Lack of allergy to timothy grass pollen is not a passive phenomenon but associated with the allergen‐specific modulation of immune reactivity

D Hinz, G Seumois, AM Gholami… - Clinical & …, 2016 - Wiley Online Library
D Hinz, G Seumois, AM Gholami, JA Greenbaum, J Lane, B White, DH Broide, V Schulten…
Clinical & Experimental Allergy, 2016Wiley Online Library
Background Timothy grass (TG) pollen is a common seasonal airborne allergen associated
with symptoms ranging from mild rhinitis to severe asthma. Objective The aim of this study
was to characterize changes in TG‐specific T cell responses as a function of seasonality.
Methods Peripheral blood mononuclear cells (PBMC s) obtained from allergic individuals
and non‐allergic controls, either during the pollen season or out of season, were stimulated
with either TG extract or a pool of previously identified immunodominant antigenic regions …
Background
Timothy grass (TG) pollen is a common seasonal airborne allergen associated with symptoms ranging from mild rhinitis to severe asthma.
Objective
The aim of this study was to characterize changes in TG‐specific T cell responses as a function of seasonality.
Methods
Peripheral blood mononuclear cells (PBMCs) obtained from allergic individuals and non‐allergic controls, either during the pollen season or out of season, were stimulated with either TG extract or a pool of previously identified immunodominant antigenic regions.
Results
PBMCs from allergic subjects exhibit higher IL‐5 and IL‐10 responses in season than when collected out of season. In the case of non‐allergic subjects, as expected we observed lower IL‐5 responses and robust production of IFN‐γ compared to allergic individuals. Strikingly, non‐allergic donors exhibited an opposing pattern, with decreased immune reactivity in season. The broad down‐regulation in non‐allergic donors indicates that healthy individuals are not oblivious to allergen exposure, but rather react with an active modulation of responses following the antigenic stimulus provided during the pollen season. Transcriptomic analysis of allergen‐specific T cells defined genes modulated in concomitance with the allergen exposure and inhibition of responses in non‐allergic donors.
Conclusion and Clinical Relevance
Magnitude and functionality of T helper cell responses differ substantially in season vs. out of season in allergic and non‐allergic subjects. The results indicate the specific and opposing modulation of immune responses following the antigenic stimulation during the pollen season. This seasonal modulation reflects the enactment of specific molecular programmes associated with health and allergic disease.
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