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Mayorga C, Çelik GE, Pascal M, Hoffmann HJ, Eberlein B, Torres MJ, Brockow K, Garvey LH, Barbaud A, Madrigal-Burgaleta R, Caubet JC, Ebo DG. Flow-based basophil activation test in immediate drug hypersensitivity. An EAACI task force position paper. Allergy 2024; 79:580-600. [PMID: 38084472 DOI: 10.1111/all.15957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Revised: 11/06/2023] [Accepted: 11/13/2023] [Indexed: 12/22/2023]
Abstract
Diagnosing immediate drug hypersensitivity reactions (IDHRs) can pose a significant challenge and there is an urgent need for safe and reliable tests. Evidence has emerged that the basophil activation test (BAT), an in vitro assay that mirrors the in vivo response, can be a complementary test for many drugs. In this position paper, members of Task Force (TF) "Basophil activation test in the evaluation of Drug Hypersensitivity Reactions" from the European Academy of Allergy and Clinical Immunology (EAACI) present the data from a survey about the use and utility of BAT in IDHRs in Europe. The survey results indicate that there is a great interest for using BAT especially for diagnosing IDHRs. However, there are still main needs, mainly in the standardization of the protocols. Subsequently consensus-based recommendations were formulated for: (i) Technical aspects of BAT in IDHRs including type of sample, management of drugs, flow cytometry protocols, interpretation of the results; and (ii) Drug-specific aspects that should be taken into account when performing BAT in relation to betalactams, neuromuscular blocking agents, fluoroquinolones, chlorhexidine, opioids, radio contrast media, chemotherapeutics, biological agents, nonsteroidal anti-inflammatory drugs, COVID vaccine, and excipients. Moreover, aspects in the evaluation of pediatric population have also been considered. All this indicates that BAT offers the clinician and laboratory a complementary tool for a safe diagnostic for IDHRs, although its place in the diagnostic algorithm depends on the drug class and patient population (phenotype, geography, and age). The standardization of BAT is important for generalizing this method beyond the individual laboratory.
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Affiliation(s)
- C Mayorga
- Allergy Unit, Hospital Regional Universitario de Málaga and Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, Málaga, Spain
- RETICS Asma reacciones adversas y alérgicas (ARADYAL) and RICORS Red De Enfermedades Inflamatorias (REI), Madrid, Spain
| | - G E Çelik
- Department of chest disease, Division of Allergy & Immunology, Ankara University School of Medicine, Ankara, Turkey
| | - M Pascal
- RETICS Asma reacciones adversas y alérgicas (ARADYAL) and RICORS Red De Enfermedades Inflamatorias (REI), Madrid, Spain
- Immunology Department, Centre de Diagnòstic Biomèdic, Hospital Clínic de Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain
| | - H J Hoffmann
- Department of Clinical Medicine and Department of Clinical Immunology, Aarhus University and Aarhus University Hospital, Aarhus N, Denmark
| | - B Eberlein
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University Munich, Munich, Germany
| | - M J Torres
- Allergy Unit, Hospital Regional Universitario de Málaga and Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, Málaga, Spain
- RETICS Asma reacciones adversas y alérgicas (ARADYAL) and RICORS Red De Enfermedades Inflamatorias (REI), Madrid, Spain
- Medicine Department, Malaga University, Málaga, Spain
| | - K Brockow
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University Munich, Munich, Germany
| | - L H Garvey
- Allergy Clinic, Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen and Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark
| | - A Barbaud
- Sorbonne Université, INSERM, Institut Pierre Louis d'Epidémiologie et de Santé Publique, AP-HP.Sorbonne Université, Hôpital Tenon, Département de dermatologie et allergologie, Paris, France
| | - R Madrigal-Burgaleta
- Allergy & Severe Asthma Service, St Bartholomew's Hospital, Barts Health NHS Trust, London, UK
| | - J C Caubet
- Department of Women-Children-Teenagers, University Hospital of Geneva, Geneva, Switzerland
| | - D G Ebo
- Faculty of Medicine and Health Sciences, Department of Immunology, Allergology, Rheumatology and the Infla-Med Centre of Excellence, Antwerp (Belgium) and Immunology, Allergology, Rheumatology, Antwerp University Hospital, University of Antwerp, Antwerp, Belgium
- Department of Immunology and Allergology, AZ Jan Palfijn Gent, Ghent, Belgium
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Pascal M, Edelman SM, Nopp A, Möbs C, Geilenkeuser WJ, Knol EF, Ebo DG, Mertens C, Shamji MH, Santos AF, Patil S, Eberlein B, Mayorga C, Hoffmann HJ. EAACI task force report: A consensus protocol for the basophil activation test for collaboration and external quality assurance. Allergy 2024; 79:290-293. [PMID: 37795777 PMCID: PMC10843141 DOI: 10.1111/all.15907] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Revised: 09/18/2023] [Accepted: 09/25/2023] [Indexed: 10/06/2023]
Affiliation(s)
- M Pascal
- Immunology Department, Centre de Diagnòstic Biomèdic, Hospital Clínic de Barcelona, Barcelona, Spain
- Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona, Barcelona, Spain
- RETICS Asma reacciones adversas y alérgicas (ARADYAL) and RICORS Red De Enfermedades Inflamatorias (REI), Madrid, Spain
| | - S M Edelman
- Skin and Allergy Hospital, Helsinki University Central Hospital, Helsinki, Finland
| | - A Nopp
- Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, and Sachs´ Children and Youth Hospital, Stockholm, Sweden
| | - C Möbs
- Department of Dermatology and Allergology, Philipps-Universität Marburg, Marburg, Germany
| | | | - E F Knol
- Center of Translational Immunology and Dermatology/Allergology, University Medical Center Utrecht, Utrecht, The Netherlands
| | - D G Ebo
- Faculty of Medicine and Health Sciences, Department of Immunology-Allergology- Rheumatology, University of Antwerp, Antwerp, Belgium
| | - C Mertens
- Faculty of Medicine and Health Sciences, Department of Immunology-Allergology- Rheumatology, University of Antwerp, Antwerp, Belgium
| | - M H Shamji
- National Heart and Lung Institute, Imperial College London, London, UK
- NIHR Imperial Biomedical Research Centre, London, UK
| | - A F Santos
- Department of Women and Children's Health (Pediatric Allergy) & Peter Gorer Department of Immunobiology, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom
- Children's Allergy Service, Evelina London Children's Hospital, Guy's and St Thomas' Hospital, London, United Kingdom
| | - S Patil
- Division of Allergy and Immunology, Departments of Medicine and Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, United States
| | - B Eberlein
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technical University Munich, Munich, Germany
| | - C Mayorga
- RETICS Asma reacciones adversas y alérgicas (ARADYAL) and RICORS Red De Enfermedades Inflamatorias (REI), Madrid, Spain
- Allergy Clinical Unit, Hospital Regional Universitario de Málaga and Allergy Research Group, Instituto de Investigación Biomédica de Málaga-IBIMA-BIONAND, Málaga, Spain
| | - H J Hoffmann
- Department of Clinical Medicine, Aarhus University, Department of Respiratory Diseases and Allergy, Aarhus University Hospital, Aarhus, Denmark
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3
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Claussen CS, Mathes S, Li L, Evers B, Keshmiri M, Biedermann T, Posch C, Eberlein B. Phototesting in a case of encorafenib-related photosensitivity. J Eur Acad Dermatol Venereol 2022; 36:e934-e935. [PMID: 35771082 DOI: 10.1111/jdv.18383] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- C S Claussen
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
| | - S Mathes
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
| | | | - B Evers
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
| | - M Keshmiri
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
| | - C Posch
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany.,Vienna Health Association Hietzing Clinic, Department of Dermatology, Venereology and Allergology, Vienna, Austria.,Sigmund Freud Private University Vienna, Faculty of Medicine, Vienna, Austria
| | - B Eberlein
- Department of Dermatology and Allergy, School of Medicine, Technical University of Munich, Germany
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4
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Eberlein B. Another beneficial effect of phototherapy. J Eur Acad Dermatol Venereol 2021; 35:11-12. [PMID: 33617007 DOI: 10.1111/jdv.17073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 12/03/2020] [Indexed: 11/28/2022]
Affiliation(s)
- B Eberlein
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
