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The Role of Extracellular Vesicles in Allergic Sensitization: A Systematic Review

Tucis, Davis; Hopkins, Georgina; Browne, William; James, Victoria; Onion, David; Fairclough, Lucy C.

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Authors

Davis Tucis

William Browne

VICTORIA JAMES VICTORIA.JAMES@NOTTINGHAM.AC.UK
Professor of Molecular Biology

Dr DAVID ONION david.onion@nottingham.ac.uk
Advanced Technical Specialist (Flow Cytometry)



Abstract

Allergies affect approximately 10–30% of people worldwide, with an increasing number of cases each year; however, the underlying mechanisms are still poorly understood. In recent years, extracellular vesicles (EVs) have been suggested to play a role in allergic sensitization and skew to a T helper type 2 (Th2) response. The aim of this review is to highlight the existing evidence of EV involvement in allergies. A total of 22 studies were reviewed; 12 studies showed EVs can influence a Th2 response, while 10 studies found EVs promoted a Th1 or Treg response. EVs can drive allergic sensitization through up-regulation of pro-Th2 cytokines, such as IL-4 and IL-13. In addition, EVs from MRSA can induce IgE hypersensitivity in mice towards MRSA. On the other hand, EVs can induce tolerance in the immune system; for example, pre-exposing OVA-loaded EVs prevented OVA sensitization in mice. The current literature thus suggests that EVs play an essential role in allergy. Further research utilizing human in vitro models and clinical studies is needed to give a reliable account of the role of EVs in allergy.

Citation

Tucis, D., Hopkins, G., Browne, W., James, V., Onion, D., & Fairclough, L. C. (2024). The Role of Extracellular Vesicles in Allergic Sensitization: A Systematic Review. International Journal of Molecular Sciences, 25(8), Article 4492. https://doi.org/10.3390/ijms25084492

Journal Article Type Review
Acceptance Date Apr 18, 2024
Online Publication Date Apr 19, 2024
Publication Date Apr 19, 2024
Deposit Date May 30, 2024
Publicly Available Date May 30, 2024
Journal International Journal of Molecular Sciences
Print ISSN 1661-6596
Electronic ISSN 1422-0067
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 25
Issue 8
Article Number 4492
DOI https://doi.org/10.3390/ijms25084492
Keywords allergy; extracellular vesicles; sensitization; tolerance; Th2
Public URL https://nottingham-repository.worktribe.com/output/33838675
Publisher URL https://www.mdpi.com/1422-0067/25/8/4492

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