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Basic science and pathophysiology of Ocular allergy

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Abstract

Ocular allergy includes several clinical subtypes ranging from the mild seasonal allergic conjunctivitis to the potentially sight-threatening atopic keratoconjunctivitis. Current therapies, particularly for the severe forms of disease, need to be more localized and with fewer side effects. For this to be achieved, it requires a better understanding of the basic mechanisms involved. In this chapter, recent findings are discussed that suggest that it is important to take an integrated approach, including both immune and structural elements of the eye. This provides potential new strategies for therapy, addressing the influence of structural cells in disease. These might influence the immune processes that take place and, as the structural cells are precisely localized, topical application is likely to be effective.

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References and Recommended Reading

  1. Foster CS: The pathophysiology of ocular allergy: current thinking. Allergy 1995, 50:6–9.

    Article  PubMed  CAS  Google Scholar 

  2. Dart JK, Buckley RJ, Monnickendan M, Prasad J: Perennial allergic conjunctivitis: definition, clinical characteristics and prevalence. A comparison with seasonal allergic conjunctivitis. Trans Ophthalmol Soc UK 1986, 105:513–520.

    PubMed  Google Scholar 

  3. Buckley RJ: Vernal keratoconjunctivitis. Int Ophthalmol Clin 1989, 28:303–308.

    Article  Google Scholar 

  4. Tuft SJ, Kemeny MD, Dart JKG, Buckley RJ: Clinical features of atopic keratoconjunctivitis. Ophthalmol 1991, 98:150–158.

    CAS  Google Scholar 

  5. Bonini S, Bonini S, Lambiase A, et al.: Vernal keratoconjunctivitis revisited: a case series of 195 patients with long-term follow-up. Ophthalmol 2000, 107:1157–1163.

    CAS  Google Scholar 

  6. Ott MG: Occupational asthma, lung function decrement, and toluene diisocyanate (TDI) exposure: a critical review of exposure-response relationships. Appl Occup Environ Hyg 2002, 17:891–901.

    Article  PubMed  CAS  Google Scholar 

  7. Hingorani M, Metz D, Lightman SL: Characterisation of the normal conjunctival leukocyte population. Exp Eye Res 1997, 64:905–912.

    Article  PubMed  CAS  Google Scholar 

  8. Irani AM, Butrus SI, Tabbara KF, Schwartz LB: Human conjunctival mast cells: distribution of mast cell T and mast cell TC in vernal conjunctivitis and giant papillary conjunctivitis. J Allergy Clin Immunol 1990, 86:34–40.

    Article  PubMed  CAS  Google Scholar 

  9. MacLeod JD, Anderson DF, Baddeley SM, et al.: Immunolocalization of cytokines to mast cells in normal and allergic conjunctiva. Clin Exp Allergy 1997, 27:1328–1334.

    Article  PubMed  CAS  Google Scholar 

  10. Zhang S, Anderson DF, Bradding P, et al.: Human mast cells express stem cell factor. J Pathol 1998, 186:59–66.

    Article  PubMed  CAS  Google Scholar 

  11. Anderson DF, Zhang S, Bradding P, et al.: The relative contribution of mast cell subsets to conjunctival Th2 cytokines. Invest Ophthalmol Vis Sci 2001, 42:995–1001.

    PubMed  CAS  Google Scholar 

  12. Allansmith MR, Hahn GS, Simon MA: Tissue, tear, and serum IgE concentrations in vernal conjunctivitis. Am J Ophthalmol 1976, 81:506–511.

    PubMed  CAS  Google Scholar 

  13. Dombrowicz D, Capron M: Eosinophils, allergy and parasites. Curr Opin Immunol 2001, 13:716–720.

    Article  PubMed  CAS  Google Scholar 

  14. Walsh GM: Eosinophil granule proteins and their role in disease. Curr Opin Hematol 2001, 8:28–33.

    Article  PubMed  CAS  Google Scholar 

  15. Lamkhioued B, Gounni AS, Gruart V, et al.: Human eosinophils express a receptor for secretory component: role in secretory IgA-dependent activation. Eur J Immunol 1995, 25:117–125.

    Article  PubMed  CAS  Google Scholar 

  16. Trocme SD, Kephart GM, Allansmith MR, et al.: Conjunctival deposition of eosinophil granule major basic protein in vernal keratoconjunctivitis and contact lens-associated giant papillary conjunctivitis. Am J Ophthalmol 1989, 108:57–63.

