Imperial College London

ProfessorStephenDurham

Faculty of MedicineNational Heart & Lung Institute

Professor of Allergy and Respiratory
 
 
 
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Contact

 

+44 (0)20 7351 8024s.durham

 
 
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Location

 

Fulham RoadRoyal Brompton Campus

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Summary

 

Publications

Publication Type
Year
to

803 results found

Zadoyan G, Shah-Hosseini K, Astvatsatourov A, Sohlich L, Kasche EEM, Shamji MH, Durham SR, Pirotton S, Legon T, Moesges Ret al., 2015, A prospective, randomized, double-blind placebo-controlled multi-centre dose-finding study of 3 different regimens of gpASIT plus ™ administered subcutaneously to adult patients with grass pollen-induced allergic rhinoconjunctivitis, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 41-42, ISSN: 0105-4538

Conference paper

Shamji MH, Kasche EM, Zadoyan G, Astvatsourov A, Durham SR, Pirotton S, Legon T, Moesges Ret al., 2015, Hydrolyzed Lolium perenne peptide fragments administered subcutaneously to hay fever patients induce allergen-specific IgG<sub>4</sub> and blocking antibodies after two or more weeks of treatment, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 631-632, ISSN: 0105-4538

Conference paper

Lam EPS, Kariyawasam HH, Rana BMJ, Durham SR, Mckenzie ANJ, Powell N, Rimmer J, Lund VJ, Cousins DJ, Till SJet al., 2015, IL-25 and IL-33-responsive oligoclonal Th2 cells characterize nasal polyps with Th17 as the default signature in healthy nasal mucosa, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 105-105, ISSN: 0105-4538

Conference paper

Kleine-Tebbe J, de Blay F, Fernandez FR, Ljorring C, Peter F, Riis B, Durham Set al., 2015, Quantitative benefit and risk assessment of SQ HDM SLIT-tablet; results from a DBPC phase III trial in allergic asthma, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 261-262, ISSN: 0105-4538

Conference paper

Chaker AM, Shamji MH, Dumitru FA, Calderon MA, Scadding GW, Makatsori M, Jones I, He QA, Subramanian KK, Arm JP, Durham SR, Schmidt-Weber CBet al., 2015, Pre-seasonal combined grass pollen immunotherapy and anti-IL-4: a randomised controlled trial, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 41-41, ISSN: 0105-4538

Conference paper

Makatsori M, Skypala I, Mc Kenzie R, Scadding GW, Durham SRet al., 2015, Outcomes of open food challenges in adults, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 46-46, ISSN: 0105-4538

Conference paper

Ruiz Garcia M, Hayward C, Sim M, Clark A, Wilson E, Skypala I, Durham SR, Lyon A, Turner PJ, Boyle RJet al., 2015, Electrocardiographic changes during acute peanut allergic reactions in adults, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 492-492, ISSN: 0105-4538

Conference paper

Garcia RM, Wilson E, Clark A, Skypala I, Durham SR, Boyle RJ, Turner PJet al., 2015, Cardiovascular haemodynamic changes during acute peanut allergic reactions in adults, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 32-33, ISSN: 0105-4538

Conference paper

Dua S, Ruiz-Garcia M, Bond S, Boyle R, Durham S, Ewan P, Felgate L, Foley L, Hardy S, Islam S, King Y, Mills C, Pasea L, Skypala I, Turner P, Wilson E, Clark Aet al., 2015, Thresholds reactivity and clinical evaluation (TRACE) study: investigation of the effect of extrinsic factors on peanut allergic reactions, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 183-184, ISSN: 0105-4538

Conference paper

Turner PJ, Ruiz-Garcia M, Parkin R, McMahon O, Clark A, Boyle RJ, Durham SR, Shamji MHet al., 2015, Basophil activation during - but not prior to - IgE-mediated allergic reactions to peanut correlates with symptom severity, Congress of the European-Academy-of-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 48-48, ISSN: 0105-4538

Conference paper

Scadding GW, Eifan AO, Lao-Araya M, Penagos M, Poon SY, Steveling E, Yan R, Switzer A, Phippard D, Togias A, Shamji MH, Durham SRet al., 2015, Effect of grass pollen immunotherapy on clinical and local immune response to nasal allergen challenge (vol 70, pg 689, 2015), ALLERGY, Vol: 70, Pages: 1033-1033, ISSN: 0105-4538

