2018
DOI: 10.1016/j.jaci.2017.02.035
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Basophil-derived IL-4 promotes epicutaneous antigen sensitization concomitant with the development of food allergy

Abstract: TSLP-elicited basophils promote epicutaneous sensitization to food antigens and subsequent IgE-mediated food allergy through IL-4. Strategies to target the TSLP-basophil-IL-4 axis in patients with AD might lead to innovative therapies that can prevent the progression of allergies to distant mucosal sites.

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Cited by 132 publications
(129 citation statements)
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“…When the sensitized mice were challenged with FSM, the serum mMCP‐1 concentrations decreased compared with those of the SM group, indicating that FSM might alter the activation and function of mast cells. Moreover, as another marker of effector cells, basophils play a key and non‐redundant role in the immune system, representing less than 1% of peripheral blood leukocytes . Histamine is another marker of allergen‐induced cell activation, and the level of histamine can indicate the activation of mast cells and basophils.…”
Section: Resultssupporting
confidence: 89%
“…When the sensitized mice were challenged with FSM, the serum mMCP‐1 concentrations decreased compared with those of the SM group, indicating that FSM might alter the activation and function of mast cells. Moreover, as another marker of effector cells, basophils play a key and non‐redundant role in the immune system, representing less than 1% of peripheral blood leukocytes . Histamine is another marker of allergen‐induced cell activation, and the level of histamine can indicate the activation of mast cells and basophils.…”
Section: Resultssupporting
confidence: 89%
“…Skin administration of a vitamin D analog (MC903) induced epithelial cell‐derived TSLP that initiated basophil activation and accumulation of ILC2s, which contribute to Th2 cytokine‐mediated AD‐like skin lesions . The basophil‐derived IL‐4 was required for the optimal accumulation of ILC2s in the inflamed skin lesions and for epicutaneous sensitization to food antigens in the skin and in food allergy effector responses . Indeed, mice lacking the Il4 3′ UTR fail to develop IgE‐mediated food allergy.…”
Section: Basophil‐derived Il‐4 In Allergic Lung Inflammationmentioning
confidence: 99%
“…They were identified in different laboratories and originally had several designations—innate helper type 2 (Ih2) cells, multipotent progenitor type 2 (MPP type2 ) cells, natural helper cells, and nuocytes—but are now classified as ILC2s . ILC2s produce high levels of IL‐5, IL‐6, and IL‐13 in response to epithelial or myeloid cell‐derived IL‐25, IL‐33, and TSLP after exposure to protease allergens, chemicals, or helminth parasites . These innate lymphocytes have also been found in several other tissues including the liver, spleen, and lung .…”
Section: Ilc2 In Allergic Inflammationmentioning
confidence: 99%
“…171,172 Studies investigating the role of TSLP and IL-25 in the context of food allergy are limited, and recent data on the topic are still derived from rodent in vivo and in vitro models. 15,85 Currently, there are trials of biologics targeting TSLP in asthma (NCT02698501), and in combination with cat immunotherapy (NCT02237196), but not food allergies. A therapeutic antibody targeting IL-33 (etokimab) was applied in a clinical trial to treat peanut allergy in adults with some promise (NCT02920021).…”
Section: Antig En -Uns Pecific and Additive A Pproache Smentioning
confidence: 99%
“…In contrast to epicutaneous immunotherapy, epicutaneous sensitization resulting in food allergy can occur when the skin barrier is damaged. TSLP‐elicited basophils promote epicutaneous sensitization to food antigens and subsequent IgE‐mediated food allergy through IL‐4, highlighting the need to develop better strategies that target the TSLP‐basophil‐IL‐4 axis in patients with atopic dermatitis to prevent the progression of allergies at distant mucosal sites . Treatment of mice with a monoclonal antibody specific to TSLP did prevent the development of food allergy, but combined treatment with antagonists to TSLP, IL‐25, and IL‐33 was required to suppress established food allergy …”
Section: Introductionmentioning
confidence: 99%