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Hindelang B, Aguirre J, Berezhnoi A, Biedermann T, Darsow U, Eberlein B, Ntziachristos V. Quantification of skin sensitivity to ultraviolet radiation using ultrawideband optoacoustic mesoscopy. Br J Dermatol 2020; 184:352-354. [PMID: 32762054 DOI: 10.1111/bjd.19463] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2019] [Revised: 07/31/2020] [Accepted: 07/31/2020] [Indexed: 11/29/2022]
Affiliation(s)
- B Hindelang
- Clinic for Dermatology and Allergology at Biderstein, Technical University of Munich, Munich, Germany.,Chair of Biological Imaging, School of Medicine, Technical University of Munich, Munich, Germany.,Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany
| | - J Aguirre
- Chair of Biological Imaging, School of Medicine, Technical University of Munich, Munich, Germany.,Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany
| | - A Berezhnoi
- Chair of Biological Imaging, School of Medicine, Technical University of Munich, Munich, Germany.,Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany
| | - T Biedermann
- Clinic for Dermatology and Allergology at Biderstein, Technical University of Munich, Munich, Germany
| | - U Darsow
- Clinic for Dermatology and Allergology at Biderstein, Technical University of Munich, Munich, Germany
| | - B Eberlein
- Clinic for Dermatology and Allergology at Biderstein, Technical University of Munich, Munich, Germany
| | - V Ntziachristos
- Chair of Biological Imaging, School of Medicine, Technical University of Munich, Munich, Germany.,Institute of Biological and Medical Imaging, Helmholtz Zentrum München, Neuherberg, Germany
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Eberlein B, Mehlich J, Reidenbach K, Pilz C, Hilger C, Darsow U, Brockow K, Biedermann T. Negative Oral Provocation Test With Porcine Pancreatic Enzyme Plus Cofactors Despite Confirmed α-Gal Syndrome. J Investig Allergol Clin Immunol 2020; 30:468-469. [PMID: 32490824 DOI: 10.18176/jiaci.0513] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- B Eberlein
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - J Mehlich
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - K Reidenbach
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - C Pilz
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - C Hilger
- Department of Infection and Immunity, Luxembourg Institute of Health, Esch-sur-Alzette, Luxembourg
| | - U Darsow
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - K Brockow
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy Biederstein, School of Medicine, Technische Universität München, Munich, Germany
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Eberlein B, Darsow U, Eyerich K, Konstantinow A, Posch C, Volz T, Zink A, Brockow K, Hein R, Köberle M, Möckel S, Schnopp N, Biedermann T. 50 Jahre Universitäts-Hautklinik am Biederstein in München. Akt Dermatol 2019. [DOI: 10.1055/a-0880-3256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
ZusammenfassungDie Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein der Technischen Universität München (TUM) wurde 1969 in Betrieb genommen und feiert daher im Jahr 2019 ihr 50-jähriges Bestehen. Die Ursprünge dieser Klink gehen aber wie an vielen Orten auf ältere Versorgungsstrukturen zurück. Anlässlich des 50-jährigen Bestehens soll dieser Artikel die Entwicklung und aktuelle Ausrichtung der Klinik illustrieren und dabei auch die Wertschätzung für unsere Vorgänger ausdrücken, die sich auf den verschiedenen Positionen für unsere Patienten eingesetzt und so die Basis für eine erfolgreiche Klinik in Krankenversorgung, Forschung und Lehre geschaffen haben. Die Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein gehört zum Universitätsklinikum, dem Klinikum rechts der Isar, der Technischen Universität München (TUM), sie selbst liegt jedoch links der Isar, im schönen Schwabing unweit des Englischen Gartens. Sie ist eine von 3 Hautkliniken in München, die im Rahmen der Münchner Dermatologischen Gesellschaft (MDG e. V.) regelmäßig Fortbildungen ausrichten. Die MDG am Biederstein wird sich im Jahr 2019 neben der Fortbildung auch dem Jubiläum dieser Klinik widmen.Die Klinik als universitäre Einrichtung umfasst den Bereich medizinische Versorgung mit 74 Betten auf 4 Stationen, einen ambulanten Bereich mit einer großen Poliklinik für Allgemein- und Privatpatienten (jährlich mehr als 60 000 Patientenbesuche), den Bereich Forschung mit verschiedenen Forschungsgruppen und großen Laboratorien sowie den Bereich Lehre, Weiter- und Fortbildung. Ein Schwerpunkt in der klinischen Versorgung und in der Forschung war bereits zur Zeit der Gründung der Klinik 1969 die Allergologie. Weiterhin bestehen Schwerpunkte im Bereich der entzündlichen Hauterkrankungen, der Dermatoonkologie, der Dermatoinfektiologie, der Dermatochirurgie und der Wundversorgung. Die Klinik hat das Comprehensive Allergy Center der Technischen Universität München (ACTUM) und EU-Exzellenz-Zentrum für Allergie auf den Weg gebracht und ist Teil der Krebszentren Comprehensive Cancer Center München der Technischen Universität München (CCC MünchenTUM) und des Comprehensive Cancer Center München (CCCM). Pro Semester werden etwa 450 Studenten im Rahmen von Vorlesungen, Seminaren und Praktika betreut. Neben Kongressen wie der Jahrestagung der Arbeitsgemeinschaft Dermatologische Forschung (ADF) im Jahr 2019 oder der European Society for Dermatological Research (ESDR) im Jahre 2016 richten die Klinik und der Lehrstuhl regelmäßige Fortbildungsveranstaltungen im Rahmen des Biedersteiner Symposiums, des Biedersteiner Kolloquiums und der MDG aus.
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Affiliation(s)
- B. Eberlein
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - U. Darsow
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - K. Eyerich
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - A. Konstantinow
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - C. Posch
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - T. Volz
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - A. Zink
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - K. Brockow
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - R. Hein
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - M. Köberle
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - S. Möckel
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - N. Schnopp
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
| | - T. Biedermann
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Fakultät für Medizin, Technische Universität München
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Reidenbach K, Mattjie R, von Zumbusch A, Biedermann T, Eberlein B. Unexpected photosensitivity - a patient with dermatomyositis and concomitant solar urticaria. J Eur Acad Dermatol Venereol 2018; 33:e149-e150. [PMID: 30520178 DOI: 10.1111/jdv.15379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- K Reidenbach
- Department of Dermatology and Allergy Biederstein, Technical University Munich, Munich, Germany
| | - R Mattjie
- Department of Dermatology and Allergy Biederstein, Technical University Munich, Munich, Germany
| | | | - T Biedermann
- Department of Dermatology and Allergy Biederstein, Technical University Munich, Munich, Germany
| | - B Eberlein
- Department of Dermatology and Allergy Biederstein, Technical University Munich, Munich, Germany
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9
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Eberlein B. Aktuelle Bedeutung der dermatologischen Röntgentherapie. Akt Dermatol 2017. [DOI: 10.1055/s-0043-111508] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
ZusammenfassungDie dermatologische Röntgentherapie hat mit neuen Geräten wieder eine langfristige Perspektive. Auch deshalb ist es wichtig, diejenigen Indikationen für eine Röntgentherapie im Bereich der Dermatologie und deren Stellenwert im therapeutischen Kanon herauszustellen. Die Therapie kann vom spezialisierten Dermatologen eingesetzt werden bei gutartigen Hauterkrankungen wie Keloiden (v. a. postoperativ), in den frühen Stadien des M. Dupuytren, des M. Ledderhose und der Induratio penis plastica. Bei den Präkanzerosen werden sehr gute Erfolgsraten bei der Lentigo maligna erreicht, wobei die Therapie bei älteren Patienten auch als Primärtherapie eingesetzt werden kann. Eine Strahlentherapie für Basalzellkarzinome, Plattenepithelkarzinome und Lentigo-maligna-Melanome kommt dann infrage, wenn lokal nicht in sano resezierbare Tumoren vorliegen, Patienten inoperabel sind oder eine Einwilligung zur Operation nicht gegeben wird. Sowohl die Mycosis fungoides wie auch das Kaposi-Sarkom sind strahlungssensible Tumoren, bei denen die Radiotherapie primär oder adjuvant zur Lokalkontrolle erfolgreich einsetzbar ist. Aufgrund dieser Einsatzmöglichkeiten werden Kenntnisse im Bereich der dermatologischen Röntgenweichstrahltherapie vermittelt, um Patienten diese erfolgreichen Behandlungen bei entsprechender Indikation anbieten zu können.