Journal article

Scadding GW, Eifan AO, Lao-Araya M, Penagos M, Poon SY, Steveling E, Yan R, Switzer A, Phippard D, Togias A, Shamji MH, Durham SRet al., 2015, Effect of grass pollen immunotherapy on clinical and local immune response to nasal allergen challenge, Allergy, Vol: 70, Pages: 689-696, ISSN: 0105-4538

Rationale: Nasal allergen provocations may be useful in investigating the pathophysiologyof allergic rhinitis and effects of treatments.Objective: To use grass pollen nasal allergen challenge (NAC) to investigate theeffects of allergen immunotherapy in a cross-sectional study.Methods: We studied nasal and cutaneous responses in untreated subjects withseasonal grass-pollen allergic rhinitis (n = 14) compared with immunotherapytreatedallergics (n = 14), plus a nonatopic control group (n = 14). Volunteersunderwent a standardized NAC with 2000 biological units of timothy grass allergen(equivalent to 1.3 lg major allergen, Phl p5). Nasal fluid was collected andanalysed by ImmunoCAP and multiplex assays. Clinical response was assessed bysymptom scores and peak nasal inspiratory flow (PNIF). Cutaneous response wasmeasured by intradermal allergen injection. Retrospective seasonal symptomquestionnaires were also completed.Results: Immunotherapy-treated patients had lower symptom scores (P = 0.04)and higher PNIF (P = 0.02) after challenge than untreated allergics. They hadreduced early (P = 0.0007) and late (P < 0.0001) skin responses, and lower retrospectiveseasonal symptom scores (P < 0.0001). Compared to untreated allergics,immunotherapy-treated patients had reduced nasal fluid concentrations of IL-4,IL-9 and eotaxin (all P < 0.05, 8 h level and/or area under the curve comparison),and trends for reduced IL-13 (P = 0.07, area under the curve) and earlyphasetryptase levels (P = 0.06).Conclusions: Nasal allergen challenge is sensitive in the detection of clinical andbiological effects of allergen immunotherapy and may be a useful surrogate markerof treatment efficacy in future studies.

Journal article

Dodev TS, Bowen H, Shamji MH, Bax HJ, Beavil AJ, McDonnell JM, Durham SR, Sutton BJ, Gould HJ, James LKet al., 2015, Inhibition of allergen-dependent IgE activity by antibodies of the same specificity but different class, ALLERGY, Vol: 70, Pages: 720-724, ISSN: 0105-4538

Journal article

Santos AF, James LK, Bahnson HT, Shamji MH, Couto-Francisco NC, Islam S, Houghton S, Clark AT, Stephens A, Turcanu V, Durham SR, Gould HJ, Lack Get al., 2015, IgG<sub>4</sub> inhibits peanut-induced basophil and mast cell activation in peanut-tolerant children sensitized to peanut major allergens, JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, Vol: 135, Pages: 1249-1256, ISSN: 0091-6749

Journal article

Shamji MH, Layhadi JA, Scadding GW, Cheung DKM, Calderon MA, Turka LA, Phippard D, Durham SRet al., 2015, Basophil expression of diamine oxidase: A novel biomarker of allergen immunotherapy response, Journal of Allergy and Clinical Immunology, Vol: 135, Pages: 913-921.e9, ISSN: 0091-6749

