“…There are quite a lot of evidential data demonstrating a pivotal role for IgE in the development of bronchial asthma: increased IgE serum levels are associated with prevalence rates and disease severity (31,32), asthma in children is almost always associated with production of allergen-specific IgE and positive skin test reactivity against environmental allergens (8,31), and even in patients with non-allergic asthma, despite normal IgE serum levels, an extensive production of IgE in large areas of the airways has been found (36). On the other hand, experimental data from murine models demonstrate that development of airway inflammation and hyperreactivity to unspecific stimuli, two of the three main features of the disease, may occur independently of B cells (78), IgE-production (78,79) or IgE-mediated mast-cell activation (80). Concordantly, in animals with a robust allergen-mediated inflammatory response of the airways, treatment with anti-IgE antibodies does not inhibit development of airway inflammation or hyperreactivity (81).…”