    PubMed  CAS  Google Scholar 

  17. Montan P, van Hage-Hamsten M: Eosinophilic cationic protein in tears in allergic conjunctivitis. Br J Ophthalmol 1996, 80:556–560.

    PubMed  CAS  Google Scholar 

  18. Weller PF: Updates on cells and cytokines: human eosinophils. J Allergy Clin Immunol 1997, 100:283–287.

    Article  PubMed  CAS  Google Scholar 

  19. Schall TJ, Bacon K, Toy KJ, Goeddel DV: Selective attraction of monocytes and T lymphocytes of the memory phenotype by cytokine RANTES. Nature 1990, 347:669–671.

    Article  PubMed  CAS  Google Scholar 

  20. Jose PJ, Griffiths-Johnson DA, Collins PD, et al.: Eotaxin: a potent eosinophil chemoattractant cytokine detected in a guinea pig model of allergic airways inflammation. J Exp Med 1994, 179:881–887.

    Article  PubMed  CAS  Google Scholar 

  21. Hingorani M, Calder VL, Jolly G, et al.: Eosinophil surface antigen expression and cytokine production vary in different ocular allergic diseases. J Allergy Clin Immunol 1998, 102:821–830.

    Article  PubMed  CAS  Google Scholar 

  22. Maggi EP, Biswas G, Del Prete P, et al.: Accumulation of Th-2-like helper T cells in the conjunctiva of patients with vernal conjunctivitis. J Immunol 1991, 146:1169–1174.

    PubMed  CAS  Google Scholar 

  23. Metz DP, Hingorani M, Calder VL, et al.: T cell cytokines in chronic allergic eye disease. J Allergy Clin Immunol 1997, 100:817–824.

    Article  PubMed  CAS  Google Scholar 

  24. Calder VL, Jolly G, Hingorani M, et al.: Cytokine production and mRNA expression by conjunctival T-cell lines in chronic allergic eye disease. Clin Exp Allergy 1999, 29:1214–1222.

    Article  PubMed  CAS  Google Scholar 

  25. Metz DP, Bacon AS, Holgate ST, Lightman S: Phenotypic characterization of T cells infiltrating the conjunctiva in chronic allergic eye diseases. J Allergy Clin Immunol 1996, 98:686–696.

    Article  PubMed  CAS  Google Scholar 

  26. Abu El-Asrar AM, Struyf S, Al-Kharashi SA, et al.: Chemokines in the limbal form of vernal keratoconjunctivitis. Br J Ophthalmol 2000, 84:1360–1366.

    Article  Google Scholar 

  27. Abu El-Asrar AM, Struyf S, Al-Mosallam AA, et al.: Expression of chemokine receptors in vernal keratoconjunctivitis. Br J Ophthalmol 2001, 85:1357–1361.

    Article  Google Scholar 

  28. Hamrah P, Zhang Q, Liu Y, Dana MR: Novel characterization of MHC class II-negative population of resident corneal Langerhans cell-type dendritic cells. Invest Ophthalmol Vis Sci 2002, 43:639–646.

    PubMed  Google Scholar 

  29. Van Eerdewegh P, Little RD, Dupuis J, et al.: Association of the ADAM33 gene with asthma and bronchial hyperresponsiveness. Nature 2003, 418:426–430.

    Article  CAS  Google Scholar 

  30. Davies DE, Wicks J, Powell RM, et al.: Airway remodeling in asthma: new insights. J Allergy Clin Immunol 2003, 111:215–225.

    Article  PubMed  CAS  Google Scholar 

  31. Evans MJ, Van Winkle LS, Fanucchi MV, Plopper CG:The attenuated fibroblast sheath of the respiratory tract epithelial-mesenchymal trophic unit. Am J Respir Cell Mol Biol 1999, 21:655–657.

    PubMed  CAS  Google Scholar 

  32. Frew AJ: What can we learn about asthma from studying occupational asthma? Ann Allergy Asthma Immunol 2003, 90:7–10.

    Article  PubMed  Google Scholar 

  33. Robinson C, Baker SF, Garrod DR: Peptidase allergens, occludin and claudins. Do their interactions facilitate the development of hypersensitivity reactions at mucosal surfaces? Clin Exp Allergy 2001, 31:186–192.

    Article  PubMed  CAS  Google Scholar 

  34. Scott RA, Dua HS, Joseph A, et al.: E-Cadherin distribution in normal and dysplastic conjunctival epithelium. Eye 2002, 16:198–200.

