Disease Category

Topical Steroid Withdrawal Diagnostic Criteria Defined by NIH Researchers

Topical steroid withdrawal (TSW) results in dermatitis that is distinct from eczema and is caused by an excess of NAD+, an essential chemical compound in the body, according to a new study from NIAID researchers.

Contact

Submit a Media Request

Contact the NIAID News & Science Writing Branch.

301-402-1663
niaidnews@niaid.nih.gov
All Media Contacts

Seal, Stopping Eczema and Allergy Study

The objective of this study is to compare the effect of proactive sequential skin care, including the twice-daily use of a tri-lipid skin barrier cream (Epiceram) and proactive use of fluticasone propionate cream, against reactive AD therapy, to reduce the occurrence and severity of AD in early infancy and thereby prevent food allergy (FA).

Contact Information

Office/Contact: SNP Center Inquiry
Phone: 650-521-7237
Email: snpcenterallergy_inquiry@stanford.edu
 

A Biorepository of Multiple Allergic Diseases (MADREP) With Longitudinal Follow-Up

To create a repository of clinical, laboratory, and diagnostic data and specimens from a cohort of suspected or confirmed atopic or allergic individuals with diverse disorders seen by allergist-immunologists and rhinologists.

Contact Information

Office/Contact: NIH Clinical Center Office of Patient Recruitment (OPR)
Phone: 800-411-1222
TTY: TTY dial 711
Email: ccopr@nih.gov
 

Eczema Prevention Research

Currently there is no clearly effective way to prevent eczema. Many studies have tested a variety of eczema prevention strategies in pregnant and breastfeeding women and in infants. These include emollients or moisturizers, probiotics, prebiotics, synbiotics, vitamin D supplementation, hydrolyzed baby formula, early introduction of egg or cow’s milk, dietary supplements during breastfeeding, dust mite avoidance, Bacillus Calmette-Guerin (BCG) vaccination, antimicrobials, anti-worm medications, and antibiotic avoidance. Of all these experimental interventions, only a few have led to a small or modest reduction in the risk for childhood eczema.

Systems Biology of Early Atopy

The goal of this study is to establish a birth cohort that collects prenatal and early life biosamples and environmental samples and rigorously phenotypes young children for food allergy and Atopic Dermatitis (AD) to identify prenatal and early life markers of high risk for food allergy and AD, as well as biological pathways (endotypes) that result in these conditions.

Contact Information

Office/Contact: Cassandra Thomas
Phone: 501-364-5178
Email: ThomasC1@archildrens.org
 

Mechanisms of Increased Disease Severity in AD Patients With the IL-4Ra R576 Polymorphism

This protocol is primarily looking to see if the IL-4Ra R576 polymorphism is associated with increased clinical, immunological and microbial markers of disease activity in patients with Atopic dermatitis.

Contact Information

Office/Contact: Amparito Cunningham
Phone: 857-218-5336
Email: asthma@childrens.harvard.edu
 

Longitudinal Endotyping Of Atopic Dermatitis Through Transcriptomic Skin Analysis

This is a multi-center, longitudinal study which will characterize the gene expression profiles and transcriptomic endotypes that underlie mild and moderate-severe Atopic dermatitis (AD) and will determine changes in these expression patterns and endotypes in response to standard-of-care treatment.

Contact Information

Office/Contact: Alexandra Fernandez-Desoto
Phone: 760-234-6428
Email: alf013@health.ucsd.edu
 

Metabolic Profiling of Immune Responses in Immune-mediated Diseases

The purpose of this study is to learn about how the immune system and skin healing are related to each other.

Contact Information

Office/Contact: For more information at the NIH Clinical Center contact Office of Patient Recruitment (OPR)
Phone: 800-411-1222
TTY: TTY8664111010
Email: prpl@cc.nih.gov
 

Cardamom and Topical Roseomonas in Atopic Dermatitis

The objective of this study is to test a skin treatment that contains Roseomonas mucosa and ground cardamom seeds in people with atopic dermatitis (AD).

Contact Information

Office/Contact: NIH Clinical Center Office of Patient Recruitment (OPR)
Phone: 800-411-1222
TTY: TTY dial 711
Email: ccopr@nih.gov
 

Beatriz León, Ph.D.

