الفهرس | Only 14 pages are availabe for public view |
Abstract The relation of allergy to autoimmunity is an interesting new field of research. Autoantibodies to IgE can be detected in sera of individuals with atopic disease and their functional properties are a subject of debate. Antibodies have been found that either trigger or inhibit mediator release from basophils, that enhance or inhibit binding of IgE to the low affinity IgE receptor and either stimulate or inhibit human IgE synthesis (Stadler, 1994). Based on such in vitro experiments, it seems that in vivo autoantibodies exist that either neutralize IgE or have no effect on IgEmediated clinical events. Shakib and associates (1993) hypothesized that circulating anti-IgE antibodies could potentially enhance IgE synthesis and facilitate the removal of IgE-allergen complexes by triggering IgG effector function pathways. Another study revealed that asthma patients have significantly elevated levels of IgGl and IgG4 anti-IgE antibodies which have an ability to trigger basophil histamine release (Shakib et al., 1994). Stadler (1994) postulated that anti-lyE autoantibodies may hide IgE as for example in those bee sting allergic individuals where specific IgE may not be detected but can be hidden within immune complexes suggesting that the biological activity of IgE is preserved. A similar Phenomenon may exist in allergic individuals. This study is aimed to evaluate the relation between allergy and autoimmunity through the estimation of circulating immune complexes in Introduction and Aim nf The Wm-k (I) asthmatic children with respect to diseuse severity and treatment received. The rel~tion of their levels to total serum IgE and other parameters of disease activity are aimed to be outlined. This field may provide alternative or complementary therapeutic modalities in resistant cases of chi ldhom.l asthmu. |