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Extra info for Allergic Diseases
The ragweed pollination season is indicated by the black bar on the abscissa. (From Gleich GJ, Jacob GL, Unginger JW, et al. Measurement of the absolute levels of IgE antibodies in patients with ragweed hay fever. ) OTHER HYPERSENSITIVITY STATES All immunologically mediated hypersensitivity states had been classified into four types by Gell and Coombs in 1964. This classification has been a foundation for an understanding of the immunopathogenesis of clinical hypersensitivity syndromes ( 51). This schema depends on the location and class of antibody that interacts with antigen resulting in effector cell activation and tissue injury.
T cells having the T H 2 cytokine profile have been cloned from individuals with a variety of atopic diseases, (24) have been identified in the airway of atopic asthmatic patients, and have been implicated as fundamental to persistent airway inflammation in asthma (38,39). Once a T H2 response is established, there is downregulation of T H1 cells by the cytokines IL-4 and IL-10. T H1 cells are capable of downregulating T H2 cytokine secretion through the reciprocal action of IFN-g on T H2 cells, a physiologic control that is abrogated by the predominant T H2 cell response in the atopic individual ( 40) (Fig.
53. Prausnitz C, Küstner H. Studien über ueberempfindlichkeit. Centralbl Bakteriol 1921;86:160. Coca AF, Grove EF. Studies in hypersensitiveness. XIII. A study of atopic reagins. J Immunol 1925;10:444. Stanworth DR. Reaginic antibodies. Adv Immunol 1963; 3:181. Sehon AH, Gyenes L. Antibodies in atopic patients and antibodies developed during treatment. In: Samter M, ed. Immunological diseases. 2nd ed. Boston: Little, Brown, 1971:785. Ishizaka K, Ishizaka T. Immunology of IgE mediated hypersensitivity.
Allergic Diseases by Patterson