Dynamics of IL-4 and IFN-γ cytokine profile under the influence of combined allergen-specific immunotherapy (ASIT) in patients with polynosis and combined sensitization to pollen and household allergens.

S V Biletska,E M Dytyatkovska

doi:10.26641/2307-0404.2020.1.200410

Abstract

The article presents the results of the clinical evaluation of the cytokine profile (IL-4, IFN-γ) in combined allergen-specific ASIT immunotherapy in patients with polynosis and combined sensitization to pollen and household allergens. Studies were conducted in 49 patients aged 19-57 years (24 women and 25 men) suffering from polynosis from 1 to 38 years. Patients underwent an allergological examination, including history taking, diagnostic skin tests - prick test, immunological studies of blood by enzyme-linked immunosorbent assay and allergic component diagnosis ALEX, on the basis of which polysensitization to pollen and household allergens was revealed in all patients. All patients underwent pre-season ASIT. The main group of 31 patients received a combined ASIT with solutions of pollen and household allegens. 18 patients of the comparison group received ASIT only with pollen allergens. The observation groups were comparable by sex, age, and disease duration. Studies were conducted during the period of remission of the disease before the onset of ASIT and 1 year after. It was found that under the influence of combined ASIT, an immunospecific effect was observed in patients with a significant decrease in the level of IL-4 in simultaneous increase in the production of interferon-gamma by 59.8%, which indicates the activation of the process of switching the immune response from Th-2 to Th-1 cells. The positive results of clinical and immunological studies convincingly prove the advantages and effectiveness of the use of ASIT in patients with polynosis and combined sensitization to pollen and household allergens.

Highlights

Dynamics of IL-4 and IFN-γ cytokine profile under the influence of combined allergen-specific immunotherapy (ASIT) in patients with polynosis and combined sensitization to pollen and household allergens
Studies were conducted during the period of remission of the disease before the onset of ASIT and 1 year after
It was found that under the influence of combined ASIT, an immunospecific effect was observed in patients with a significant decrease in the level of IL-4 in simultaneous increase in the production of interferon-gamma by 59.8%, which indicates the activation of the process of switching the immune response from Th-2 to Th-1 cells

Summary

КЛІНІЧНА МЕДИЦИНА

Динамика показателей цитокинового профиля IL-4и IFN- γ под влиянием комбинированной аллерген-специфической иммунотерапии (АСИТ) у больных с полинозом и сочетанной сенсибилизацией к пыльцевым и бытовым аллергенам. В статье представлены результаты клинической оценки цитокинового профиля (IL-4, IFN--γ) при комбинированной аллерген-специфической иммунотерапии АСИТ у больных с полинозом и сочетанной сенсибилизацией к пыльцевым и бытовым аллегенам. Исследования проведены у 49 пациентов 19-57 лет (24 женщины и 25 мужчин), страдающих полинозом от 1 до 38 лет. Включающее сбор анамнеза, диагностические кожные пробы - prick test, иммунологические исследования крови иммуноферментным методом и аллергокомпонентную диагностику ALEX, на основании чего у всех пациентов выявлена полисенсибилизация к пыльцевым и бытовым аллегенам. Позитивность результатов клинических и иммунологических исследований убедительно доказывает преимущества и эффективность применения АСИТ у больных с поллинозом и сочетанной сенсибилизацией к пыльцевым и бытовым аллергенам

Загальна характеристика обстежених хворих

РЕЗУЛЬТАТИ ТА ЇХ ОБГОВОРЕННЯ

Findings

СПИСОК ЛІТЕРАТУРИ