Potential of Immunoglobulin A to Prevent Allergic Asthma

  • Anouk K. Gloudemans
    Department of Pulmonology, Erasmus Medical Center, Rotterdam, The Netherlands
  • Bart N. Lambrecht
    Department of Pulmonology, Erasmus Medical Center, Rotterdam, The Netherlands
  • Hermelijn H. Smits
    Leiden Immunoparasitology Group, Department of Parasitology, Leiden University Medical Center, Albinusdreef 2, P4-37A, 2333 ZA Leiden, The Netherlands

書誌事項

公開日
2013
権利情報
  • http://creativecommons.org/licenses/by/3.0/
DOI
  • 10.1155/2013/542091
公開者
Hindawi Limited

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説明

<jats:p>Allergic asthma is characterized by bronchial hyperresponsiveness, a defective barrier function, and eosinophilic lower airway inflammation in response to allergens. The inflammation is dominated by Th2 cells and IgE molecules and supplemented with Th17 cells in severe asthma. In contrast, in healthy individuals, allergen-specific IgA and IgG4 molecules are found but no IgE, and their T cells fail to proliferate in response to allergens, probably because of the development of regulatory processes that actively suppress responses to allergens. The presence of allergen-specific secretory IgA has drawn little attention so far, although a few epidemiological studies point at a reverse association between IgA levels and the incidence of allergic airway disease. This review highlights the latest literature on the role of mucosal IgA in protection against allergic airway disease, the mechanisms described to induce secretory IgA, and the role of (mucosal) dendritic cells in this process. Finally, we discuss how this information can be used to translate into the development of new therapies for allergic diseases based on, or supplemented with, IgA boosting strategies.</jats:p>

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