Study of Immunobiological Aspects of Allergic Rhinitis

Rachmat Hidayat
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Abstract

The condition of allergic rhinitis involves a complex interaction between the immune system and certain allergens. The main process begins with sensitization, in which susceptible individuals develop an immune response to an allergen, often involving the production of IgE specific to that allergen. Mast cells and Th2 cells play a central role in the allergic response, with the release of inflammatory mediators such as histamine, interleukin-4 (IL-4), IL-5, and IL-13. Histamine, produced mainly by mast cells, causes typical symptoms of allergic rhinitis such as a runny nose, itching, sneezing, and nasal congestion. In addition, eosinophils, a specific type of white blood cell, gather in nasal tissues and contribute to chronic inflammation. Activation of eosinophils by cytokines such as IL-5 can cause tissue damage and prolong inflammation. This process creates a cycle of allergic responses that can be amplified with each subsequent exposure to the allergen. Sensitization, IgE production, release of inflammatory mediators, and tissue damage all together form the immunobiology basis of allergic rhinitis.
过敏性鼻炎的免疫生物学研究
过敏性鼻炎涉及免疫系统与某些过敏原之间复杂的相互作用。主要过程始于致敏,即易感个体对过敏原产生免疫反应,通常会产生针对该过敏原的特异性 IgE。肥大细胞和 Th2 细胞在过敏反应中起着核心作用,它们会释放组胺、白细胞介素-4 (IL-4)、IL-5 和 IL-13 等炎症介质。组胺主要由肥大细胞产生,会导致过敏性鼻炎的典型症状,如流鼻涕、鼻痒、打喷嚏和鼻塞。此外,嗜酸性粒细胞(一种特殊的白细胞)会聚集在鼻腔组织中,导致慢性炎症。嗜酸性粒细胞被 IL-5 等细胞因子激活后会造成组织损伤,延长炎症时间。这一过程会形成过敏反应的循环,在以后每次接触过敏原时都会加剧。致敏、IgE 生成、炎症介质释放和组织损伤共同构成了过敏性鼻炎的免疫生物学基础。
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