Acupuncture And Mucosal Immunity In The Upper Respiratory Tract
Funder
National Health and Medical Research Council
Funding Amount
$383,082.00
Summary
Many Australians seek complementary and alternate medicine for the treatment of allergic diseases such as allergic rhinitis. There is evidence that acupuncture treatment is clinically beneficial for the treatment of allergic rhinitis. This project will produce new information that will provide a scientific basis of how acupuncture influences the immune response and modulates inflammation. Broader application to other inflammatory diseases and therapeutic interventions is possible.
Effects Of Allergens On Dendritic Cell Function In Allergic Asthma
Funder
National Health and Medical Research Council
Funding Amount
$254,250.00
Summary
In recent decades, there has been a nearly three-fold increase in the prevalence of allergic diseases such as asthma. Although the reason these diseases have increased in prevalence remains unknown, we suspect the way in which the immune system responds to foreign proteins in the environment may be very important in determining whether an individual develops allergic disease or not. How and why individuals with allergic asthma respond excessively and inappropriately to inhalation of a small rang ....In recent decades, there has been a nearly three-fold increase in the prevalence of allergic diseases such as asthma. Although the reason these diseases have increased in prevalence remains unknown, we suspect the way in which the immune system responds to foreign proteins in the environment may be very important in determining whether an individual develops allergic disease or not. How and why individuals with allergic asthma respond excessively and inappropriately to inhalation of a small range of seemingly innocuous proteins (allergens) is a central question in respiratory medicine and allergy. We propose that investigating the way that antigen presenting dendritic cells (DC) respond directly to allergens will shed important light on this issue, as DC are fundamental to our ability to deal with foreign antigens and to generate an appropriate immune response. The overall hypothesis underpinning this proposal is that allergens induce specific responses in DC from individuals with allergic asthma, and that this contributes to the maintenance and amplification of allergic tissue inflammation in this disease. Understanding the ways in which DC respond to clinically relevant allergens will lead to significant progress in understanding the pathogenesis of allergic asthma. This project was recommended for funding last year, but was relinquished when one of the previous co-investigators on last year's grant was awarded a Program grant.Read moreRead less
THE ROLE OFPROTEASES AND PROTEASE ACTIVATED RECEPTORS IN RESPIRATORY EPITHELIAL CELL FUNCTION IN ASTHMA
Funder
National Health and Medical Research Council
Funding Amount
$457,500.00
Summary
The epithelium lines the airways and is, therefore, constantly exposed to a variety of exogenous antigens, infectious agents and noxious stimuli. This tissue responds to such stimuli by secreting substances that help counteract the insult while simultaneously initiating healing and repair. In this proposal, we will investigate the role of a group of receptors present on the surface of the epithelium which monitor the area surrounding the epithelium for the presence of enzymes which digest host t ....The epithelium lines the airways and is, therefore, constantly exposed to a variety of exogenous antigens, infectious agents and noxious stimuli. This tissue responds to such stimuli by secreting substances that help counteract the insult while simultaneously initiating healing and repair. In this proposal, we will investigate the role of a group of receptors present on the surface of the epithelium which monitor the area surrounding the epithelium for the presence of enzymes which digest host tissue or pathogens. These receptors, known as PAR, sense their suroundings by binding the protease, a process which then triggers the cell to respond in an appropriate way by releasing cytokines and mediators. There are 4 PAR, each with different properties, and are present on many cells of the body. However, little information about their role on epithelium exists. Although we have shown them to be upregulated in the epithelium in the socio-economically important disease, asthma, their function in this disease remains elusive. We will, therefore, initiate studies to define their role in inflammation, healing and repair as this information may lead to a better understanding of their role in disease which may then translate into better treatment.Read moreRead less
A Population-based Family Study Of Filaggrin Mutations And Allergic Disease Risk In Australia
Funder
National Health and Medical Research Council
Funding Amount
$308,584.00
Summary
It is biologically plausible that the association of known environmental risk factors for asthma may be different for genetically susceptible individuals. Few studies have examined the interaction between genetic and environmental factors. that have not considered genetic susceptibility are estimating an average risk of asthma across all genotypes in the population which may not be relevant for a particular sub-group.
