title: IgE-mediated allergen presentation via Fc epsilon RI on antigen-presenting cells.
abstract: In atopic individuals, cutaneous antigen-presenting cells (APC), i.e. Langerhans' cells (LC) and dermal dendritic cells (DDC), frequently display anti-IgE reactivity. While earlier observations suggested that this phenomenon results from the binding of (complexed) IgE to the low affinity IgE receptor (Fc epsilonRII/CD23), recent evidence exists that LC and DDC, as well as peripheral blood dendritic cells and monocytes from atopic individuals, can bind monomeric IgE via the high-affinity receptor for IgE (Fc epsilonRI). We have now found that Fc epsilonRI, both quantitatively and qualitatively, is the pivotal serum IgE-binding structure on APC of atopic individuals, that Fc epsilonRI on APC functions as allergen-focusing molecule and that allergens are more efficiently taken up, processed and presented to T cells following targeting to APC via Fc epsilonRI compared to allergen binding to APC in the conventional manner. In vivo, Fc epsilonRI-IgE-dependent allergen presentation may critically lower atopic individuals' threshold to mount allergen-specific T cell responses. This would result in the perpetuation of allergen-specific IgE production (type I reactions) and perhaps even in the occurrence of T-cell-mediated delayed-type hypersensitivity reactions in allergen-exposed tissues.
authors.affiliation: Department of Dermatology, University of Vienna Medical School, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Stingl
authors.forename: D
authors.initials: D
authors.lastname: Maurer
mesh_terms: D000485:Allergens / Q000276:immunology*; D000818:Animals; D000938:Antigen-Presenting Cells / Q000502:physiology*; D006801:Humans; D007073:Immunoglobulin E / Q000276:immunology*; D017455:Receptors, IgE / Q000737:chemistry / Q000502:physiology*; D013329:Structure-Activity Relationship
chemical_list: D000485:Allergens; D017455:Receptors, IgE; D007073:Immunoglobulin E