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Affiliation(s)
- B. Eberlein
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Technische Universität München
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10
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Fischer J, Eberlein B, Hilger C, Eyer F, Eyerich S, Ollert M, Biedermann T. Alpha-gal is a possible target of IgE-mediated reactivity to antivenom. Allergy 2017; 72:764-771. [PMID: 27775867 DOI: 10.1111/all.13073] [Citation(s) in RCA: 41] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2016] [Indexed: 01/21/2023]
Abstract
BACKGROUND Antivenoms are mammalian immunoglobulins with the ability to neutralize snake venom components and to mitigate the progression of toxic effects. Immediate hypersensitivity to antivenoms often occurs during the first administration of these heterologous antibodies. A comparable clinical situation occurred after introduction of cetuximab, a chimeric mouse-human antibody, for cancer treatment. The carbohydrate epitope galactose-alpha-1,3-galactose, located on the Fab region of cetuximab, was identified as the target responsible for IgE reactivity. OBJECTIVE To investigate whether serum IgE antibodies directed to the α-gal epitope are associated with hypersensitivity to equine antivenoms. METHODS Antivenoms were screened for α-gal epitopes via immunoblot and in comparison with cetuximab and pork kidney by IgE reactivity assays. Basophil activation tests were used to investigate reactivity to antivenoms in samples from 20 patients with specific IgE antibodies to α-gal and 10 controls. Additional IgE detection, IgE inhibition, ImmunoCAP inhibition, and skin prick tests were performed using samples from selected patients. RESULTS Both antivenoms and cetuximab induced positive skin prick test results in patients with sIgE to α-gal. Alpha-gal epitopes were detected by immunoblotting on antivenoms. Measurements of IgE reactivity and ImmunoCAP inhibition indicated that the antivenoms contained lower α-gal contents than cetuximab. Deglycosylation assays and IgE inhibition tests confirmed that IgE-mediated reactivity to antivenom is associated with α-gal. Antivenoms, pork kidney, and cetuximab activated basophils from patients with IgE to α-gal. CONCLUSION Alpha-gal is a potential target of IgE-mediated reactivity to equine antivenom and a possible cause of the high incidence of hypersensitivity reactions during the first application of equine antivenom.
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Affiliation(s)
- J. Fischer
- Department of Dermatology; Faculty of Medicine; Eberhard Karls University Tuebingen; Tuebingen Germany
| | - B. Eberlein
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich Germany
| | - C. Hilger
- Department of Infection and Immunity; Luxembourg Institute of Health; Esch-sur-Alzette Luxembourg
| | - F. Eyer
- Department of Clinical Toxicology; Technische Universität München; Munich Germany
| | - S. Eyerich
- Center of Allergy and Environment; HMGU/Technische Universität München; Munich Germany
| | - M. Ollert
- Department of Infection and Immunity; Luxembourg Institute of Health; Esch-sur-Alzette Luxembourg
| | - T. Biedermann
- Department of Dermatology; Faculty of Medicine; Eberhard Karls University Tuebingen; Tuebingen Germany
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich Germany
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11
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Schiener M, Eberlein B, Moreno-Aguilar C, Pietsch G, Serrano P, McIntyre M, Schwarze L, Russkamp D, Biedermann T, Spillner E, Darsow U, Ollert M, Schmidt-Weber CB, Blank S. Application of recombinant antigen 5 allergens from seven allergy-relevant Hymenoptera species in diagnostics. Allergy 2017; 72:98-108. [PMID: 27496543 DOI: 10.1111/all.13000] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND Hymenoptera stings can cause severe anaphylaxis in untreated venom-allergic patients. A correct diagnosis regarding the relevant species for immunotherapy is often hampered by clinically irrelevant cross-reactivity. In vespid venom allergy, cross-reactivity between venoms of different species can be a diagnostic challenge. To address immunological IgE cross-reactivity on molecular level, seven recombinant antigens 5 of the most important Vespoidea groups were assessed by different diagnostic setups. METHODS The antigens 5 of yellow jackets, hornets, European and American paper wasps, fire ants, white-faced hornets, and Polybia wasps were recombinantly produced in insect cells, immunologically and structurally characterized, and their sIgE reactivity assessed by ImmunoCAP, ELISA, cross-inhibition, and basophil activation test (BAT) in patients with yellow jacket or Polistes venom allergy of two European geographical areas. RESULTS All recombinant allergens were correctly folded and structural models and patient reactivity profiles suggested the presence of conserved and unique B-cell epitopes. All antigens 5 showed extensive cross-reactivity in sIgE analyses, inhibition assays, and BAT. This cross-reactivity was more pronounced in ImmunoCAP measurements with venom extracts than in sIgE analyses with recombinant antigens 5. Dose-response curves with the allergens in BAT allowed a differentiated individual dissection of relevant sensitization. CONCLUSIONS Due to extensive cross-reactivity in various diagnostic settings, antigens 5 are inappropriate markers for differential sIgE diagnostics in vespid venom allergy. However, the newly available antigens 5 from further vespid species and the combination of recombinant allergen-based sIgE measurements with BAT represents a practicable way to diagnose clinically relevant sensitization in vespid venom allergy.
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Affiliation(s)
- M. Schiener
- Center of Allergy and Environment (ZAUM); Technical University of Munich and Helmholtz Center Munich; Munich Germany
| | - B. Eberlein
- Department of Dermatology and Allergy Biederstein; Technical University of Munich; Munich Germany
| | | | - G. Pietsch
- Department of Dermatology and Allergy Biederstein; Technical University of Munich; Munich Germany
| | - P. Serrano
- Hospital Universitario Reina Sofía; Córdoba Spain
| | - M. McIntyre
- Department of Dermatology and Allergy Biederstein; Technical University of Munich; Munich Germany
| | - L. Schwarze
- Institute of Biochemistry and Molecular Biology; University of Hamburg; Hamburg Germany
| | - D. Russkamp
- Center of Allergy and Environment (ZAUM); Technical University of Munich and Helmholtz Center Munich; Munich Germany
| | - T. Biedermann
- Department of Dermatology and Allergy Biederstein; Technical University of Munich; Munich Germany
| | - E. Spillner
- Immunological Engineering, Department of Engineering; Aarhus University; Aarhus Denmark
| | - U. Darsow
- Department of Dermatology and Allergy Biederstein; Technical University of Munich; Munich Germany
| | - M. Ollert
- Department of Infection and Immunity; Luxembourg Institute of Health (LIH); Esch-sur-Alzette Luxembourg
- Department of Dermatology and Allergy Center; Odense Research Center for Anaphylaxis; University of Southern Denmark; Odense Denmark
| | - C. B. Schmidt-Weber
- Center of Allergy and Environment (ZAUM); Technical University of Munich and Helmholtz Center Munich; Munich Germany
| | - S. Blank
- Center of Allergy and Environment (ZAUM); Technical University of Munich and Helmholtz Center Munich; Munich Germany
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Eberlein B, Biedermann T. To remember: Radiotherapy - a successful treatment for early Dupuytren's disease. J Eur Acad Dermatol Venereol 2016; 30:1694-1699. [PMID: 27428598 DOI: 10.1111/jdv.13773] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Accepted: 04/13/2016] [Indexed: 11/30/2022]
Abstract
Dupuytren's disease (DD) is a common fibroproliferative condition of the hand which tends to cause progressive digital flexion contracture. Therapeutic strategies to treat the disease include radiotherapy, injections of collagenase clostridium histolyticum, needle fasciotomy and extended surgical intervention dependent on involvement and duration of the disease. We have reviewed the literature with the aim to assess the conditions and effects of radiotherapy in DD. In early stages of the disease, radiotherapy resulted in regression of symptoms/a lack of progression found on average in 40% (range 10-85%)/81% (range 50-100%) of the patients with recurrence rates of only 12-31% after long-term follow-up (>4 years). These results proved to be significantly better than in the untreated patients with natural course of the disease (about 50% progression after a follow-up of 5-6 years). Long-term side-effects (skin dryness) are observed on average in one quarter of the patients, but are well tolerated. Local occurrence of malignancies has not been reported yet. Due to severe functional impairment leading to individual suffering and the high economic burden, treatment of DD in early stages is necessary and radiation therapy represents an effective, safe and economic treatment option.