The Efficacy And Safety Of Acupuncture For Seasonal Allergic Rhinitis: A Prospective, Randomised Controlled Trial
Funder
National Health and Medical Research Council
Funding Amount
$175,732.00
Summary
Seasonal allergic rhinitis, also known as hay fever, is a common condition with high prevalence in Australia, being most pronounced during spring and early summer when pollen counts are highest. There is no proven cure for hay fever. Many hay fever sufferers seek alternative therapies such as acupuncture. We propose to undertake a rigorous study, using well-established clinical trial methodology, to evaluate the efficacy and safety of acupuncture in the treatment of hay fever.
Couch Grass Allergy: Cellular And Molecular Studies Directed At Improved Specific Immunotherapy
Funder
National Health and Medical Research Council
Funding Amount
$406,980.00
Summary
Couch grass pollen is increasingly important in Australia and other temperate and subtropical regions as a seasonal allergen causing asthma and hay fever. In our allergy clinic 85% of patients with seasonal asthma and-or hay fever are allergic to both couch grass pollen and rye grass pollen. Standard allergy treatment shots usually cover the rye grass pollen allergens but there is no cross-reactivity with couch grass pollen and therefore symptoms due to couch grass pollen are not controlled. The ....Couch grass pollen is increasingly important in Australia and other temperate and subtropical regions as a seasonal allergen causing asthma and hay fever. In our allergy clinic 85% of patients with seasonal asthma and-or hay fever are allergic to both couch grass pollen and rye grass pollen. Standard allergy treatment shots usually cover the rye grass pollen allergens but there is no cross-reactivity with couch grass pollen and therefore symptoms due to couch grass pollen are not controlled. These shots are seldom used in asthmatic patients because of the risk of severe asthma or generalised allergic reactions. We plan to examine human blood cell responses to couch grass pollen allergens before and after allergy shots with a preparation that includes couch grass pollen and rye grass pollen. A comparable control group of patients receiving only drug therapy will also be investigated. This study will identify dominant sites of couch grass pollen allergen immunoreactivity and reveal mechanisms of desensitisation. Based on this information, we will develop novel couch grass pollen proteins that retain the positive features needed for a successful desensitising vaccine but without the ability to bind to allergy antibodies and possibly cause severe adverse events such as asthma attacks. These preparations could be used to provide safer and more effective allergy treatments that can be used in hay fever sufferers and asthmatics.Read moreRead less
Initiating Events In The Development Of Allergic Airway Inflammation
Funder
National Health and Medical Research Council
Funding Amount
$452,545.00
Summary
Despite recent advances we still do not understand the basic mechanisms which underlie the development of allergic airway inflammatory diseases such as rhinitis and asthma. It has been previously shown that when pollen are exposed to water they release a large number of very small starch granules which contain a number of potent allergens as well as plant steroids. In addition house dust mite allergens which are strongly associated with asthma are mostly located in small faecal pellets. Both the ....Despite recent advances we still do not understand the basic mechanisms which underlie the development of allergic airway inflammatory diseases such as rhinitis and asthma. It has been previously shown that when pollen are exposed to water they release a large number of very small starch granules which contain a number of potent allergens as well as plant steroids. In addition house dust mite allergens which are strongly associated with asthma are mostly located in small faecal pellets. Both these particles are ideally sized to enter the respiratory tract and initiate inflammatory responses. We have shown that these responses appear to be of the type that is needed to initiate allergic reactions. We intend to further study the interactions of these small inhaled allergen containing particles with cells of the respiratory tract. In this proposal we will look at both alveolar macrophages and respiratory epithelial cells. These approaches will not only provide new information about the processes of airway inflammation caused by allergens but may also define new therapeutic approaches to the treatment of these diseases.Read moreRead less