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Advances in allergic skin diseases

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1 Advances in allergic skin diseases
Donald Y.M. Leung, MD, PhDa, Mark Boguniewicz, MDb  Journal of Allergy and Clinical Immunology  Volume 111, Issue 3, Pages S805-S812 (March 2003) DOI: /mai Copyright © 2003 Mosby, Inc. Terms and Conditions

2 Fig. 1 Functional autoantibodies of CIU. IgG anti-IgE antibodies combine with and cross-link adjacent receptor-bound IgE. IgG anti-FcϵRI antibodies combine with and cross-link adjacent α-chains of FcϵRI. Black notched membrane structures represent α-chain of FcϵRI expressed on surface of dermal mast cell. From Greaves M. Chronic urticaria. J Allergy Clin Immunol 2000;105: Used with permission. Journal of Allergy and Clinical Immunology  , S805-S812DOI: ( /mai ) Copyright © 2003 Mosby, Inc. Terms and Conditions

3 Fig. 2 Aberrant regulation of the p21Ras pathway in lymphocytes of patients with CIU: possible mechanisms leading to autoimmune disease. Genetically determined aberrant p21Ras signaling interferes with thymic T-cell selection (1), leading to release of self-aggressive T cells (2). Alternatively, exposure to unknown environmental trigger (3) results in aberrant signaling in B and T cells (4) and disrupts immune balance. T-cell-assisted (5) production of anti-FcϵRI autoantibodies (Auto Ab's) by B cells (6) and direct interaction of autoimmune T cells with mast cells (7) lead to autoimmune chronic urticaria. GAP, Guanosine triphosphatase-activating protein; MAPK, mitogen-activated protein kinase. From Confino-Cohen R, Aharoni D, Goldberg A, Gurevitch I, Buchs A, Weiss M, et al. Evidence for aberrant regulation of the p21Ras pathway in PBMCs of patients with chronic idiopathic urticaria. J Allergy Clin Immunol 2002;109: Used with permission. Journal of Allergy and Clinical Immunology  , S805-S812DOI: ( /mai ) Copyright © 2003 Mosby, Inc. Terms and Conditions


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