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Related Concept Videos

T Cell Types and Functions01:24

T Cell Types and Functions

When T cells with CD4 markers are activated, they give rise to two types of effector cells: helper T cells and regulatory T cells. Meanwhile, T cells with CD8 markers differentiate into effector cytotoxic T cells. The differentiation of CD4 T cells into helper T cell subsets, such as Th1, Th2, and Th17 cells, is dependent on the antigen type, antigen-presenting cell, and regulatory cytokines.
Th1 cells stimulate dendritic cells to express necessary co-stimulatory molecules on their surfaces for...

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Sublingual Immunotherapy as an Alternative to Induce Protection Against Acute Respiratory Infections
16:56

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Published on: August 30, 2014

IL-21 expression during sublingual immunotherapy for allergic rhinitis.

Chunrui Wang1, Xiaowei Qin1, Li Jiang1

  • 1Department of Otolaryngology, The 1st Affiliated Hospital of Harbin Medical University Harbin 150001, Heilongjiang, The People's Republic of China.

American Journal of Clinical and Experimental Immunology
|May 25, 2026
PubMed
Summary

Sublingual immunotherapy (SLIT) effectively reduces Interleukin-21 (IL-21) and immunoglobulin E (IgE) levels in allergic rhinitis (AR) patients. IL-21 may indicate treatment success, offering a potential biomarker for AR therapy.

Keywords:
Allergic rhinitisIL-21Th2 cytokinesbiomarkersublingual immunotherapy

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Area of Science:

  • Immunology
  • Allergology
  • Biochemistry

Background:

  • Allergic rhinitis (AR) involves immunoglobulin E (IgE)-mediated inflammation.
  • Interleukin-21 (IL-21) influences immune cells and IgE production.
  • Understanding IL-21's role in AR is crucial for treatment.

Purpose of the Study:

  • To investigate Interleukin-21 (IL-21) expression changes after sublingual immunotherapy (SLIT) in allergic rhinitis (AR) patients.
  • To assess the correlation between IL-21, immunoglobulin E (IgE), and Th2 cytokines.
  • To evaluate IL-21 as a potential biomarker for SLIT efficacy.

Main Methods:

  • Fifty AR patients received standardized house dust mite (HDM) allergen extract via SLIT.
  • Serum IL-21, Th2 cytokines, and IgE levels were quantified using ELISA.
  • Statistical analyses compared pre- and post-treatment levels and assessed correlations.

Main Results:

  • SLIT significantly decreased serum IL-21, Th2 cytokines, and IgE levels after 3 years.
  • Effective SLIT responders showed greater reductions compared to non-responders.
  • IL-21 levels correlated positively with IL-4 and IgE.

Conclusions:

  • Sublingual immunotherapy (SLIT) downregulates IL-21 and Th2 cytokine expression in AR.
  • IL-21 shows potential as a predictive biomarker for SLIT effectiveness in AR patients.
  • This study highlights IL-21's involvement in the immunomodulatory effects of SLIT.