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Updated: May 24, 2026

Basophil Activation Test for Allergy Diagnosis
Published on: May 31, 2021
Modulation of mTOR effector phosphoproteins in blood basophils from allergic patients
Yael Gernez1, Rabindra Tirouvanziam, Neha Reshamwala
1Department of Genetics, Stanford University School of Medicine, Stanford, CA 94305, USA.
Abstract:
The mammalian target of rapamycin (mTOR) pathway contributes to various immunoinflammatory processes. Yet, its potential involvement in basophil responses in allergy remains unclear. In this pilot study, we quantified two key mTOR effector phosphoproteins, the eukaryotic initiation factor 4E (peIF4E) and S6 ribosomal protein (pS6rp), in blood basophils from nut allergy patients (NA, N = 16) and healthy controls (HC, N = 13). Without stimulation in vitro, basophil peIF4E levels were higher in NA than HC subjects (P = 0.014). Stimulation with nut (offending) but not chicken / rice (non-offending) extract increased basophil peIF4E and pS6rp levels (+32%, P = 0.018, and +98%, P = 0.0026, respectively) in NA but not HC subjects, concomitant with increased surface levels of CD203c and CD63, both known to reflect basophil activation. Pre-treatment with the mTOR inhibitor rapamycin decreased pS6rp and CD203c responses in nut extract-stimulated basophils in NA subjects. Thus, basophil responses to offending allergens are associated with modulation of mTOR effector phosphoproteins.
Insights
The mammalian target of rapamycin (mTOR) pathway is involved in allergic reactions. In nut allergy patients, mTOR signaling in basophils increases upon allergen exposure, suggesting a role in immune responses.
Area of Science:
- Immunology
- Cellular Biology
- Allergy Research
Background:
- The mammalian target of rapamycin (mTOR) pathway is implicated in immunoinflammatory processes.
- The specific role of the mTOR pathway in basophil responses during allergic reactions is not well understood.
Purpose of the Study:
- To investigate the involvement of the mTOR pathway in basophil activation in patients with nut allergy.
- To quantify key mTOR effector phosphoproteins in basophils from nut allergy patients and healthy controls.
Main Methods:
- Quantification of phosphorylated eukaryotic initiation factor 4E (peIF4E) and S6 ribosomal protein (pS6rp) in blood basophils.
- Basophil stimulation with offending (nut) and non-offending (chicken/rice) allergen extracts.
- Measurement of basophil activation markers (CD203c, CD63).
- Inhibition of the mTOR pathway using rapamycin.
Main Results:
- Basophil peIF4E levels were elevated in nut allergy patients compared to controls even without stimulation.
- Nut extract stimulation increased peIF4E and pS6rp levels in basophils of nut allergy patients, correlating with increased CD203c and CD63 expression.
- Rapamycin treatment reduced pS6rp and CD203c responses in stimulated basophils from nut allergy patients.
Conclusions:
- Basophil activation in response to specific allergens involves the modulation of mTOR effector phosphoproteins.
- The mTOR pathway plays a significant role in basophil responses during nut allergy.
- These findings highlight potential therapeutic targets within the mTOR pathway for managing allergic diseases.
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