    Article  PubMed  CAS  Google Scholar 

  35. Howat WJ, Barabás T, Holmes JA, et al.: Distribution of basement membrane pores in bronchus revealed by microscopy following epithelial removal. J Structural Biol 2002, 139:137–145.

    Article  Google Scholar 

  36. Howat WJ, Holmes JA, Holgate ST, Lackie PM: Basement membrane pores in human bronchial epithelium: a selective conduit for infiltrating cells? Am J Pathol 2001, 158:673–680.

    PubMed  CAS  Google Scholar 

  37. Leonardi A, Borghesan F, DePaoli M, et al.: Procollagens and inflammatory cytokine concentrations in tarsal and limbal vernal keratoconjunctivitis. Exp Eye Res 1998, 67:105–112.

    Article  PubMed  CAS  Google Scholar 

  38. Fujitsu Y, Fukuda K, Kumagai N, Nishida T: IL-4-induced cell proliferation and production of extracellular matrix proteins in human conjunctival fibroblasts. Exp Eye Res 2003, 76:107–114.

    Article  PubMed  CAS  Google Scholar 

  39. Leonardi A, Jose PJ, Zhan H, Calder VL: Tear and mucus eotaxin-1 and eotaxin-2 in allergic keratoconjunctivitis. Ophthalmol 2003, 110:487–492.

    Google Scholar 

  40. Naylor B: The shedding of the mucosa of the bronchial tree in asthma. Thorax 1962, 17:69–72.

    Article  PubMed  CAS  Google Scholar 

  41. Montefort S, Roche WR, Holgate ST: Bronchial epithelial shedding in asthmatics and non-asthmatics. Respir Med 1993, 87(Suppl B):9–11.

    Article  PubMed  Google Scholar 

  42. Nakamura T, Nishida K, Dota A, Kinoshita S: Changes in conjunctival clustering expression in severe ocular surface disease. Invest Ophthalmol Vis Sci 2002, 43:1702–1707.

    PubMed  Google Scholar 

  43. Yeh S, Song XJ, Farley W, et al.: Apoptosis of ocular surface cells in experimentally induced dry eye. Invest Ophthalmol Vis Sci 2003, 44:124–129.

    Article  PubMed  Google Scholar 

  44. Abu El-Asrar AM, Struyf S, Al-Kharashi SA, et al.: The T-lymphocyte chemoattractant Mig is highly expressed in vernal keratoconjunctivitis. Am J Ophthalmol 2003, 136:853–860.

    Article  CAS  Google Scholar 

  45. Smit EE, Sra SK, Grabowski LR, et al.: Modulation of IL-8 and RANTES release in human conjunctival epithelial cells: primary cells and cell line compared and contrasted. Cornea 2003, 22:332–337.

    Article  PubMed  Google Scholar 

  46. De Saint Jean M, Baudouin C, Di Nolfo M, et al.: Comparison of morphological and functional characteristics of primarycultured human conjunctival epithelium and of Wong-Kilbourne derivative of Chang conjunctival cell line. Exp Eye Res 2004, 78:257–274.

    Article  PubMed  CAS  Google Scholar 

  47. Gomes JA, Dua HS, Rizzo LV, et al.: Ocular surface epithelium induces expression of human mucosal lymphocyte antigen (HML-1) on peripheral blood lymphocytes. Br J Ophthalmol 2004, 88:280–285. The demonstration of the interaction of E-cadherin on conjunctival epithelial cells, which is a lymphocyte integrin, indicating the potential for local modulation of lymphocyte behavior by an epithelial adhesion molecule.

    Article  PubMed  CAS  Google Scholar 

  48. Kirveskari J, Helinto M, Moilanen JA, et al.: Hydrocortisone reduced in vivo, inflammation-induced slow rolling of leukocytes and their extravasation into human conjunctiva. Blood 2002, 100:2203–2207.

    Article  PubMed  CAS  Google Scholar 

  49. Diebold Y, Calonge M, de Salamanca AE, et al.: Characterization of a spontaneously immortalized cell line (IOBA-NHC) from normal human conjunctiva. Invest Ophthalmol Vis Sci 2003, 44:4263–4274. The first characterization of a nontransformed immortal conjunctival epithelial cell line—much needed and likely to allow significant advances.

    Article  PubMed  Google Scholar 

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Calder, V.L., Lackie, P.M. Basic science and pathophysiology of Ocular allergy. Curr Allergy Asthma Rep 4, 326–331 (2004). https://doi.org/10.1007/s11882-004-0079-0

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