PMID- 9642305 OWN - NLM STAT- MEDLINE DCOM- 19980710 LR - 20081121 IS - 0366-6999 (Print) IS - 0366-6999 (Linking) VI - 110 IP - 10 DP - 1997 Oct TI - A study on rIL-4 and IFN-gamma regulating IgE synthesis in bronchial asthma patients. PG - 760-3 AB - OBJECTIVE: To investigate the cytokines responsible for pathophysiology of asthma. METHODS: In vitro effects of recombinant interleukin-4 (rIL-4) and interferon-gamma (IFN-gamma) on synthesis of immunoglobulin E (IgE) by peripheral blood mononuclear cells (PBMC) were studied in 30 asthmatic patients and 25 normal controls. RESULTS: Spontaneous IgE synthesis by PBMC significantly increased in patients with asthma compared with the controls (t = 4.471, P < 0.001). Although the maximum amounts of IgE synthesis using PBMC after stimulation with rIL-4 were almost the same in the patients with asthma and in the controls (P > 0.05), the enhancement rate of rIL-4-induced IgE synthesis was lower in the asthma patients than in the controls (t = 4.6719, P > 0.005). IFN-gamma suppressed both spontaneous and rIL-4-induced IgE synthesis by PBMC in the asthma patients. The suppressive effect on IgE synthesis was more prominent in the patients with asthma than in the controls (t = 7.1833, P < 0.001). CONCLUSIONS: Asthma attacks are related to IgE-dependent trigger mechanism. The imbalance of IL-4 and IFN-gamma in vivo is the cause of elevated IgE than can produce mediators release and asthma attacks. IFN-gamma can inhibit IgE synthesis, so IFN-gamma may be a new approach to the treatment of asthma. FAU - Liu, X AU - Liu X AD - First Affiliated Hospital to Lanzhou Medical College, China. FAU - Xing, Z AU - Xing Z LA - eng PT - Journal Article PL - China TA - Chin Med J (Engl) JT - Chinese medical journal JID - 7513795 RN - 0 (Recombinant Proteins) RN - 207137-56-2 (Interleukin-4) RN - 37341-29-0 (Immunoglobulin E) RN - 82115-62-6 (Interferon-gamma) SB - IM MH - Adult MH - Asthma/*immunology MH - Cells, Cultured MH - Female MH - Humans MH - Immunoglobulin E/*biosynthesis/blood MH - Interferon-gamma/*pharmacology MH - Interleukin-4/pharmacology MH - Leukocytes, Mononuclear/cytology MH - Male MH - Middle Aged MH - Recombinant Proteins/pharmacology EDAT- 1998/06/27 00:00 MHDA- 1998/06/27 00:01 CRDT- 1998/06/27 00:00 PHST- 1998/06/27 00:00 [pubmed] PHST- 1998/06/27 00:01 [medline] PHST- 1998/06/27 00:00 [entrez] PST - ppublish SO - Chin Med J (Engl). 1997 Oct;110(10):760-3.