ORIGINAL PAPER
The effect of hymenoptera venom immunotherapy on neutrophils, interleukin 8 (IL-8) and interleukin 17 (IL-17)
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Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Toruń, Poland
(Department of Allergology, Clinical Immunology and Internal Diseases)
Online publication date: 2020-09-30
Corresponding author
Krzysztof Pałgan
Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Department of Allergology, Clinical Immunology and
Internal Diseases, Ujejskiego 75, 85-168 Bydgoszcz, Poland
Int J Occup Med Environ Health. 2020;33(6):811-7
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ABSTRACT
Objectives: Venom immunotherapy (VIT) is an effective treatment method and is addressed to patients with a history of an anaphylactic reaction to
Hymenoptera stings. However, the immunological mechanisms of protection have not been explained yet. The objective of this study was to analyze
neutrophils, interleukin 8 (IL-8) and interleukin 17 (IL-17) before and after the initial phase of the immunotherapy. Material and Methods: Overall,
40 individuals, including 20 wasp venom sensitized and 20 bee venom sensitized patients, were included in the study. The patients had had a history
of severe allergic reactions type III and IV according to Mueller’s classification. An ultra-rush VIT protocol was used in this study. The concentration
of serum IL-8 and IL-17A was determined using the ELISA enzymatic method. Results: The authors demonstrated a significant rise in the IL-8 level
after the immunotherapy, compared to baseline (14.9 vs. 24.7, p < 0.05). The rise in the neutrophils level was also noticeable but proved to be barely
out of the range of statistical significance (4.3 vs. 5.0, p = 0.06). The shift in IL-17A was negligent and not statistically significant in the paired samples
t-test (1.6 vs. 1.5, p = 0.34) Conclusions: Venom immunotherapy induces neutrophils and IL-8 activity after 2 days. After the desensitization, the level of IL-17A did not change. Int J Occup Med Environ Health. 2020;33(6):811–7