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Affiliation(s)
- B Eberlein
- Department of Dermatology and Allergy Biederstein, Technische Universität München, Munich, Germany.
| | - T Biedermann
- Department of Dermatology and Allergy Biederstein, Technische Universität München, Munich, Germany
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13
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Eberlein B, Placzek M. 524 In vitro evaluation of phototoxic properties of systemic antipsoriatics. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.06.547] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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14
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Hilger C, Fischer J, Swiontek K, Hentges F, Lehners C, Eberlein B, Morisset M, Biedermann T, Ollert M. Two galactose-α-1,3-galactose carrying peptidases from pork kidney mediate anaphylactogenic responses in delayed meat allergy. Allergy 2016; 71:711-9. [PMID: 26728983 DOI: 10.1111/all.12835] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2016] [Indexed: 11/30/2022]
Abstract
BACKGROUND Serum IgE antibodies directed at galactose-α-1,3-galactose (α-Gal) are associated with a novel form of delayed anaphylaxis occurring upon consumption of red meat or innards. Pork kidney is known as the most potent trigger of this syndrome, but the culprit allergens have not yet been identified. The aim of this study was the identification and characterization of pork kidney proteins mediating delayed anaphylactic reactions through specific IgE to α-Gal. METHODS A cohort of 59 patients with specific IgE to α-Gal was screened by immunoblot for IgE-reactive proteins in pork kidney. Proteins were identified by peptide mass fingerprinting. Isolated proteins were assayed in ELISA and ELISA inhibition, basophil activation and skin prick test. RESULTS Several IgE-binding proteins of high molecular weight (100- >200 kDa) were detected in pork kidney extracts by immunoblot using patient sera and an anti-α-Gal antibody. Two major IgE-binding proteins were identified as porcine angiotensin-I-converting enzyme (ACE I) and aminopeptidase N (AP-N). Reactivity of patient sera and anti-α-Gal antibody to both proteins was abolished by carbohydrate oxidation. The α-Gal IgE epitopes were resistant to heat denaturation. Pork kidney extract, isolated ACE I, and AP-N were able to activate patient basophils and elicit positive responses in skin prick tests. CONCLUSION Two cell-membrane proteins carrying α-Gal epitopes were identified in pork kidney. For the first time, isolated meat proteins were shown to induce basophil activation in patients with delayed anaphylaxis to red meat providing further confirmation for the clinical relevance of these α-Gal-carrying proteins.
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Affiliation(s)
- C. Hilger
- Department of Infection and Immunity; Luxembourg Institute of Health (LIH); Esch-sur-Alzette Luxembourg
| | - J. Fischer
- Department of Dermatology; Eberhard Karls University; Tuebingen Germany
| | - K. Swiontek
- Department of Infection and Immunity; Luxembourg Institute of Health (LIH); Esch-sur-Alzette Luxembourg
| | - F. Hentges
- Immunology Allergology Unit; Centre Hospitalier; Luxembourg Luxembourg
| | - C. Lehners
- Immunology Allergology Unit; Centre Hospitalier; Luxembourg Luxembourg
| | - B. Eberlein
- Department of Dermatology and Allergology; Technical University Munich; Munich Germany
| | - M. Morisset
- Immunology Allergology Unit; Centre Hospitalier; Luxembourg Luxembourg
| | - T. Biedermann
- Department of Dermatology and Allergology; Technical University Munich; Munich Germany
| | - M. Ollert
- Department of Infection and Immunity; Luxembourg Institute of Health (LIH); Esch-sur-Alzette Luxembourg
- Department of Dermatology and Allergy Center; Odense Research Center for Anaphylaxis; University of Southern Denmark; Odense Denmark
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Garzorz N, Thomas J, Eberlein B, Haferlach C, Ring J, Biedermann T, Schmidt‐Weber C, Eyerich K, Seifert F, Eyerich S. Newly acquired kiwi fruit allergy after bone marrow transplantation from a kiwi‐allergic donor. J Eur Acad Dermatol Venereol 2016; 30:1136-9. [DOI: 10.1111/jdv.13617] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2015] [Accepted: 12/23/2015] [Indexed: 11/29/2022]
Affiliation(s)
- N. Garzorz
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - J. Thomas
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
| | - B. Eberlein
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | | | - J. Ring
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - T. Biedermann
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - C. Schmidt‐Weber
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
| | - K. Eyerich
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - F. Seifert
- Department of Dermatology and Allergy Technical University of Munich Munich Germany
| | - S. Eyerich
- ZAUM ‐ Center of Allergy and Environment Member of the German Center for Lung Research (DZL) Technical University of Munich and Helmholtz Center Munich Munich Germany
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Hoffmann HJ, Santos AF, Mayorga C, Nopp A, Eberlein B, Ferrer M, Rouzaire P, Ebo DG, Sabato V, Sanz ML, Pecaric-Petkovic T, Patil SU, Hausmann OV, Shreffler WG, Korosec P, Knol EF. The clinical utility of basophil activation testing in diagnosis and monitoring of allergic disease. Allergy 2015. [PMID: 26198455 DOI: 10.1111/all.12698] [Citation(s) in RCA: 241] [Impact Index Per Article: 26.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
The basophil activation test (BAT) has become a pervasive test for allergic response through the development of flow cytometry, discovery of activation markers such as CD63 and unique markers identifying basophil granulocytes. Basophil activation test measures basophil response to allergen cross-linking IgE on between 150 and 2000 basophil granulocytes in <0.1 ml fresh blood. Dichotomous activation is assessed as the fraction of reacting basophils. In addition to clinical history, skin prick test, and specific IgE determination, BAT can be a part of the diagnostic evaluation of patients with food-, insect venom-, and drug allergy and chronic urticaria. It may be helpful in determining the clinically relevant allergen. Basophil sensitivity may be used to monitor patients on allergen immunotherapy, anti-IgE treatment or in the natural resolution of allergy. Basophil activation test may use fewer resources and be more reproducible than challenge testing. As it is less stressful for the patient and avoids severe allergic reactions, BAT ought to precede challenge testing. An important next step is to standardize BAT and make it available in diagnostic laboratories. The nature of basophil activation as an ex vivo challenge makes it a multifaceted and promising tool for the allergist. In this EAACI task force position paper, we provide an overview of the practical and technical details as well as the clinical utility of BAT in diagnosis and management of allergic diseases.
