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      Inhibition of CD203c membrane up-regulation in human basophils by high dilutions of histamine: a controlled replication study

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          Abstract

          Objective

          Previous research suggests that human basophil activation may be inhibited by histamine even at extremely low doses (high dilutions). However, uncertainties about the nature of the phenomenon and its reproducibility mean that further, rigorously controlled studies are necessary.

          Methods

          Serial 1:100 (v:v) histamine dilutions (centesimal dilutions, C) and water controls were tested on human basophil responsiveness to anti-IgE antibodies, using flow cytometry. Each dilution step was followed by vertical mechanical shaking (also designed as succussion) at 20 strokes/s. Basophil-enriched buffy coats from healthy blood donors were incubated with 10 −4 mol/l histamine (2C) and with serially diluted preparations from 10 −20 mol/l (10C) to 10 −32 mol/l (16C), then incubated for 30 min with 1 μg/ml goat monoclonal anti-human IgE and basophils stained for immunophenotyping.

          Results

          Membrane up-regulation of CD203c, which in these experimental conditions proved to be a more consistent activation marker than CD63, was significantly inhibited in samples treated with histamine at the dilutions of 2C ( P = 0.001), 12C ( P = 0.047), 14C ( P = 0.003), 15C ( P = 0.036) and 16C ( P = 0.009). Control water dilutions/succussions did not show any significant effect.

          Conclusion

          Using a strictly standardized flow cytometry protocol and a new dilution/succussion procedure, we have shown that low and high dilutions of histamine inhibit CD203c up-regulation in anti-IgE stimulated basophils.

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          Most cited references52

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          Are the clinical effects of homoeopathy placebo effects? Comparative study of placebo-controlled trials of homoeopathy and allopathy.

          Homoeopathy is widely used, but specific effects of homoeopathic remedies seem implausible. Bias in the conduct and reporting of trials is a possible explanation for positive findings of trials of both homoeopathy and conventional medicine. We analysed trials of homoeopathy and conventional medicine and estimated treatment effects in trials least likely to be affected by bias. Placebo-controlled trials of homoeopathy were identified by a comprehensive literature search, which covered 19 electronic databases, reference lists of relevant papers, and contacts with experts. Trials in conventional medicine matched to homoeopathy trials for disorder and type of outcome were randomly selected from the Cochrane Controlled Trials Register (issue 1, 2003). Data were extracted in duplicate and outcomes coded so that odds ratios below 1 indicated benefit. Trials described as double-blind, with adequate randomisation, were assumed to be of higher methodological quality. Bias effects were examined in funnel plots and meta-regression models. 110 homoeopathy trials and 110 matched conventional-medicine trials were analysed. The median study size was 65 participants (range ten to 1573). 21 homoeopathy trials (19%) and nine (8%) conventional-medicine trials were of higher quality. In both groups, smaller trials and those of lower quality showed more beneficial treatment effects than larger and higher-quality trials. When the analysis was restricted to large trials of higher quality, the odds ratio was 0.88 (95% CI 0.65-1.19) for homoeopathy (eight trials) and 0.58 (0.39-0.85) for conventional medicine (six trials). Biases are present in placebo-controlled trials of both homoeopathy and conventional medicine. When account was taken for these biases in the analysis, there was weak evidence for a specific effect of homoeopathic remedies, but strong evidence for specific effects of conventional interventions. This finding is compatible with the notion that the clinical effects of homoeopathy are placebo effects.
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            Monitoring human basophil activation via CD63 monoclonal antibody 435.

            On activation of human basophilic granulocytes with anti-IgE or with the chemotactic peptide, formyl-methionyl-leucyl-phenylalanine, the expression of the CD63 antigen on the cell surface, detected by monoclonal antibody (MAb) 435, increased up to 100-fold. The kinetics of CD63 up regulation and histamine release were identical, and a strong correlation was found between percentage of MAb 435-binding basophils and extent of histamine release. Immunoelectronmicroscopy demonstrated that the epitope for MAb 435 in resting basophils is located on the basophilic granule membrane. After basophil activation, MAb 435 bound to the exterior of the plasma membrane. Experiments with various doses of anti-IgE demonstrated that the binding of MAb 435 to basophilic granulocytes follows an all-or-nothing-like response per cell. Basophils either do not bind the MAb at all, or they bind a maximal amount of the MAb. We also measured the up regulation of the CD11/CD18 leukocyte adhesion complex. Here, too, we noted an increase in cell-surface exposure of all subunits after activation. This increase was not as strong as increase found with MAb 435. Thus, MAb 435 is an interesting new tool for investigating the activation of human basophils, in addition to the measurement of mediator release. This MAb may be useful for the detection of basophil activation in vivo.
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              Human basophil degranulation triggered by very dilute antiserum against IgE.

              When human polymorphonuclear basophils, a type of white blood cell with antibodies of the immunoglobulin E (IgE) type on its surface, are exposed to anti-IgE antibodies, they release histamine from their intracellular granules and change their staining properties. The latter can be demonstrated at dilutions of anti-IgE that range from 1 x 10(2) to 1 x 10(120); over that range, there are successive peaks of degranulation from 40 to 60% of the basophils, despite the calculated absence of any anti-IgE molecules at the highest dilutions. Since dilutions need to be accompanied by vigorous shaking for the effects to be observed, transmission of the biological information could be related to the molecular organization of water.
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                Author and article information

                Contributors
                +39-045-8027485 , paolo.bellavite@univr.it
                Journal
                Inflamm Res
                Inflammation Research
                SP Birkhäuser Verlag Basel (Basel )
                1023-3830
                1420-908X
                6 May 2009
                November 2009
                : 58
                : 11
                : 755-764
                Affiliations
                [1 ]Department of Morphological and Biomedical Science, University of Verona, Piazza L.A: Scuro, 10, 37134 Verona, Italy
                [2 ]“P. Fortunati” Institute of Statistics, University of Bologna, Bologna, Italy
                [3 ]Department of Pathology-Immunology Section, University of Verona, Verona, Italy
                Author notes

                Responsible Editor: A. Falus.

                Article
                44
                10.1007/s00011-009-0044-4
                2759025
                19418203
                193eda57-91f5-462c-bd0b-1f588381067c
                © The Author(s) 2009
                History
                : 14 November 2008
                : 3 April 2009
                : 9 April 2009
                Categories
                Original Research Paper
                Custom metadata
                © Birkhäuser Verlag, Basel/Switzerland 2009

                Immunology
                histamine,high dilutions,basophil activation,ultra low doses,cd203c up-regulation
                Immunology
                histamine, high dilutions, basophil activation, ultra low doses, cd203c up-regulation

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