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The Journal of Immunology, 2000, 164: 4393-4398.
Copyright © 2000 by The American Association of Immunologists

Characterization of T Cell Responses to Hev b 3, an Allergen Associated with Latex Allergy in Spina Bifida Patients1

Barbara Bohle*, Birgit Wagner*, Ute Vollmann*, Dietke Buck§, Bodo Niggemann§, Zsolt Szépfalusi{dagger}, Gottfried Fischer{ddagger}, Otto Scheiner*, Heimo Breiteneder* and Christof Ebner2,*

Departments of * General and Experimental Pathology, {dagger} Pediatrics, and {ddagger} Blood Group Serology, University of Vienna, Vienna, Austria; and § Children’s Hospital, Virchow Clinic, Humboldt University, Berlin, Germany

The prevalence of type I allergy to Hevea brasiliensis latex is particularly high among individuals with frequent exposure such as health care workers and patients with spina bifida (SB). Due to a birth defect of the spinal canal and the resulting neurological and orthopedic defects, these patients require multiple surgeries during childhood. SB patients display a unique pattern of sensitization: IgE-reactivity is preferentially directed against Hev b 3 and Hev b 1, two latex allergens with high sequence similarity. In this study, we analyzed the T cell response to Hev b 3 in latex-allergic SB patients using poly-, oligo-, and monoclonal T lymphocyte cultures. All T cell clones (TCC) were CD3/CD4-positive and expressed the {alpha}ß TCR. According to their cytokine production pattern (IL-4 vs IFN-{gamma}), 12 of 21 TCC were classified as Th2-like, 2 of 21 were Th1-like, and 7 of 21 belonged to a Th0-like subset. Using 11 T cell lines and 21 TCC, nine T cell stimulating fragments were determined out of 52 overlapping 12-mer peptides representing the complete amino acid sequence of Hev b 3. Ag presentation of one dominant T cell epitope could be associated with a four-amino acid binding motif (YSTS, position 11–13) in the ß1 chain of HLA-DR molecules expressed by the respective patients. No reactivity was observed when Hev b 3-reactive T cell lines or TCC were incubated with peptides representing homologous parts of the Hev b 1 molecule, i.e., no cross-reactivity between Hev b 3 and Hev b 1 at the T cell level was evident.




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