BackgroundImmunotherapy inhibits basophil histamine release, but the assay is cumbersome, and no one has studied the effects of immunotherapy withdrawal.ObjectiveIntracellular fluorochrome-labeled diamine oxidase (DAO) was used as a novel functional readout of basophil histamine release after immunotherapy. Results were compared with conventional basophil surface expression of activation markers.MethodsSubcutaneous immunotherapy (SCIT)–treated patients (n = 14), sublingual immunotherapy (SLIT)–treated patients (n = 12), participants who completed 3 years of treatment with grass pollen sublingual immunotherapy (the SLIT-TOL group; n = 6), patients with untreated seasonal allergic rhinitis (SAR; n = 24), and nonatopic control subjects (n = 12) were studied. Intracellularly labeled DAO+ and surface expression of CD203cbright, CD63+, and CD107a+ on chemoattractant receptor-homologous molecule expressed on TH2 lymphocytes (CRTh2)–positive basophils were measured by means of flow cytometry. Serum IgG4 levels and serum inhibitory activity for IgE-allergen complex binding to B cells (IgE-FAB) and basophil histamine release were also determined.ResultsProportions of allergen-stimulated DAO+CRTh2+ basophils were higher in participants in the SCIT, SLIT, and SLIT-TOL groups (all P < .0001) compared with those in patients in the SAR group. Similarly, there were lower proportions of CRTh2+ basophils expressing surface CD203cbright (all P < .001), CD63 (all P < .001), and CD107a (all P < .01). Rhinitis symptoms were lower in the SCIT, SLIT, and SLIT-TOL groups (P < .001) compared with those in the SAR group. Serum inhibitory activity for IgE-FAB and basophil histamine release were also significantly greater in all immunotherapy groups (P < .05) compared with the SAR group.ConclusionThese results support long-term clinical and immunologic tolerance during and after grass pollen immunotherapy. Intracellularly labeled DAO expression by basophils m

Journal article

Shamji MH, Durham SR, 2015, Measuring histamine content and release at single-cell level during venom allergy immunotherapy Reply, JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, Vol: 135, Pages: 1089-1090, ISSN: 0091-6749

Journal article

Scadding GW, Eifan A, Penagos M, Dumitru A, Switzer A, McMahon O, Phippard D, Togias A, Durham SR, Shamji MHet al., 2015, Local and systemic effects of cat allergen nasal provocation, Clinical and Experimental Allergy, Vol: 45, Pages: 613-623, ISSN: 0954-7894

BackgroundCat allergen is widely distributed in homes and schools; allergic sensitization is common.ObjectiveTo develop a model of cat allergen nasal challenge to establish dose–response and time–course characteristics and investigate local and systemic biomarkers of allergic inflammation.MethodsNineteen cat‐allergic individuals underwent titrated nasal challenge, range 0.243 to 14.6 μg/mL Fel d1, and matched diluent‐only provocation. Clinical response to 8 h was assessed by symptom scores and peak nasal inspiratory flow (PNIF). Nasal fluid was collected using polyurethane sponges and analysed by ImmunoCAP and multiplex assays. Whole blood flow cytometry for basophil surface CD63, CD107a, and CD203c was carried out at baseline and 6 h post‐challenge.ResultsA dose–response to allergen was seen in symptom scores and PNIF, maximal at 10 000 BU/mL (4.87 μg/mL Fel d1), P < 0.0001 vs. diluent. Nasal fluid tryptase was elevated at 5 min after challenge (P < 0.05 vs. diluent); eotaxin, IL‐4, ‐5, ‐9, and ‐13 were increased at 8 h (P < 0.05 to P < 0.0001 vs. diluent); TSLP was undetectable; IL‐10, IL‐17A, and IL‐33 were unchanged compared to diluent challenge. Nasal fluid IL‐5 and IL‐13 correlated inversely with PNIF after challenge (IL‐5, r = −0.79, P < 0.0001; IL‐13, r = −0.60, P = 0.006). Surface expression of CD63 and CD107a was greater at 6 h than at baseline, both in the presence (both P < 0.05) and absence (CD63, P < 0.01; CD107a, P < 0.05) of in vitro allergen stimulation; no changes were seen on diluent challenge day.ConclusionsCat allergen nasal challenge produces local and systemic Th2‐driven inflammatory responses and has potential as a surrogate outcome measure in clinical trials.

Journal article

Maloney J, Durham S, Skoner D, Dahl R, Bufe A, Bernstein D, Murphy K, Waserman S, Berman G, White M, Kaur A, Nolte Het al., 2015, Safety of sublingual immunotherapy Timothy grass tablet in subjects with allergic rhinitis with or without conjunctivitis and history of asthma, ALLERGY, Vol: 70, Pages: 302-309, ISSN: 0105-4538

Journal article

Parkin R, Varricchi G, Steveling E, Marone G, Durham SR, Shamji MHet al., 2015, Interleukin-21 induced IgE-synthesis in memory B cells: a role for T follicular helper cells in seasonal allergic rhinitis, Annual Meeting of the British-Society-for-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 539-539, ISSN: 0954-7894

