Tourettesyndrome免疫病因学研究进展

多发性抽动症（Tourette syndrome）是一种慢性神经精神性疾病,好发于儿童和青少年,主要表现为一个或多个部位肌肉运动性或发声性抽动,发作期持续超过一年,间歇期不超过3个月。TS的病因和发病机制至今仍未明确,目前认为其发病与免疫因素,环境心理因素,遗传因素,生物化学因素等多种因素有关,目前,A族B溶血性链球菌与Ts的发生跟发展的关系已有所报道,较多研究是关于链球茵感染的,一些免疫相关研究发现与链球菌感染有关的小儿自身免疫性神经精神疾病会引发或加重抽动症状。另外,过敏性变态反应性疾病与Ts患儿的自身免疫应答活跃的关系也有所报道。神经．内分泌一免疫网络学说认为,外周免疫系统跟中枢神经系统之间,可通过直接接触或通过产生并释放出来的生物活性因子进行信息交流。细胞因子正是两大系统间相互作用的信使,不仅可以调节免疫,而且还可以调控神经元和神经胶质细胞的功能。细胞因子与神经介质、内分泌激素共同组成机体细胞间的信号分子,参与免疫系统并激活神经递质及激素间的信息传递,与精神障碍和心理机体反应密切相关。因此,有关免疫病因学异常可能是部分易感患儿发病的机制,文章从感染免疫学,过敏性变态反应性疾病,以及细胞因子调节网络等与免疫相关的几个方面加以综述。     

Early‐life environment,developmental immunotoxicology,and the risk of pediatric allergic disease including asthma

Incidence of childhood allergic disease including asthma (AD‐A) has risen since the mid‐20th century with much of the increase linked to changes in environment affecting the immune system. Childhood allergy is an early life disease where predisposing environmental exposures, sensitization, and onset of symptoms all occur before adulthood. Predisposition toward allergic disease (AD) is among the constellation of adverse outcomes following developmental immunotoxicity (DIT; problematic exposure of the developing immune system to xenobiotics and physical environmental factors). Because novel immune maturation events occur in early life, and the pregnancy state itself imposes certain restrictions on immune functional development, the period from mid‐gestation until 2 years after birth is one of particular concern relative to DIT and AD‐A. Several prenatal‐perinatal risk factors have been identified as contributing to a DIT‐mediated immune dysfunction and increased risk of AD. These include maternal smoking, environmental tobacco smoke, diesel exhaust and traffic‐related particles, heavy metals, antibiotics, environmental estrogens and other endocrine disruptors, and alcohol. Diet and microbial exposure also significantly influence immune maturation and risk of allergy. This review considers (1) the critical developmental windows of vulnerability for the immune system that appear to be targets for risk of AD, (2) a model in which the immune system of the DIT‐affected infant exhibits immune dysfunction skewed toward AD, and (3) the lack of allergy‐relevant safety testing of drugs and chemicals that could identify DIT hazards and minimize problematic exposure of pregnant women and children. Birth Defects Res (Part B) 2008. © 2008 Wiley‐Liss, Inc.     

New and old adjuvants in allergen‐specific immunotherapy: With a focus on nanoparticles

Allergic diseases have remarkably increased in recent years. Nowadays, efforts for curing and management of these disorders are an important concern worldwide. Allergen‐specific immunotherapy (ASIT) has recently gained more attention as a means for the management of allergic diseases. Adjuvants or helper agents are materials applied for better stimulating and shifting of protective responses, and these belong to an extremely diverse collection of complexes. The main function of adjuvants includes acting as depot foundations, transferring vehicles, and immunostimulators. Immunostimulatory adjuvants have gained increasing attention for ASIT. In this regard, the present study provides a review of old and new adjuvants used in allergen immunotherapy.     

Exploring the Determinants of the Perceived Risk of Food Allergies in Canada

Food allergies are emerging health risks in much of the Western world, and some evidence suggests prevalence is increasing. Despite lacking scientific consensus around prevalence and management, policies and regulations are being implemented in public spaces (e.g., schools). These policies have been criticized as extreme in the literature, in the media, and by the non-allergic population. Backlash appears to be resulting from different perceptions of risk between different groups. This article uses a recently assembled national dataset (n = 3,666) to explore how Canadians perceive the risks of food allergy. Analyses revealed that almost 20% self-report having an allergic person in the household, while the average respondent estimated the prevalence of food allergies in Canada to be 30%. Both of these measures overestimate the true clinically defined prevalence (7.5%), indicating an inflated public understanding of the risks of food allergies. Seventy percent reported food allergies to be substantial risks to the Canadian population. Multivariate logistic regression models revealed important determinants of risk perception including demographic, experience-based, attitudinal, and regional predictors. Results are discussed in terms of understanding emerging health risks in the post-industrial era, and implications for both policy and risk communication.     

New allergies after cord blood transplantation

Background aimsUmbilical cord blood transplantation (CBT) is an effective treatment for benign and malignant diseases. Late effects of CBT are not well described in the literature. In the present study, we present our experience of new-onset allergies in long-term survivors after CBT.MethodsAfter an initial patient had a severe peanut allergic reaction after CBT, all CBT patients were prospectively followed for new allergy development. Fifty patients received CBT between March 2006 and June 2011.ResultsThe median follow-up after CBT was 447 days (range, 12–2022). At the time of analysis, 30 patients were alive, with 3-year survival of 55.5%; median follow-up of surviving patients was 910 days (range, 68–2022). The allergic syndrome developed in five patients, with the cumulative incidence of new allergies at 2 years of 18.4% (95% confidence interval, 10.8–26). The median time to onset of new allergy after transplantation was 298 days (range, 250–809).ConclusionsAllergy development has been linked to a delayed maturation of the immune system in several studies. We present the first case series of patients who had new allergies after CBT. Further study of this novel complication as well as counseling of patients after CBT would be important.     

