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Association of specific IgE to staphylococcal superantigens with the phenotype of chronic urticaria.

Authors
Ye, YM; Hur, GY; Park, HJ; Kim, SH; Kim, HM; Park, HS
Citation
Journal of Korean medical science, 23(5):845-851, 2008
Journal Title
Journal of Korean medical science
ISSN
1011-89341598-6357
Abstract
It has been well established that bacterial superantigens lead to the induction and aggravation of chronic inflammatory skin diseases. We investigated the clinical significance of serum specific immunoglobulin E (lgE) to the staphylococcal superantigens staphylococcal enterotoxin A (SEA), staphylococcal enterotoxin B (SEB), and toxic shock syndrome toxin (TSST)-1 in patients with chronic urticaria (CU), focusing on the differences in these prevalences between aspirin-intolerant CU (AICU) and aspirin-tolerant CU (ATCU) patients. Aspirin sensitivity was confirmed by oral aspirin provocation test. There were 66 patients AICU and 117 patients ATCU in the study. Serum IgE antibodies specific for SEA, SEB, and TSST-1 were measured by the ImmunoCAP test and the patients were compared with 93 normal controls (NC). The prevalences of serum specific IgE to staphylococcal superantigens were significantly higher in CU than in NC patients (IgE to SEA, 13.7% vs. 5.4%; IgE to SEB, 12.0% vs. 4.3%; IgE to TSST-1, 18.0% vs. 6.5%; p<0.05, respectively). The patients with specific IgE to SEA, SEB, and TSST-1 had higher serum total IgE levels and higher rates of atopy. Significant associations were noted between the prevalence of specific IgE to SEA and SEB and the HLA DQB1*0609 and DRB1*1302 alleles in the AICU group. We confirmed that a sub-population of patients with CU possesses serum IgE antibodies to SEA, SEB, and TSST- 1. Particularly, the IgE immune response to TSST-1 is associated with aspirin sensitivity in CU patients.
MeSH terms
AdolescentAdultAgedAnti-Inflammatory Agents, Non-Steroidal/pharmacologyAntigens/chemistry*Aspirin/pharmacologyBacterial Toxins/metabolismChronic DiseaseEnterotoxins/metabolismFemaleHumansImmunoglobulin E/chemistry*Immunoglobulin E/metabolismMaleMiddle AgedPhenotypeStaphylococcus/genetics*Staphylococcus/immunologySuperantigens/metabolismUrticaria/immunology*
DOI
10.3346/jkms.2008.23.5.845
PMID
18955792
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Allergy
Journal Papers > Research Organization > Regional Clinical Trial Center
AJOU Authors
예영민박한정김승현박해심
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