Allergy Asthma Immunol Res:屋尘螨免疫治疗对鼻过敏原挑战的上、下呼吸道嗜酸性炎症响应影响

2020-07-19 AlexYang MedSci原创

是否过敏原特异性免疫治疗(AIT)能够减弱过敏原接触引发的气道炎症响应仍旧未知。

是否过敏原特异性免疫治疗(AIT)能够减弱过敏原接触引发的气道炎症响应仍旧未知。

最近,有研究人员在过敏性鼻炎(AR)和/或哮喘患者中进行了屋尘螨(Der-p)鼻激发测试(NPTs),这些参与者由没有进行AIT的和进行Der-p AIT治疗16、52、104和156周后的组成。研究发现,没有进行AIT的受试者的VAS-NS在NPT前后与AIT受试者相比均显著更高(P<0.05)。NPT响应在14名(100%)无AIT受试者中为阳性;在AIT受试者中,比例分别为7 (70%) 16周-AIT、6 (60%) 52周-AIT、6 (60%) 104周-AIT和2 (20%) 156周-AIT。NPT等级与AIT持续时间和基线RQLQ得分(r=- 0.561, P<0.001和r=0.525, P<0.001)显著相关。非AIT受试者在NPT后6小时的痰液和洗鼻液中,嗜酸性粒细胞数目和FeNO均显著增加(P<0.05)。AIT受试者在NPT前后的痰液和洗鼻液中嗜酸性粒细胞数目和FeNO均无变化。156周AIT治疗后的受试者中与非AIT受试者相比,NPT前后痰液和洗鼻液中嗜酸性粒细胞数目和FeNO均显著更低(P<0.05)。在非AIT受试者中,痰液嗜酸性粒细胞数目与鼻灌洗液嗜酸性粒细胞数据在基线点和NPT6小时后呈现正相关关系(r=0.719, P=0.006和r=0.823, P<0.001)。

最后,研究人员指出,他们的结果表明了AIT能够同时减弱AR和/或哮喘患者中鼻过敏原接触的上、下呼吸道免疫响应。

原始出处:

Renbin Huang , Rundong Qin , Qiurong Hu et al. Effect of Dermatophagoides pteronyssinus Immunotherapy on Upper and Lower Airway Eosinophilic Inflammatory Response to Nasal Allergen Challenge. Allergy Asthma Immunol Res. 2020.

 

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    2021-06-10 skhzy
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    2020-07-23 抽子茶

    学习了

    0

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    2020-07-21 zhmscau
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    2020-07-21 膀胱癌
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    2020-07-19 wangzheng00

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