Jaarboek no. 87. 2008/2009 - Koninklijke Maatschappij voor ...
Jaarboek no. 87. 2008/2009 - Koninklijke Maatschappij voor ...
Jaarboek no. 87. 2008/2009 - Koninklijke Maatschappij voor ...
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132 Diligentia<br />
infections are able to suppress allergic disorders. In terms of mechanisms involved in suppression<br />
of airway inflammation by helminth infections, there is evidence that regulatory<br />
cells such as Tregs and regulatory B cells are involved. The transfer of T and B cells from<br />
chronically infected mice into allergen sensitized mice protected the development of airway<br />
inflammation following allergen challenge of sensitized mice.<br />
Concluding remarks<br />
The epidemiologic studies as well as studies in experimental models of asthma, support<br />
the <strong>no</strong>tion that certain infections reduce the risk of developing an allergic disease. The<br />
mechanisms so far point towards an important role for regulatory cells of the immune system.<br />
Therefore it is proposed that in areas where infections are highly endemic, exposure<br />
to microbial compounds can lead to the development of a robust regulatory response,<br />
which in turn can ensure that inflammatory immune activation is kept under control and<br />
thus prevents the development of overt inflammation in tissues such as in the lung.<br />
Key references<br />
Asher M.I., Montefort S., Björkstén B., Lai C.K., Strachan D.P., Weiland S.K., Williams H.; ISAAC Phase Three Study<br />
Group. Worldwide time trends in the prevalence of symptoms of asthma, allergic rhi<strong>no</strong>conjunctivitis, and eczema<br />
in childhood: ISAAC Phases One and Three repeat multicountry cross-sectional surveys. Lancet. 2006;368:733-43<br />
Bousquet J., Burney P.G., Zuberbier T., Cauwenberge P.V., Akdis C.A., Bindslev-Jensen C., Bonini S., Fokkens W.J.,<br />
Kauffmann F., Kowalski M.L., Lodrup-Carlsen K., Mullol J., Nizankowska-Mogilnicka E., Papadopoulos N., Toskala<br />
E., Wickman M., Anto J., Auvergne N., Bachert C., Bousquet P.J., Brunekreef B., Ca<strong>no</strong>nica G.W., Carlsen K.H.,<br />
Gjomarkaj M., Haahtela T., Howarth P., Lenzen G., Lotvall J., Radon K., Ring J., Salapatas M., Schünemann H.J.,<br />
Szczecklik A., Todo-Bom A., Valovirta E., von Mutius E., Zock J.P. GA(2)LEN (Global Allergy and Asthma European<br />
Network) addresses the allergy and asthma ‘epidemic’ Allergy. <strong>2009</strong> Apr 7 (epublication ahead)<br />
Cookson W.O., Moffatt M.F. Asthma: an epidemic in the absence of infection? Science. 1997; 275:41-2<br />
Van den Biggelaar A.H., Rodrigues L.C., van Ree R., et al. Long-term treatment of intestinal helminths increases mite<br />
skin-test reactivity in Gabonese schoolchildren. J Infect Dis. 2004; 189:892-900.<br />
Yazdanbakhsh M., Kremsner P.G., van Ree R. Allergy, parasites, and the hygiene hypothesis. Science 2002, 296:490-4<br />
Immu<strong>no</strong>logie van de hygiëne-hypothese