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Affiliation(s)
- H. J. Hoffmann
- Department of Respiratory Diseases and Allergy; Department of Clinical Medicine; Aarhus University; Aarhus Denmark
| | - A. F. Santos
- Department of Paediatric Allergy; Division of Asthma; Allergy and Lung Biology; King's College London; London UK
- MRC & Asthma UK Centre in Allergic Mechanisms of Asthma; London UK
- Immunoallergology Department; Coimbra University Hospital; Coimbra Portugal
| | - C. Mayorga
- Research Laboratory and Allergy Service; IBIMA-Regional University Hospital of Malaga; UMA; Malaga Spain
| | - A. Nopp
- Clinical Immunology and Allergy Unit; Department of Medicine Solna; Karolinska Institutet; Karolinska University Hospital; Stockholm Sweden
| | - B. Eberlein
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich Germany
| | - M. Ferrer
- Department of Allergy and Clinical Immunology; Clínica Universidad de Navarra; Pamplona Spain
| | - P. Rouzaire
- Department of Immunology; University Hospital; Clermont-Ferrand and ERTICa Research Group; University of Auvergne; Clermont-Ferrand France
| | - D. G. Ebo
- Department of Immunology-Allergology-Rheumatology; University of Antwerp and Antwerp University Hospital; Antwerp Belgium
| | - V. Sabato
- Department of Immunology-Allergology-Rheumatology; University of Antwerp and Antwerp University Hospital; Antwerp Belgium
| | - M. L. Sanz
- Department of Allergy and Clinical Immunology; Clínica Universidad de Navarra; Pamplona Spain
| | - T. Pecaric-Petkovic
- Adverse Drug Reactions-Analysis and Consulting (ADR-AC) GmbH; Bern Switzerland
| | - S. U. Patil
- Center for Immunology and Inflammatory Diseases; Massachusetts General Hospital and Harvard Medical School; Boston MA USA
| | - O. V. Hausmann
- Department of Rheumatology, Immunology and Allergology; Inselspital; University of Bern; Bern Switzerland
- Loewenpraxis; Luzern Switzerland
| | - W. G. Shreffler
- Center for Immunology and Inflammatory Diseases; Massachusetts General Hospital and Harvard Medical School; Boston MA USA
| | - P. Korosec
- Laboratory for Clinical Immunology & Molecular Genetics; University Clinic of Respiratory and Allergic Diseases Golnik; Golnik Slovenia
| | - E. F. Knol
- Department of Immunology and Department of Dermatology/Allergology; University Medical Center Utrecht; Utrecht The Netherlands
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Zirbs M, Anzeneder T, Bruckbauer H, Hofmann H, Brockow K, Ring J, Eberlein B. Radiotherapy with soft X-rays in Dupuytren's disease - successful, well-tolerated and satisfying. J Eur Acad Dermatol Venereol 2014; 29:904-11. [DOI: 10.1111/jdv.12711] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2013] [Accepted: 07/21/2014] [Indexed: 11/26/2022]
Affiliation(s)
- M. Zirbs
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
- Christine Kühne Center for Allergy Research and Education (CK-CARE); München, Munich Germany
| | - T. Anzeneder
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
| | | | - H. Hofmann
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
| | - K. Brockow
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
| | - J. Ring
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
- Christine Kühne Center for Allergy Research and Education (CK-CARE); München, Munich Germany
| | - B. Eberlein
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar; Technische Universität München; Munich Germany
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Berneburg M, Herzinger T, Rampf J, Hoetzenecker W, Guenova E, Meisner C, Maetzke J, Schaefer T, Eberlein B, Scharffetter-Kochanek K, Rocken M. Efficacy of bath psoralen plus ultraviolet A (PUVA) vs. system PUVA in psoriasis: a prospective, open, randomized, multicentre study. Br J Dermatol 2013; 169:704-8. [DOI: 10.1111/bjd.12466] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2013] [Indexed: 01/06/2023]
Affiliation(s)
- M. Berneburg
- Department of Dermatology; Eberhard Karls University; Liebermeisterstrasse 25; Tübingen; D-72076; Germany
| | - T. Herzinger
- Department of Dermatology; Ludwig Maximilians University; Munich; Germany
| | - J. Rampf
- Department of Dermatology; University of Ulm; Ulm; Germany
| | - W. Hoetzenecker
- Department of Dermatology; University of Zürich; Zürich; Switzerland
| | - E. Guenova
- Department of Dermatology; University of Zürich; Zürich; Switzerland
| | - C. Meisner
- Department of Medical Biometry; Eberhard Karls University; Liebermeisterstrasse 25; Tübingen; D-72076; Germany
| | - J. Maetzke
- Department of Dermatology; University of Ulm; Ulm; Germany
| | | | - B. Eberlein
- Department of Dermatology and Allergy Biederstein; Technische Universität München; Munich; Germany
| | | | - M. Rocken
- Department of Dermatology; Eberhard Karls University; Liebermeisterstrasse 25; Tübingen; D-72076; Germany
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Kerr AC, Ferguson J, Attili SK, Beattie PE, Coleman AJ, Dawe RS, Eberlein B, Goulden V, Ibbotson SH, Menage HDP, Moseley H, Novakovic L, Walker SL, Woods JA, Young AR, Sarkany RPE. Ultraviolet A1 phototherapy: a British Photodermatology Group workshop report. Clin Exp Dermatol 2012; 37:219-26. [DOI: 10.1111/j.1365-2230.2011.04256.x] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Zirbs M, Pürner C, Buters JTM, Effner R, Weidinger S, Ring J, Eberlein B. GSTM1, GSTT1 and GSTP1 gene polymorphism in polymorphous light eruption. J Eur Acad Dermatol Venereol 2012; 27:157-62. [PMID: 22225519 DOI: 10.1111/j.1468-3083.2011.04431.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Polymorphous light eruption (PLE) is the most common chronic and idiopathic photodermatosis. PLE is assumed to represent an immunological hypersensitivity reaction to a radiation-induced cutaneous antigen involving reactive oxygen species (ROS) on the basis of a genetic predisposition. Among others, cellular protection against ROS is provided by glutathione S-transferases (GSTs). Different variants of the GST enzymes may influence the activity and efficiency of detoxification and biotransformation of unknown UV-induced skin-antigens and other factors that may play an important role in the pathogenesis of PLE. METHODS In this study the relationship between isoenzymes of the GST genes GSTM1, GSTT1 and GSTP1 and possible protective or predisposing effects on PLE was examined in 29 patients and 144 controls. Diagnosis of PLE was based on the presence of characteristic clinical features. RESULTS No association between the functional polymorphisms of the GST gene family and PLE was found. Prevalence of certain GST isoenzymes or polymorphisms in patients with PLE did not differ from healthy controls. CONCLUSION Our data do not support prevalence of GST isoenzymes or polymorphisms as a protective effect against PLE. Especially a higher carrier frequency of GSTP1 Val(105) as a protective factor against PLE which has been published before could not be proved. The GST genotypes GSTM1, GSTT1 and GSTP1 (including SNPs) seem to have no relevant association with PLE.
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Affiliation(s)
- M Zirbs
- Klinik und Poliklinik für Dermatologie und Allergologie am Biederstein, Klinikum rechts der Isar, Technische Universität München, Munich, Germany.