The role of clothing fabrics as passive pollen collectors in the north‐eastern United States

The purpose of this investigation is to determine if clothing fabrics act as passive pollen collectors, and to determine if different fabrics vary with regard to the abundance and type of pollen trapped. Five of the most common fabrics in the United States (cotton, wool, polyester, silk and linen) were used to trap pollen. The pollen collecting apparatus was constructed of a 30?cm diameter circular needlepoint hoop, which vertically rotated freely, and was mounted on a dowel that was driven into the soil to chest height. Five pollen collectors, each with one of the five fabrics were placed at a collection site in rural, suburban, and urban habitats in Rhode Island for a 24?h period at weekly or biweekly intervals throughout 2002–2003. Pollen was washed from each of the fabrics and acetolysed. Total pollen per cm² removed from each of the fabric types was estimated using a haemocytometer. The pollen types were identified, and 200 grains were counted to determine the relative abundance of the various pollen types recovered from the fabrics. Clothing fabrics act as passive pollen collectors and the flora recovered from the fabric represent the qualitative and quantitative components of the pollen rain for that specific day. There are quantitative differences among the relative abundance of pollen types from the three habitats (urban, suburban, and rural). Washing with water and a detergent eliminates a majority of the pollen from the fabrics.     

Soybean 𝛃-conglycinin-induced gut hypersensitivity reaction in a piglet model

Soybean is a major protein source in human and animal nutrition, but has also been described as a source of allergenic reactions. The objective of this study was to investigate anaphylactic reactions induced by purified soybean β-conglycinin in 10-day old piglets, and to elaborate the molecular and cellular mechanisms of intestinal injury resulting from soybean hypersensitivity. We investigated the oral allergy syndrome and anaphylactic reactions in piglets caused by soybean β-conglycinin with an intragastric feeding protocol without using an adjuvant. Physical symptoms, including lethargy, diarrhoea and respiratory distress were monitored to determine the anaphylactic reactions. Immunological assessment was conducted through measurement of immunoglobulin E (IgE) antibody concentration. Jejunal tissue was assessed for morphologic changes after the oral challenge, and histamine release, mRNA expression and endogenous production of cytokines were analysed. The results showed that β-conglycinin reduced growth of piglets, and after oral challenge, sensitised piglets displayed signs of allergic hypersensitivity. Furthermore, the levels of both total IgE and antigen-specific IgE in the sera were increased. Histological examination of jejunum revealed intestinal morphology damage, higher levels of interleukin-4, interferon-γ and significant levels of histamine were detected in the tissues. Our results indicate that purified β-conglycinin possesses intrinsic immune-stimulating capacity and can induce an allergic reaction, which was IgE mediated. Both T helper2 and T helper1 responses may play important roles in the intestinal injury resulting from soybean hypersensitivity.     

Incidence of allergenic pollen of Acer spp., Fraxinus spp. and Platanus spp. in the city of La Plata, Argentina: preliminary results

This work studies the airborne pollenconcentrations of Acer spp.,Fraxinus spp. and Platanus spp. sincethe pollen of these three taxa has beencharacterized as etiological agents ofpollinosis. These tree species are present inlarge amounts in the streets of La Plata city.The aeropalynological monitoring was performedwith a Hirst-type spore trap (Lanzoni VPPS,2000). The emission period of the three taxaextends from approximately late August to October.The maximum cumulative totalof arboreal pollen was found to be 30824.7from September 12 to 18. This period coincideswith the peak of total pollen concentration.Pollen grains trapped were analysed andexpressed as daily averages of 5-hour bandsper day during the whole year. Maximum pollenconcentration was registered between 10 a.m.and 2 p.m. During the studied period, 67 patients examinedat the Allergy Service of ``Hospital Interzonalde Agudos R. Rossi' (La Plata) showed allergicdisease. These allergenic episodes may beproduced by the large amount of pollen trees inthe city area.     

Monitoring pollinosis and airborne pollen in a Rome university

Pollen allergies and airborne pollen weremonitored at the University of Rome ``TorVergata' in 1999 in order to determine theconcentration and the quality of airbornepollen belonging to allergenic plants inrelationship to the prevalence of pollenallergies.Airborne pollen was monitored by volumetrictrap while data on allergies were collectedthrough a questionnaire distributed to theUniversity personnel belonging to variousworking categories. Meteorological data wereobtained through a daily monitoring carried outby a meteorological station while plantanthesis identification was done at theHerbarium of the University.Results indicated that prevalent allergies weredue to Gramineae, Urticaceae and Oleaceaepollen. Many subjects suffering from allergiesdid not know the responsible allergen(s) andmore than half of the allergic subjects statedto have allergic relatives.Data on pollen monitoring and prevalence ofallergies, collected in the same geographicalarea, were found to be in accordance with eachother, with the exception of the case ofCupressaceae/Taxaceae plants, whose pollen wasfound in high concentration although no case ofallergy due to this pollen was established.