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Published on: December 27, 2016
Early gene expression changes with rush immunotherapy
Laurie S Davis1, Sumit Bhutani, Sherry Ridz Barnett
1Department of Internal Medicine, Division of Rheumatic Diseases, University of Texas Southwestern Medical Center, Dallas, TX, 75390-8884, USA. laurie.davis@utsouthwestern.edu.
Rush immunotherapy (RIT) rapidly alters gene expression in allergic patients. These changes in peripheral blood mononuclear cells (PBMC) indicate early shifts in innate and adaptive immunity during RIT.
Area of Science:
- Immunology
- Genomics
- Allergy Research
Background:
- Allergic diseases affect millions globally.
- Rush immunotherapy (RIT) offers a rapid treatment option.
- Understanding RIT's molecular mechanisms is crucial.
Purpose of the Study:
- To investigate gene expression changes in peripheral blood mononuclear cells (PBMC) during RIT.
- To identify early molecular markers of RIT efficacy.
Main Methods:
- PBMC samples from 3 allergic patients were analyzed at 4 timepoints during RIT.
- Whole genome expression profiling using oligonucleotide microarrays (>47,000 transcripts).
- Flow cytometry assessed Fc epsilon RI and T-regulatory cell frequency.
Main Results:
- 507 transcripts showed ≥1.5-fold change; 44 showed ≥2-fold change (p≤0.05).
- Upregulation of innate and adaptive immune genes (e.g., IL-1β, IL-8, CD40L, BTK, BCL6).
- Decreased Fc epsilon RI expression and increased allergen-specific IgG4 observed at 4 months.
Conclusions:
- RIT induces rapid and significant gene expression changes in PBMC.
- Early alterations in innate and adaptive immunity are detectable.
- These changes correlate with increased allergen-specific IgG4, suggesting a therapeutic shift.
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