitogens/pharmacology MH - Recombinant Proteins/pharmacology EDAT- 1997/10/06 00:00 MHDA- 1997/10/06 00:01 CRDT- 1997/10/06 00:00 PHST- 1997/10/06 00:00 [pubmed] PHST- 1997/10/06 00:01 [medline] PHST- 1997/10/06 00:00 [entrez] AID - 10.1183/09031936.97.10092091 [doi] PST - ppublish SO - Eur Respir J. 1997 Sep;10(9):2091-6. doi: 10.1183/09031936.97.10092091.