4.3 Article

IgE Ratio in Tears: A Predictive Tool of Ocular Allergic Inflammation

期刊

OCULAR IMMUNOLOGY AND INFLAMMATION
卷 28, 期 5, 页码 775-785

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TAYLOR & FRANCIS INC
DOI: 10.1080/09273948.2019.1629462

关键词

IgE ratio; inflammation; ocular allergy; tear protein profile; tears

资金

  1. Sorbonne Universite - Universite Pierre and Marie Curie (UPMC), the Institut National de la Sante et de la Recherche Medicale, Centre Hospitalier National d'Ophtalmologie des 15-20

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Purpose: To demonstrate the tear IgE (measured/exuded) ratio (R) as a useful biological marker of ocular allergy in order to distinguish severe from less severe inflammatory status. Methods: Tear samples and sera from 78 ocular allergy patients and 19 control subjects were analyzed. Total IgE and albumin were measured for calculating the tear IgE-R defining two subgroups (SG) of samples: R >= 4-SG and R < 4-SG. Eosinophil cationic protein, Th1 and Th2 cytokines (IFN-gamma, IL-4, -5, -6, -8 and -10) and protein electrophoretic profiles were also investigated in tears. Results: The R < 4-SG compared to the R >= 4-SG shows higher levels of tear albumin, eosinophil cationic protein, and Th1 and Th2 cytokines. Moreover, each subgroup presents a specific protein profile. Conclusion: This study showed that an IgE-R lower than four must be carefully interpreted as a warning sign of a severe inflammatory context and should be also associated with an exploration of immunological profile.

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