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Synthesis1


Departments of
*
Immunology and
Pediatrics and Child Health, University of Manitoba, Winnipeg, Canada
Human immediate hypersensitivity diseases represent the most common
example of chronic excessive Th2-like activation in developed nations.
While IL-13 shares many functional properties with IL-4, the intensity
and regulation of environmental Ag-stimulated IL-13 synthesis by
allergic vs nonallergic individuals remain ill defined. Here, we
examine the intensity of polyclonally and Ag-stimulated IL-13
production by PBMC of 20 subjects with seasonal allergic rhinitis and
20 healthy controls. Polyclonally driven IL-13 responses did not differ
significantly (Mann-Whitney U test,
p = 0.68). In contrast, the median CD4-dependent
IL-13 response among atopics was markedly stronger than nonatopics in
Ag-stimulated primary culture (p = 0.0031) and
exhibited a strong correlation with IL-5 (r = 0.76,
p = 0.0009), but not IL-4 (r =
0.14, p > 0.05), responses. IL-13 production was
unaffected by blocking endogenous IL-4 or IL-5 activity or by addition
of rIL-4 or rIL-5. In contrast, it was inhibited by low levels of
rIFN-
and strongly enhanced upon addition of neutralizing
anti-IFN-
mAb. Collectively, the data are consistent with a
negative regulatory role for endogenous IFN-
synthesis in
controlling the intensity of systemic IL-13 responses evoked in both
atopic and nonatopic populations following exposure to common Ags. They
also suggest that the elevated levels of IL-4 and IL-5 characteristic
of type 2-dominated responses in vivo are without detectable impact on
the maintenance of recall Ag-stimulated IL-13
production.
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