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Hemmer W, Jarisch R, Wieczorek D, Kapp A, Wedi B, Müller U, Schmid-Grendelmeier P, Hausmann O, Helbling A, Varga R, Stretz E, Rolle M, Przybilla B, Ruëff F, Krischan L, Schneider M, Sonnenschein U, Darsow U, Ring J, Eberlein B, Friedl TK, Garaganova J, Arnold A. Klinische In-vitro-Diagnostik. Allergo J 2011. [DOI: 10.1007/bf03362489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Eberlein B, León Suárez I, Darsow U, Ruëff F, Behrendt H, Ring J. Response by B. Eberlein, I. León Suárez, U. Darsow, F. Ruëff, H. Behrendt, J. Ring. Clin Exp Allergy 2010. [DOI: 10.1111/j.1365-2222.2010.03516_1.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Eberlein B, Suárez IL, Darsow U, Ruëff F, Behrendt H, Ring J. A new basophil activation test using CD63 and CCR3 in allergy to antibiotics. Clin Exp Allergy 2010; 40:411-8. [DOI: 10.1111/j.1365-2222.2009.03426.x] [Citation(s) in RCA: 56] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pathirana D, Ormerod AD, Saiag P, Smith C, Spuls PI, Nast A, Barker J, Bos JD, Burmester GR, Chimenti S, Dubertret L, Eberlein B, Erdmann R, Ferguson J, Girolomoni G, Gisondi P, Giunta A, Griffiths C, Hönigsmann H, Hussain M, Jobling R, Karvonen SL, Kemeny L, Kopp I, Leonardi C, Maccarone M, Menter A, Mrowietz U, Naldi L, Nijsten T, Ortonne JP, Orzechowski HD, Rantanen T, Reich K, Reytan N, Richards H, Thio HB, van de Kerkhof P, Rzany B. European S3-Guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venereol 2009; 23 Suppl 2:1-70. [DOI: 10.1111/j.1468-3083.2009.03389.x] [Citation(s) in RCA: 467] [Impact Index Per Article: 31.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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Pathirana D, Ormerod AD, Saiag P, Smith C, Spuls PI, Nast A, Barker J, Bos JD, Burmester GR, Chimenti S, Dubertret L, Eberlein B, Erdmann R, Ferguson J, Girolomoni G, Gisondi P, Giunta A, Griffiths C, Hönigsmann H, Hussain M, Jobling R, Karvonen SL, Kemeny L, Kopp I, Leonardi C, Maccarone M, Menter A, Mrowietz U, Naldi L, Nijsten T, Ortonne JP, Orzechowski HD, Rantanen T, Reich K, Reytan N, Richards H, Thio HB, van de Kerkhof P, Rzany B. European S3-guidelines on the systemic treatment of psoriasis vulgaris. J Eur Acad Dermatol Venereol 2009. [PMID: 19712190 DOI: 10.1111/j.1468-3083.2009.03389] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Of the 131 studies on monotherapy or combination therapy assessed, 56 studies on the different forms of phototherapy fulfilled the criteria for inclusion in the guidelines. Approximately three-quarters of all patients treated with phototherapy attained at least a PASI 75 response after 4 to 6 weeks, and clearance was frequently achieved (levels of evidence 2 and 3). Phototherapy represents a safe and very effective treatment option for moderate to severe forms of psoriasis vulgaris. The onset of clinical effects occurs within 2 weeks. Of the unwanted side effects, UV erythema from overexposure is by far the most common and is observed frequently. With repeated or long-term use, the consequences of high, cumulative UV doses (such as premature aging of the skin) must be taken into consideration. In addition, carcinogenic risk is associated with oral PUVA and is probable for local PUVA and UVB. The practicability of the therapy is limited by spatial, financial, human, and time constraints on the part of the physician, as well as by the amount of time required by the patient. From the perspective of the cost-bearing institution, phototherapy has a good cost-benefit ratio. However, the potentially significant costs for, and time required of, the patient must be considered.
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Andres C, Kollmar A, Mempel M, Hein R, Ring J, Eberlein B. Successful ultraviolet A1 phototherapy in the treatment of localized scleroderma: a retrospective and prospective study. Br J Dermatol 2009; 162:445-7. [DOI: 10.1111/j.1365-2133.2009.09438.x] [Citation(s) in RCA: 55] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Eberlein B, Eicke C, Reinhardt HW, Ring J. Adjuvante Therapie mit einer N-Palmitoylethanolamin-haltigen Creme bei Kindern mit atopischem Ekzem (ATOPA-Studie). Akt Dermatol 2009. [DOI: 10.1055/s-0028-1103406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Kerzl R, Eyerich K, Eberlein B, Hein R, Weichenmeier I, Behrendt H, Clemm C, Fend F, Mempel S, Waldt S, Ring J, Mempel M. Parallel occurrence of Erdheim-Chester disease and eosinophilic granuloma in the same patient. J Eur Acad Dermatol Venereol 2009; 23:224-6. [DOI: 10.1111/j.1468-3083.2008.02810.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Eberlein B, Gulyas A, Schultz K, Lecheler J, Flögel S, Wolfmeyer C, Thiessen K, Gass S, Kroiss M, Huss-Marp J, Darsow U, Hollweck R, Schuster T, Behrendt H, Ring J. Benefits of alpine mountain climate of Bavaria in patients with allergic diseases and chronic obstructive pulmonary disease: results from the AURA* study. J Investig Allergol Clin Immunol 2009; 19:159-161. [PMID: 19476022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Affiliation(s)
- B Eberlein
- Division of Environmental Dermatology and Allergology, Helmholtz Center Munich for Environmental Health/TUM, Munich, Germany.
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Rombold S, Lobisch K, Katzer K, Grazziotin TC, Ring J, Eberlein B. Efficacy of UVA1 phototherapy in 230 patients with various skin diseases. Photodermatol Photoimmunol Photomed 2008; 24:19-23. [PMID: 18201353 DOI: 10.1111/j.1600-0781.2008.00328.x] [Citation(s) in RCA: 56] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Investigation of the efficacy of ultraviolet (UV) A1 phototherapy on atopic eczema, scleroderma, granuloma annulare, urticaria pigmentosa, prurigo nodularis, lichen sclerosus et atrophicus, T-cell lymphoma, keratosis lichenoides chronica, chronic urticaria and some rare, sclerosing skin diseases. METHODS The data of 230 patients treated with low-dose, medium-dose and high-dose UVA1 therapy during 6 years were retrospectively analysed. The mean single dose (J/cm(2)), the mean number of irradiations and the mean total dose (J/cm(2)) were evaluated. The efficacy of phototherapy was assessed by a grading scale and the number of patients was given in percentage for each group. RESULTS Good therapeutic effects of UVA1 therapy were shown in patients with atopic eczema, scleroderma, lichen sclerosus et atrophicus, keratosis lichenoides chronica, prurigo nodularis and with cutaneous T-cell lymphoma. Positive effects in some patients were seen in the urticaria pigmentosa and granuloma annulare group, no change to slight improvement was seen in most of the patients with rare, sclerosing skin diseases and no effect was seen in the chronic urticaria group. CONCLUSION Besides topical and systemic therapy, UVA1 radiation is a good option of treatment in various skin diseases. It is one of the first-line treatments for several sclerotic diseases and it often improves pruritus considerably.
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Affiliation(s)
- S Rombold
- Department of Dermatology and Allergy Biederstein, Technical University of Munich, Munich, Germany.
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Eberlein B, Eicke C, Reinhardt HW, Ring J. Adjuvant treatment of atopic eczema: assessment of an emollient containing N-palmitoylethanolamine (ATOPA study). J Eur Acad Dermatol Venereol 2008; 22:73-82. [PMID: 18181976 DOI: 10.1111/j.1468-3083.2007.02351.x] [Citation(s) in RCA: 65] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
BACKGROUND For long-term management of atopic eczema, the use of skin care creams is recommended, but effectiveness of this treatment is not well established. OBJECTIVE The objective of this study was to yield data on the skin care properties of a cream with a unique lamellar matrix containing N-palmitoylethanolamine (PEA) and to assess quality-of-life variables in patients with mild to moderate atopic eczema. SETTING In this multinational, multicentre, observational, non-controlled, prospective cohort study, patients between 2 and 70 years of age were enrolled. All patients were supplied with the study product sufficient for treatment over the entire study period. Outcome was followed in periods between 3 and 7 days and 4 and 6 weeks after study start. Data were gathered from doctor reports and patient self-assessments via patient questionnaires. RESULTS Data from 2456 patients entered the database. The mean examination intervals were 6 days for the 3- to 7-day period and 38 days for the 4- to 6-week period. At study end, intensities of erythema, pruritus, excoriation, scaling, lichenification and dryness were significantly reduced with a combined score reduction of 58.6% in the entire population (57.7% in adults > 12 years and 60.5% in children </= 12 years) according to doctors' reports. Patients reported a reduction of pruritus on visual analogue scales from 4.9 +/- 2.6 to 2.7 +/- 2.4 6 days after treatment start and a further reduction to 2.0 +/- 2.3 at study end (P < 0.001 each). Likewise, sleep quality improved significantly during the study period. Earlier-used topical corticosteroids were omitted by 56% of all patients (53.4% in adults and 62.5% in children) at study end, and the average weekly application rate decreased by 62% from 7.9 +/- 6.0 to 3.0 +/- 5.1 (P < 0.001). The tolerance was assessed as very good or good in 92% of cases by both patients and doctors. CONCLUSION This study showed substantial relief of objective and subjective symptoms of atopic eczema after regular skin care with the study cream. The patient-related effectiveness (decline of pruritus and loss of sleep) indicated a gain in quality of life in these patients. The reduced use of topical corticosteroids is important in view of safety and pharmacoeconomic implications in the treatment of atopic eczema.
