Epicutaneous allergen application preferentially boosts specific T cell responses in sensitized patients
      
      
        
      
      
      
      
        
          
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Campana, Raffaela
Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Vienna General Hospital (AKH), Medical University of Vienna, Vienna, Austria
          
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Moritz, Katharina
Division of Immunology, Allergy and Infectious Diseases (DIAID), Department of Dermatology, Vienna General Hospital (AKH), Medical University of Vienna, Vienna, Austria
          
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Neubauer, Angela
Biomay AG, Vienna Competence Center, Vienna, Austria
          
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Huber, Hans
Biomay AG, Vienna Competence Center, Vienna, Austria
          
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Henning, Rainer
Biomay AG, Vienna Competence Center, Vienna, Austria
          
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Brodie, Tess M.
  Institute for Research in Biomedicine (IRB), Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland
          
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Kaider, Alexandra
Center for Medical Statistics, Informatics and Intelligent Systems, Section for Clinical Biometrics, Medical University of Vienna, Vienna, Austria
          
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Sallusto, Federica
  Institute for Research in Biomedicine (IRB), Faculty of Biomedical Sciences, Università della Svizzera italiana, Switzerland - Institute of Microbiology, ETH Zuerich, Switzerland
          
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Wöhrl, Stefan
Division of Immunology, Allergy and Infectious Diseases (DIAID), Department of Dermatology, Vienna General Hospital (AKH), Medical University of Vienna, Vienna, Austria
          
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Valenta, Rudolf
Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Vienna General Hospital (AKH), Medical University of Vienna, Vienna, Austria
          
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        Published in:
        
          
            
            - Scientific reports. - 2017, vol. 7, p. 11657
 
       
      
      
      
       
      
      
      
        
        English
        
        
        
          The effects of epicutaneous allergen administration on systemic immune responses in allergic  and non-allergic individuals has not been investigated with defined allergen molecules. We  studied the effects of epicutaneous administration of rBet v 1 and rBet v 1 fragments on systemic  immune responses in allergic and non-allergic subjects. We conducted a clinical trial in which  rBet v 1 and two hypoallergenic rBet v 1 fragments were applied epicutaneously by atopy patch  testing (APT) to 15 birch pollen (bp) allergic patients suffering from atopic dermatitis, 5 bp-allergic  patients suffering from rhinoconjunctivitis only, 5 patients with respiratory allergy without bp  allergy and 5 non-allergic individuals. Epicutaneous administration of rBet v 1 and rBet v 1  fragments led to strong and significant increases of allergen-specific T cell proliferation (CLA+  and CCR4+T cell responses) only in bp-allergic patients with a positive APT reaction. There were  no relevant changes of Bet v 1-specific IgE and IgG responses. No changes were noted in  allergic subjects without bp allergy and in non-allergic subjects. Epicutaneous allergen  application boosts specific T cell but not antibody responses mainly in allergic, APT-positive  patients suggesting IgE-facilitated allergen presentation as mechanism for its effects on systemic  allergen-specific immune responses.
        
        
       
      
      
      
        
        
        
        
        
        
        
        
        
        
        
        
        
        
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                  Medicine
                
              
            
          
        
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          gold
        
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          https://n2t.net/ark:/12658/srd1319148
        
 
   
  
  
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