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Environmental Health Perspectives (EHP) is a monthly journal of peer-reviewed research and news on the impact of the environment on human health. EHP is published by the National Institute of Environmental Health Sciences and its content is free online. Print issues are available by paid subscription.DISCLAIMER
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Environmental Health Perspectives Supplements Volume 107, Number S3, June 1999 Open Access
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Potential Role of Environmental Factors in the Etiology and Pathogenesis of Atopy: A Working Model

Patrick G. Holt

TVW Telethon Institute for Child Health Research, Perth, Western Australia

Abstract

Sensitization to inhalant allergens commonly commences in utero, and most children are born with weak T helper-2 (Th2) -polarized T-cell immunity to these agents. During early life, these responses are normally deviated toward the Th1 cytokine profile. However, in atopics this immune deviation process fails, leading instead to consolidation of allergen-specific Th2 immunity and its eventual active expression in the airways. Both the induction and expression of Th2 immunity can be modulated by environmental agents that affect the cytokine milieu in the airway mucosa and/or the draining lymph nodes. Because of the known effects of the mold cell wall component (1arrow3) -ß-d-glucan on monocyte cytokine secretion, exposure to molds during childhood may be a significant etiologic factor in allergic respiratory disease in general. Key words: , , , , . -- Environ Health Perspect 107(suppl 3) :485-487 (1999) .

http://ehpnet1.niehs.nih.gov/docs/1999/suppl-3/485-487holt/abstract.html


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