title: Immunotherapy attenuates eosinophil transendothelial migration induced by the supernatants of antigen-stimulated mononuclear cells from atopic asthmatics.
abstract: BACKGROUND
  Eosinophil transendothelilal migration across vascular endothelial cells is an initial step of eosinophil accumulation in allergic inflammation. There is increasing evidence that specific immunotherapy (SIT) modulates the production of inflammatory molecules from mononuclear cells.
  
  
  OBJECTIVE
  The present study was undertaken to examine whether SIT modifies eosinophil transendothelial migration induced by the supernatants of antigen-stimulated mononuclear cells from atopic asthmatics.
  
  
  METHODS
  Dermatophagoides farinae (Df)-sensitive mild persistent asthmatics were divided into a SIT-treated group and a control group. Peripheral blood mononuclear cells (PBMC) were isolated before and after SIT using the rush protocol, and cultured for 96 h at 37 degrees C in the presence or absence of Df antigen. Eosinophils were isolated from the blood of healthy subjects, and put on transwell filters coated with pulmonary microvascular endothelial cell monolayers stimulated with IL-4 plus TNF-alpha. The supernatants of PBMC were applied to the lower compartment and the transmigration of eosinophils was examined.
  
  
  RESULTS
  Df stimulation of PBMC resulted in an augmentation of eosinophil transendothelial migration. This enhancement was abrogated following SIT. In the control group, the antigen-induced effect on eosinophil transmigration did not show an interval change.
  
  
  CONCLUSIONS
  SIT attenuates eosinophil transendothelial migration induced by antigen-stimulated mononuclear cells.
authors.affiliation: Department of Respiratory Medicine, Saitama Medical School, Iruma-gun, Japan. favre4mn@saitama-medd.ac.jp
authors.forename: Makoto
authors.initials: M
authors.lastname: Nagata
authors.forename: Keiko
authors.initials: K
authors.lastname: Saito
authors.forename: Izumi
authors.initials: I
authors.lastname: Kikuchi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tabe
authors.forename: Koichi
authors.initials: K
authors.lastname: Hagiwara
authors.forename: Minoru
authors.initials: M
authors.lastname: Kanazawa
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Sakamoto
mesh_terms: D000328:Adult; D039741:Antigens, Dermatophagoides / Q000276:immunology; D001249:Asthma / Q000276:immunology / Q000628:therapy*; D002631:Chemotactic Factors, Eosinophil / Q000494:pharmacology; D002634:Chemotaxis, Leukocyte / Q000187:drug effects*; D004730:Endothelium, Vascular / Q000378:metabolism; D004804:Eosinophils / Q000187:drug effects* / Q000502:physiology; D005260:Female; D006801:Humans; D007167:Immunotherapy; D007963:Leukocytes, Mononuclear / Q000276:immunology; D008297:Male; D008875:Middle Aged
chemical_list: D039741:Antigens, Dermatophagoides; D002631:Chemotactic Factors, Eosinophil