[HTML][HTML] Prenatal sensitization in a mouse model

U Herz, R Joachim, B Ahrens, A Scheffold… - American journal of …, 2000 - atsjournals.org
U Herz, R Joachim, B Ahrens, A Scheffold, A Radbruch, H Renz
American journal of respiratory and critical care medicine, 2000atsjournals.org
Several studies have suggested that the in utero environment plays an important role in the
onset of sensitization to environmental allergens. This concept of in utero priming to favor
the development of subsequent allergic diseases is supported by several observations.
Already at birth cord blood mononuclear cells (CBMCs) proliferate in response to allergens
such as Dermatophagoides pteronyssinus (Der p) or birch pollen (1–3). This allergen-
specific immune response is mediated by fetal T cells, as opposed to maternally derived …
Several studies have suggested that the in utero environment plays an important role in the onset of sensitization to environmental allergens. This concept of in utero priming to favor the development of subsequent allergic diseases is supported by several observations. Already at birth cord blood mononuclear cells (CBMCs) proliferate in response to allergens such as Dermatophagoides pteronyssinus (Der p) or birch pollen (1–3). This allergen-specific immune response is mediated by fetal T cells, as opposed to maternally derived contaminants (4). Several factors remained crucial for the development of such a proliferative immune response. The mother must be exposed to the antigen beyond the first trimester of pregnancy (5, 6). The presence of allergen-specific IgE at birth also indicates the prenatal development of functional T–B cell interactions (7). This implies that the allergen responder phenotype may be determined by immune deviation involving allergendriven T cell selection. Such a notion is supported by finding that pregnancy is associated with a transient depression of maternal helper T cell type 1 (Th1)-mediated cell immunity, resulting in a Th2-like maternal profile at the maternal–fetal interface. Moreover, many studies have documented defective polyclonal interferon(IFN-) responses by CBMCs from neonates either at risk of atopy, or those who later develop disease (8–11).
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