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Affiliation(s)
- B Eberlein
- Department of Dermatology and Allergy Biederstein, Technical University Munich, Munich, Germany.
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Hausteiner C, Huber D, Bornschein S, Bubel E, Groben S, Darsow U, Eberlein B, Zilker T, Ring J, Henningsen P. Prädiktoren für organisch unerklärte Beschwerden und somatoforme Störungen in der Allergologie. Psychother Psychosom Med Psychol 2008. [DOI: 10.1055/s-2008-1061563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Eberlein B, Gulyas AF, Schultz K, Lecheler J, Flögel S, Wolfmeyer C, Thiessen K, Jakob T, Schuster T, Hollweck R, Ring J, Behrendt H. Domestic allergens and endotoxin in three hospitals offering in-patient rehabilitation for allergic diseases in the alpine mountain climate of Bavaria - The AURA study. Int J Hyg Environ Health 2007; 212:21-6. [PMID: 18155959 DOI: 10.1016/j.ijheh.2007.09.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2006] [Revised: 06/27/2007] [Accepted: 09/10/2007] [Indexed: 10/22/2022]
Abstract
Endotoxins and allergens represent the major relevant contents of the atmospheric bioaerosol with regard to the triggering and exacerbation of allergic diseases. In this study, mattress concentrations of endotoxin and indoor allergens were measured in three hospitals in the alpine climate of Bavaria and in adjacent homes. Dust was collected from each of 10 mattresses according to a standardized protocol, and endotoxin was analyzed with the Limulus Amebocyte Lysate (LAL) test, indoor allergens Der p 1, Der f 1 and Fel d 1 were analyzed by ELISAs. The concentration of endotoxin in the mattresses did not differ significantly between different cities. The percentiles of endotoxin were significantly higher in hospitals than in homes. The concentrations of mite allergens (Der p 1 and Der f 1) in the dust were significantly lower in all hospitals than in homes. There was no significant difference of mite allergens between different time points. The concentrations of Fel d 1 were significantly higher in the autumn than in the summer (median: 1376 vs. 478ng/g). No significant differences of Fel d 1 were found between hospitals and homes or between different hospitals. As Fel d 1 concentrations reached levels at which cat allergic patients can experience symptoms, efforts had to be made to reduce the concentrations of Fel d 1 especially in hospitals. In contrast, mite allergens were low in hospitals, which can be clinically beneficial for patients with mite allergies.
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Affiliation(s)
- B Eberlein
- Division of Environmental Dermatology and Allergology, GSF/TUM, Neuherberg, Munich, Germany.
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Bayer P, Blümchen K, Michael T, Cremer R, Fricke C, Henne T, Peters H, Hofmann U, Niggemann B, Lafargue B, Schweikardt T, Decker H, Lippert U, Zachmann K, Ferrari D, Neumann C, Soruri A, Gerstenberg M, Dahten A, Koch C, Fokuhl V, Luger E, Worm M, Windhorst V, Eben R, Przybilla B, Bußmann C, Hagemann T, Hanfland J, Haidl G, Bieber T, Novak N, Mlynek A, Weller K, Magerl M, Siebenhaar F, Altrichter S, Vieira dos Santos R, Boodstein N, Zalewska-Janowska A, Maurer M, Berking C, Siebenhaar G, Krieger A, Krieg T, Hartmann K, Hunzelmann N, Eberlein B, Gulyas A, Schultz K, Lecheler J, Gass S, Kroiss M, Huss-Marp J, Behrendt H, Ring J. Poster. Allergo J 2007. [DOI: 10.1007/bf03370562] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Grosber M, Eberlein B, Engst R, Kerzl R, Manstein P, Ring J, Darsow U, Termeer C, Termeer J, Salmann S, Averbeck M, Simon J, Pfaar O, von Weikersthal-Drachenberg KF, Amersdorffer J, Baumann-Noss S, Woroniecki S, Klimek L, Lauter H, Sager A, Laszczyk M, Scheffler A, Martin S, Kespohl S, Schlünssen V, Jacobsen G, Sigsgaard T, Maryska S, Meurer U, Brüning T, Raulf-Heimsoth M, Riecken S, Lindner B, Petersen A, Jappe U, Becker W, Saloga J, Häringer B, Bellinghausen I, Lafargue B, Decker H, Grabbe S, Baratli J, Asturias J, Hunzelmann N, Kahlert H, Weber B, Cromwell O, Fiebig H, Nandy A, Wald M. Allergene — Allergenträger — Pseudoallergien — Adjuvanzien. Allergo J 2007. [DOI: 10.1007/bf03370606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Meister M, Markenroth K, Aleksandrov D, Aumann T, Axelsson L, Baumann T, Borge MJG, Chulkov LV, Dostal W, Eberlein B, Elze TW, Emling H, Forssén C, Geissel H, Hellström M, Holzmann R, Jonson B, Kratz JV, Kulessa R, Leifels Y, Leistenschneider A, Mukha I, Münzenberg G, Nickel F, Nilsson T, Nyman G, Richter A, Riisager K, Scheidenberger C, Schrieder G, Simon H, Tengblad O, Zhukov MV. Evidence for a new low-lying resonance state in 7He. Phys Rev Lett 2002; 88:102501. [PMID: 11909350 DOI: 10.1103/physrevlett.88.102501] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2001] [Revised: 12/26/2001] [Indexed: 05/23/2023]
Abstract
Low-lying resonance states in 7He(6He+n), formed after fragmentation reactions of a 227 MeV/nucleon 8He beam on a carbon target, have been studied. Coincidences between 6He nuclei and neutrons, corresponding to the one-neutron knockout channel in 8He, were selected. The relative energy spectrum in the 6He+n system shows a structure, which is interpreted as the 7He ( Ipi = 3/2(-)) ground state, unbound with 0.43(2) MeV relative to the 6He+n system and a width of Gamma = 0.15(8) MeV overlapping with an excited ( Ipi = 1/2(-)) state observed at 1.0(1) MeV with a width of Gamma = 0.75(8) MeV.
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Affiliation(s)
- M Meister
- Experimentell Fysik, Chalmers Tekniska Högskola och Göteborgs Universitet, S-412 96 Göteborg, Sweden
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Bergner T, Eberlein B, Przybilla B. [Sunlight and malignant melanoma]. Fortschr Med 1992; 110:551-3. [PMID: 1468739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- T Bergner
- Dermatologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München
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Eberlein B, Bergner T, Przybilla B. Demonstration of olaquindox phototoxicity in vitro. Photodermatol Photoimmunol Photomed 1992; 9:63-6. [PMID: 1489718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Olaquindox is an oral anti-bacterial agent used as an additive to animal food. It is known to cause photosensitization in pig breeders, probably due to a photoallergic mechanism. Also, olaquindox was found to be phototoxic in animal experiments. We have evaluated the phototoxic properties of olaquindox in vitro with a photohemolysis test using different light sources. Irradiation with a source rich in ultraviolet A (UVA) and, to a lesser degree, with a lamp emitting mainly visible light induced photohemolysis, which depended on the concentration of olaquindox and the radiation dose. Exposure to radiation rich in UVB caused no olaquindox-dependent hemolysis. The absorption spectrum of olaquindox changed prominently after irradiation, indicating photodegradation of the compound.
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Affiliation(s)
- B Eberlein
- Dermatology Clinic, Ludwig-Maximilian University, Munich, Germany
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Baur A, Vornhagen R, Korn K, Sonneborn HH, Eberlein B, Harrer T, Brockhaus W, Jahn G. Viral culture and p24 antigenemia of human immunodeficiency virus (HIV)-infected individuals correlated with antibody profiles determined with recombinant polypeptides of all HIV-1 open-reading frames. J Infect Dis 1992; 165:419-26. [PMID: 1371534 DOI: 10.1093/infdis/165.3.419] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
The association between viral activity and antibody profiles was investigated in 202 individuals infected by the human immunodeficiency virus (HIV) grouped according to their Walter Reed clinical stage. Each study group was subdivided into subjects positive or negative for markers of active viral replication: presence of serum p24 antigen and viral culture. In Western blots using recombinant antigens, sera of HIV-positive individuals with positive viral markers had a significantly lower antibody reactivity to several viral proteins than did individuals without viral markers. Noticeably, proteins of the gag (p24, p17) and env (gp120, COOH-terminal part of gp41) open-reading frames revealed a decreased reactivity. The antibody response to the regulatory proteins revealed no or poor association with viral activity in the host. The results suggest that seroreactivity is mainly influenced by factors reflecting the viral activity of an HIV-infected individual, while the clinical stage of the patient is less important. Especially, reductions in antibodies against gp120 and p17 were useful markers associated with increased viral activity.
