In vitro peptide stimulation of allergen-reactive T-helper type 1 and
type 0 cells, in the absence of costimulatory signals, induces anergy
that is accompanied by the modulation of cell surface phenotype and ch
anges in cytokine production. In experimental animal models, the admin
istration of allergen-derived peptides may result in the downregulatio
n of cytokine and antibody production, which is preceded by transient
activation of CD4+ T cells, without the induction of effector immunity
. Preliminary results of clinical trials using allergen-derived peptid
es for desensitization are becoming available and should provide some
insight into the efficacy of peptide therapy In man.