Section or Unit Name
Innate Cells and Th2 Immunity Section
Exclude from directory
Off
Section/Unit: Year Established
Section/Unit: Location
This Researcher/Clinician’s Person Page
Parent Lab/Program
Program Description

Allergic diseases such as allergic rhinitis, asthma, and atopic dermatitis are characterized by an exaggerated immune response to otherwise harmless environmental proteins found in pollen, house dust mites, mold, cockroach debris, and pet dander. The immune system’s failure to maintain tolerance towards these allergens triggers a cascade of immune events, leading to chronic inflammation and tissue damage.

At the heart of allergic pathology is the intricate interaction between innate and adaptive immune cells, which coordinates the body's response to allergens. Key players in this process are T-helper type 2 (Th2) cells, a subset of T cells that orchestrate many of the immune mechanisms driving allergic inflammation.

Upon exposure to allergens, dendritic cells capture and process allergen-derived antigens, presenting them to naïve T cells in lymphoid tissues. In genetically or environmentally susceptible individuals, these naïve T cells differentiate into Th2 cells, which produce cytokines such as IL-4, IL-5, IL-9, and IL-13. These T cell-derived cytokines promote the production of IgE antibodies by B cells, sensitizing mast cells and basophils to allergens.

Additionally, these cytokines induce the activation and recruitment of eosinophils. Mast cells, basophils, and eosinophils then release mediators like histamine and proteases, leading to inflammation and allergic symptoms. Moreover, Th2 cells maintain a feedback loop that perpetuates chronic inflammation, contributing to conditions such as asthma, allergic rhinitis, and atopic dermatitis. Understanding the underlying immune mechanisms that lead to Th2 responses and their maintenance is crucial for developing novel therapeutic strategies to prevent and treat allergic conditions.

Our research team is dedicated to uncovering the fundamental mechanisms of airway and cutaneous allergic inflammation, primarily using mouse models. We focus on understanding how environmental allergens trigger and sustain allergic diseases, with particular attention to interactions between innate immune cells—such as monocytes, macrophages, and dendritic cells—and adaptive immune responses, especially Th2 cells. We explore how these immune interactions are influenced by the nature of allergens, environmental exposures, genetic factors, and microbiota.

Additionally, we investigate how these processes vary during sensitive periods, such as infancy and pregnancy, to better understand the onset and persistence of allergic inflammation. To advance our knowledge, we utilize advanced techniques, including conditional knockout murine models, multi-color flow cytometry, histology, functional lung assessment, microscopy, RNA-Seq, and single-cell technologies. Our ultimate goal is to identify targets for preventing or treating human allergic diseases.

Selected Publications

León B. A model of Th2 differentiation based on polarizing cytokine repression. Trends Immunol. 2023 Jun;44(6):399-407.

Bachus H, McLaughlin E, Lewis C, Papillion AM, Benveniste EN, Hill DD, Rosenberg AF, Ballesteros-Tato A, León B. IL-6 prevents Th2 cell polarization by promoting SOCS3-dependent suppression of IL-2 signaling. Cell Mol Immunol. 2023 Jun;20(6):651-665.

Kaur K, Bachus H, Lewis C, Papillion AM, Rosenberg AF, Ballesteros-Tato A, León B. GM-CSF production by non-classical monocytes controls antagonistic LPS-driven functions in allergic inflammation. Cell Rep. 2021 Dec 28;37(13):110178.

León B, Ballesteros-Tato A. Modulating Th2 Cell Immunity for the Treatment of Asthma. Front Immunol. 2021 Feb 10;12:637948.

Bachus H, Kaur K, Papillion AM, Marquez-Lago TT, Yu Z, Ballesteros-Tato A, Matalon S, León B. Impaired Tumor-Necrosis-Factor-α-driven Dendritic Cell Activation Limits Lipopolysaccharide-Induced Protection from Allergic Inflammation in Infants. Immunity. 2019 Jan 15;50(1):225-240.e4.

Ballesteros-Tato A, Randall TD, Lund FE, Spolski R, Leonard WJ, León B. T Follicular Helper Cell Plasticity Shapes Pathogenic T Helper 2 Cell-Mediated Immunity to Inhaled House Dust Mite. Immunity. 2016 Feb 16;44(2):259-73.

Visit PubMed for a complete publication listing.

Major Areas of Research
  • Immune sensing of environmental allergens
  • Innate and adaptive immune Interactions in T-helper type 2 (Th2)-driven allergy 
  • Environmental and genetic influences on type 2 inflammation