Asymptomatic atopy is associated with increased indoleamine 2,3-dioxygenase activity and interleukin-10 production during seasonal allergen exposure

D. Von Bubnoff*, R. Fimmers, M. Bogdanow, H. Matz, S. Koch, T. Bieber

*Corresponding author for this work
73 Citations (Scopus)

Abstract

Background: Indoleamine 2,3-dioxygenase (IDO) is a tryptophan (TRP)-catabolizing enzyme with regulatory effects on T cells. T cell inhibition is achieved through both TRP depletion and TRP metabolite accumulation in specific local tissue microenvironments. The expression of IDO activity by different types of antigen-presenting cells (APCs) has been shown to play a role in many instances of immunoregulation and tolerance induction. Induction of IDO after the engagement of the high-affinity receptor for IgE, FcεRI, on atopic monocytes has been suggested to regulate T cell responses in atopic disorders. Interleukin-10 (IL-10), a cytokine known for its down-regulatory functions in the immune system, has recently been associated with the stable expression of IDO in mature tolerogenic dendritic cells. Objective: This study was devised to understand the role of systemic IDO and IL-10 in the prevention of clinical apparent allergy. Methods: The concentration of TRP and the break-down product kynurenine were measured by high-performance liquid chromatography in- and off-season in sera from patients with seasonal allergic rhinitis (n = 12) and from clinically asymptomatic atopic patients sensitized to specific aeroallergens (n = 12). Non-atopic (NA) individuals (n = 12) served as control. The concentration of plasma IL-10 was determined in parallel from these donors by ELISA in- and off-season. Results: In clinically unresponsive but aeroallergen-sensitized atopic individuals significantly higher systemic activity of IDO and increased plasma IL-10 levels were found during allergen exposure but not off-season compared to symptomatic atopic individuals with allergic rhinitis and NA individuals. Conclusion: Enhanced systemic IDO activity as well as increased systemic levels of IL-10 may contribute to the containment of allergic T cell responses and could be involved in the maintenance of a state of clinical unresponsiveness.

Original languageEnglish
JournalClinical and Experimental Allergy
Volume34
Issue number7
Pages (from-to)1056-1063
Number of pages8
ISSN0954-7894
DOIs
Publication statusPublished - 07.2004

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