Summary
Twenty-one patients with alopecia were screened for the immune reactivity of their peripheral blood lymphocytes. Generally, patients had only eczematous reactions when rather strong solutions of dinitrochlorobenzene (DNCB) were applied. One-third of the patients had lymphocytes with in vitro reactivity towards dinitrofluorobenzene-albumin in a lymphocyte transformation test. The percentage of T lymphocyte subpopulations in blood was normal, together with a normal in vitro function after mitogen and antigen stimulation. Six of the patients were treated with 1 g cimetidine daily for 6 weeks. We could not find clinical or immunological changes during the therapy. The findings are discussed in relation to other immunological studies of patients with alopecia and the eventual effect of cimetidine on the immune system.
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References
Avella J, Madsen JE, Binder HJ, Askenase PW (1978) Effect of histamin H2 — receptor antagonists on delayed hypersensitivity. Lancet I:624–626
Bicks RO, Rosenberg EW (1980) Reversal of anergy in Crohn's disease by cimetidine. Lancet I:552–553
Bourne HR, Melmon KL, Lichtenstein LM (1971) Histamine augments leukocyte adenosine 3′,5′-monophosphate and blocks antigenic histamine release. Science 173:743–745
Daman LA, Rosenberg EW (1977) Acquired tolerance to dinitrochlorobenzene reversed by cimetidine. Lancet II:1087
Festen HPM, de Wauw BE, Smeulders J, Wagener DTJ (1981) Cimetidime does not influence immunological parameters in man. Clin Immunol Immunopathol 21:33–38
Gianetti A, Silverio AD, Castellazzi AM, Maccario R (1978) Evidence for defective T cell function in patients with alopecia areata. Br J Dermatol 98:361
Gifford RMM, Ferguson FM, Voss BV (1981) Cimetidine reduction of tumour formation in mice. Lancet I:638–638
Goodwin JS (1978) Cimetidine and delayed hypersensitivity. Lancet I:934
Grieco MH, Siegel I, Goel Z (1976) Modulation of human T lymphocyte rosette formation by autonomic agonists and cyclic nucleotides. J Allergy Clin Immunol 58:149–159
Gu S-H, Ros A-M, Thyresson N, Wasserman J (1981) Blood lymphocyte subpopulations and antibody-dependent cytotoxicity (ADCC) in alopecia areata and universalis. Acta Derm Venereol (Stockh) 61:125–129
Jensen JR, Cramers M, Thestrup-Pedersen K (1981) Subpopulations of T lymphocytes and nonspecific suppressor cell activity in patients with atopic dermatitis. Clin Exp Immunol 45:118–123
Jorizzo JL, Sams WM, Jegasothy BV, Olansky AJ (1980) Cimetidine as an immunmodulator: Chronic mucocutaneous candidiasis as a model. Ann Intern Med 92:192–195
McGregor CGA, Cochran AJ, Ogg LJ, Gray GR, Smith IS, Gillespie G, Forrester J (1977) Immunological and other laboratory studies of patients receiving shortterm cimetidine therapy. Lancet I:122–123
Osband ME, Hamilton D, Shen Y-J, Cohen E, Schlesinger M, Lavin P, Brown A, McCaffrey R (1981) Successful tumour immunotherapy with cimetidine in mice. Lancet I:636–638
Palacious J, Fuller EW, Blaylock WK (1966) Immunological capabilities of patients with atopic dermatitis. J Invest Dermatol 47:484–490
Plaut M, Lichtenstein LM, Henney CS (1975) Properties of subpopulations of T cells bearing histamine receptors. J Clin Invest 55:856–874
Presser SE, Blank H (1981) Cimetidine: Adjunct in treatment of tinea capitis. Lancet I:108
Robertson AJ, Peden NR, Saunders JHB, Gibbs HJ, Potts RC, Brown RA, Wormsley KG, Swanson Beck J (1979) Cimetidine and the immune response. Lancet II:420–421
Rocklin RE (1976) Modulation of cellular immune responses in vivo and in vitro by histamine receptor-bearing lymphocytes. J Clin Invest 57:1051–1058
Roszkowski W, Plaut M, Lichtenstein LM (1977) Selective display of histamine receptors on lymphocytes. Science 195:683–685
Smith MD, Couhig E, Miller JJ, Salaman JR (1979) Cimetidine and the immune response. Lancet I:1406–1407
Strannegaard IL, Strannegaard Ö (1977) Increased sensitivity of lymphocytes from atopic individuals to histamine-induced suppression. Scand J Immunol 6:1225–1231
van Neste D, Szapiro E, Breuillard F, Goudemand J (1980) A study of HLA antigens and immune response to DNCB in alopecia areata. Clin Exp Dermatol 5:389–394
Verhaegen H, DeCock W, Cree JDe (1977) Histamine receptor-bearing peripheral T lymphocytes in patients with allergies J Allergy Clin Immunol 59:266–268
Weinstein Y, Melmon KL (1976) Control of immune responses by cyclic AMP and lymphocytes that adhere to histamine columns. Immunol Commun 5:401–416
Winship DH (1978) Cimetidine in the treatment of duodenal ulcer. Review and commentary. Gastroenterology 74:402–406
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This study has received support from The Danish Medical Research Council, grants no. 512-15133 and 512-20063
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Thestrup-Pedersen, K., Bisballe, S., Jensen, J.R. et al. Immunological studies in patients with alopecia receiving dinitrochlorobenzene and cimetidine therapy. Arch Dermatol Res 273, 261–266 (1982). https://doi.org/10.1007/BF00409254
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DOI: https://doi.org/10.1007/BF00409254