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Decrease of Airway Allergies After Lung Transplantation Is Associated With Reduced Basophils and Eosinophils.

Abstract：

BACKGROUND:Allergies are hypersensitive reactions of the immune system on antigen exposure similar to immune reactions after transplantation (Tx). Their activity can change after Tx. The lung as a transplantable organ is challenged two-fold, by antigens from the blood and the air environment. Herein we analyzed if airway allergies change after lung Tx. METHODS:We systematically reviewed patients' airway allergies before and after lung Tx between 1992 and 2014. The course of lymphocytes, thrombocytes, and leukocytes, among them neutrophils, eosinophils, and basophils, was analyzed in patients in whom airway allergies have changed and in whom they did not change. RESULTS:From 362 lung transplanted patients, 44 patients had suffered from allergies before Tx (12.2%). In 20 of these patients (45.5%), airway allergies disappeared completely within 1 year after lung Tx and were persistently absent thereafter. In these patients, basophils and eosinophils decreased significantly (P < .0012); in contrast, cells did not decrease in patients whose allergies did not disappear. Leukocytes overall, and in particular, neutrophils, decreased significantly in patients whose allergy disappeared (P < .014, P < .012, respectively). CONCLUSIONS:Airway allergies disappeared in almost half of cases after lung Tx. Along with this reduction, basophils and eosinophils decreased as potentially responsible cells for this phenomenon. These findings may stimulate intensified research on basophils and eosinophils as major drivers of airway allergies.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Niedzwiecki M,Yamada Y,Inci I,Weder W,Jungraithmayr W

doi

10.1016/j.transproceed.2016.02.084

subject

Has Abstract

pub_date

2016-07-01 00:00:00

pages

2140-6

issue

6

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(16)30213-5

journal_volume

48

pub_type

杂志文章

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