Conference paper

Lao-Araya M, Abubakar-Waziri H, Steveling E, Parkin RV, Switzer AR, Scadding GW, Durham SR, Shamji MHet al., 2015, Grass pollen immunotherapy suppresses seasonal increases in type 2 innate lymphoid cells (ILC2s), Annual Meeting of the British-Society-for-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 538-539, ISSN: 0954-7894

Conference paper

Abubakar-Waziri H, Parkin RV, Switzer AR, Steveling E, Scadding GW, Durham SR, Shamji MHet al., 2015, Local nasal protective IgG4 antibodies: novel biomarker for monitoring allergen immunotherapy, Annual Meeting of the British-Society-for-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 539-540, ISSN: 0954-7894

Conference paper

Turner PJ, McMahon O, Switzer A, Clark A, Boyle RJ, Durham SR, Shamji MHet al., 2015, Marked Increase in Basophil Activation during Non-Anaphylactic Allergic Reactions to Peanut in Man, Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology (AAAAI), Publisher: MOSBY-ELSEVIER, Pages: AB33-AB33, ISSN: 0091-6749

Conference paper

Shamji MH, Ceuppens JL, Hellings PW, Durham S, Duchateau J, Parkin R, Legon T, Pirotton Set al., 2015, Immunogenicity Evaluation of Subcutaneous Administration of Peptide Hydrolysate from Lolium Perenne (gpASIT plus ™) in Combination with Bacterial HSP70 (DnaK) in Patients with Seasonal Allergic Rhinitis: A Double Blind Placebo Controlled Trial, Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology (AAAAI), Publisher: MOSBY-ELSEVIER, Pages: AB159-AB159, ISSN: 0091-6749

Conference paper

Durham SR, Kaur A, Koch G, Portnoy JM, Andersen JS, Li Z, Maloney J, Nolte Het al., 2015, Sustained Efficacy Assessed By Number Needed to Treat for Timothy Grass Immunotherapy Tablets in the Treatment of Allergic Rhinitis with/without Conjunctivitis up to 2 Years after 3 Years of Treatment, Annual Meeting of the American-Academy-of-Allergy-Asthma-and-Immunology (AAAAI), Publisher: MOSBY-ELSEVIER, Pages: AB267-AB267, ISSN: 0091-6749

Conference paper

Santos AF, James LK, Shamji MH, Islam S, Clarke AT, Stephens AC, Turcanu V, Durham SR, Gould HJ, Lack Get al., 2015, IgG4 inhibits peanut-induced basophil and mast cell activation in selected peanut-sensitised tolerant children, Annual Meeting of the British-Society-for-Allergy-and-Clinical-Immunology, Publisher: WILEY-BLACKWELL, Pages: 538-538, ISSN: 0954-7894

Conference paper

Shamji MH, Bellido V, Scadding GW, Layhadi JA, Cheung DKM, Calderon MA, Asare A, Gao Z, Turka LA, Tchao N, Togias A, Phippard D, Durham SRet al., 2015, Effector cell signature in peripheral blood following nasal allergen challenge in grass pollen allergic individuals, ALLERGY, Vol: 70, Pages: 171-179, ISSN: 0105-4538

Journal article

Nolte H, Durham SR, Nelson HS, Bernstein DI, Creticos P, Li Z, Andersen J, Riis Bet al., 2014, Magnitude of changes in patient symptom and medication scores in grass allergy immunotherapy trials: Dependency on levels of pollen exposure, Allergy, Asthma and Clinical Immunology, Vol: 10, ISSN: 1710-1484

Journal article

James LK, Wu Y-CB, Scadding GW, Kipling D, Durham SR, Gould HJet al., 2014, Mucosal antibody repertoires in allergy and the influence of allergen immunotherapy, IMMUNOLOGY, Vol: 143, Pages: 171-172, ISSN: 0019-2805

Journal article

Slovick A, Durham SR, Till SJ, 2014, Grass pollen immunotherapy for treatment of allergic rhinitis, BMJ-BRITISH MEDICAL JOURNAL, Vol: 349, ISSN: 1756-1833

Journal article

Makatsori M, Scadding GW, Skypala I, Durham SRet al., 2014, Silk contact anaphylaxis, CONTACT DERMATITIS, Vol: 71, Pages: 314-315, ISSN: 0105-1873

Journal article

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