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Affiliation(s)
- A Baur
- Institut für Klinische und Molekulare Virologie, Universität Erlangen/Nürnberg, Germany
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Barrett JC, Afshari CA, Annab LA, Burkhart BA, Boyd JA, Owen RD, Futreal PA, Richter KH, Moses HL, Lavker RM, Miller S, Sun TT, Stingl G, Bianchi AB, Navone NM, Conti CJ, Spencer JM, Kahn S, Weinstein IB, Silvers DS, DeLeo VA, Larcher F, Bauluz C, Quintanilla M, Ballestin C, Jorcano JL, Schön M, Haas M, Klein CE, Weber L, Cerri A, Tadini G, Gitto R, Berti E, Cano A, Caulín C, Gómez M, Gandarillas A, Martín M, Montes A, Navarro P, Bastian BC, Van der Piepen U, Römisch J, Pâques E, Hartmann AA, Krieg P, Schnapke R, Feil S, Fürstenberger G, Marks F, Missero C, Cajal SRY, Filvaroff E, Dotto GP, Sherman J, Albert RE, Baxter CS, Bauer G, Höfler P, Götschl M, Viesel E, Jürgensmeier J, Schaefer D, Picht G, Grande T, Real A, Rünqer TM, Möller K, Fuchs P, Bauer C, Epe' B, Gruner S, Diezel W, Macejewski J, Weber H, Eckert R, Volk HD, Sönnichsen N, Bavinck JNB, Vermeer BJ, Van Der Woude FJ, Vandenbroucke JP, Claas FHJ, Griffin EF, Harris H, Tilgen W, Garbe C, Østerlind A, Weiss J, Jung EG, Ruiter DJ, Danen E, Broecker EB, Johnson JP, van Muijen GNP, Halaban R, Krüger-Krasagakes S, Orfanos CE, Newton JA, Bataille V, Cuzick J, Bishop T, Schwaaf A, Azizi E, Bröcker EB, Eberlein B, Froschermaier S, Gollhausen R, Przybilla B, Krasagakis K, Abdel-Naser MB, Lopez-Bran E, Robledo A, Lopez-Bran E, Heine H, Hennig B, Graf G, Nährig J, Niedner R, Schöpf E, Mailhammer R, Reisbach G, Kempkes B, Hültner L, Thalmeier K, Anders F, Zechel C, Schleenbecker U, Leers J, Smith A, Wagner E, Burcin U, Hug H, Fiebich B, Anders A, Gröger H, Schlatterer B, Moll I, Wollina U, Leigh IM, Purkis PE, Markey A, Neill S, Proby C, Glover M, Lane EB, Klein-Szanto AJP, Yaar M, Garmyn M, Gilani A, Gilchrest BA, Bowden GT, Nelson M, Levy J, Tanooka H, Ootsuyama A, Urbach F, van der Leun JC, de Gruijl FR, Kripke ML, Yuspa SH, Glick A, Lee E, Diugosz A, Balmain A, Bums P, Kemp CJ, Stoler AB, Harks F, Boukamp P, Pascheberg U, Breitkreutz D, Hülsen A, Altmeier S, Tomakidi P, Fusenig NE, Lowy DR, Sedman SA, Cohen BD, Schiller JT, Kricker A, Armstrong BK, English D, Heenan PJ, Randell PL, de Gruijl FR, Kelfkens G, van Weelden H, van der Leun JC, Grabbe S, Bruvers S, Granstein RD, Albert R, Miller M, Cody T, Baxter C, Shukla R, Ueda M, Ichihashi M, Yamamura K, Hayashibe K, Funasaka Y, Mishima Y, Fujiwara Y, Ichihashi M, Jimbo T, Mishima Y, Popanda O, Thielmann HW, Jahrens D, Edler L, Ootsuyama A, Tanooka H, Sutter C, Mukhtar H, Strickland PT, Winter H, Schweizer J, Schmidt R, Weber E, Rippmann F, Hecker E, Kopp-Schneider A, Lehmann WD, Stephan M, Troll W, Wei H, Fujiki H, Garte SJ, Frenkel K, Svetek J, Schara M, Pečar S, Hergenhahn M, Kinzel V, Richards J, Plein P, Schiess K, Kaszkin M, Yamamoto S, Wang JC, Kato R, Kuroki T, Hashimoto Y, Osada S, Ohno S, Gilles C, Piette M, Foidart JM, Ranki A, Lassus J, Lehmus A, Niemi KM, Friesel H, Schneider T, Steinbauer B, Sorg B, Winter A, Krauter G, Krauß R, Roeser H, Unger S, Janiaud P, Rueß D, Mechler BM, Stanbridge EJ, Gross MM, Buček M, Klein-Bauernschmitt P, Schlehofer JR, Kosters R, Stark HJ, Okulov VB, Elgjo K, Ushmorov AG, Danilov AO, Zubova SG, Furstenberger G, Faissner A. Supplement II: Abstracts of the international symposium on Skin Carcinogenesis in man and in experimental models. Heidelberg, 29–31 October 1991 (pp S61–S88). J Cancer Res Clin Oncol 1991. [DOI: 10.1007/bf01613300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Eberlein B, Baur A, Neundorfer M, Jahn G. Expression of human immunodeficiency virus (HIV) in naturally infected peripheral blood mononuclear cells: comparison of a standard co-culture technique with a newly developed microculture method. Virus Res 1991; 19:153-61. [PMID: 1909827 DOI: 10.1016/0168-1702(91)90042-t] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Peripheral blood mononuclear cells (PBMCs) from 29 patients infected with human immunodeficiency virus (HIV) were cultured by two different methods. One was the standard co-culture technique, the other a newly developed microculture method. In this assay 10(6) PBMCs were cultivated in 250 microliters medium, no activating agents or allogeneic cells were present. P24 antigen production measured by this method was found in 7 out of 11 PBMC cultures of patients in the Walter Reed (WR) stage 1 or 2, whereas only 4 samples were positive by the co-culture procedure. Cultures from patients in the later stages of the disease (WR 5/6) showed a higher p24 production by the co-culture method than by the microculture assay. It is assumed that rapidly growing HIV strains can be better assessed by the co-culture method which may select for these strains. P24 expression can be more easily obtained by the microculture technique even in cases where slowly replicating strains may be present. In conclusion, results from the microculture procedure described may be a useful supplementation to findings observed by the co-culture method.
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Affiliation(s)
- B Eberlein
- Institut für Klinische und Molekulare Virologie, Universität Erlangen-Nürnberg, F.R.G
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Ring J, Przybilla B, Eberlein B. Ultraviolet A inhibits histamine release from human peripheral leukocytes. Int Arch Allergy Appl Immunol 1989; 88:136-8. [PMID: 2468613 DOI: 10.1159/000234767] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Irradiation of human peripheral leukocytes with ultraviolet A (UVA) induced a significant and dose-dependent reduction of anti-IgE or Ca-ionophore-stimulated histamine release without consistent influence upon C5a-induced release reactions. This effect was equally demonstrable in atopics and controls. In the presence of the radical scavenger superoxide dismutase, the UVA-induced inhibition of anti-IgE-induced histamine release was abolished. Under the conditions used, UVB exposure did not result in relevant changes of in vitro histamine release.
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Affiliation(s)
- J Ring
- Dermatologische Klinik und Poliklinik, Ludwig-Maximilians-Universität München, FRG
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