Skip to main content
Erschienen in: Clinical Reviews in Allergy & Immunology 2/2018

24.01.2018

Peptide and Recombinant Allergen Vaccines for Food Allergy

verfasst von: Quindelyn S. Cook, A. Wesley Burks

Erschienen in: Clinical Reviews in Allergy & Immunology | Ausgabe 2/2018

Einloggen, um Zugang zu erhalten

Abstract

Food allergy is a significant public health problem, with no suitable treatments available for patients. Currently, patients are limited to avoidance and the use of readily available emergency medications. Immunotherapy is an appealing therapeutic strategy for inducing tolerance. Studies with whole native allergens have demonstrated the efficacy of immunotherapy for food allergy; however, the risk of IgE-mediated reactions with such treatment is significant. Advances in molecular biology techniques, including purification, sequencing, and cloning, have allowed researchers to identify specific allergen components and T cell binding epitopes. Support for the use of recombinant and peptide vaccines for food allergy comes from prior studies involving aeroallergens and hymenoptera venom. By manipulating allergen structure and IgE binding, allergenicity can be reduced, thereby reducing systemic reactions, making recombinant and peptide vaccines a safe and effective form of immunotherapy. Pre-clinical studies using in vitro and murine models demonstrated a more tolerant state following the use of these therapies. Studies with human subjects will be necessary to characterize the effects of recombinant and peptide food allergy vaccines and to demonstrate a safe treatment option for patients.
Literatur
1.
Zurück zum Zitat Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, Nadeau K, Nowak-Wegrzyn A, Oppenheimer J, Perry TT, Randolph C, Sicherer SH, Simon RA, Vickery BP, Wood R, Sampson HA, Randolph C, Bernstein D, Blessing-Moore J, Khan D, Lang D, Nicklas R, Oppenheimer J, Portnoy J, Randolph C, Schuller D, Spector S, Tilles SA, Wallace D, Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, Nadeau K, Nowak-Wegrzyn A, Oppenheimer J, Perry TT, Randolph C, Sicherer SH, Simon RA, Vickery BP, Wood R (2014) Food allergy: a practice parameter update—2014. J Allergy Clin Immunol 134(5):1016–1025.e1043. https://doi.org/10.1016/j.jaci.2014.05.013 CrossRefPubMed Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, Nadeau K, Nowak-Wegrzyn A, Oppenheimer J, Perry TT, Randolph C, Sicherer SH, Simon RA, Vickery BP, Wood R, Sampson HA, Randolph C, Bernstein D, Blessing-Moore J, Khan D, Lang D, Nicklas R, Oppenheimer J, Portnoy J, Randolph C, Schuller D, Spector S, Tilles SA, Wallace D, Sampson HA, Aceves S, Bock SA, James J, Jones S, Lang D, Nadeau K, Nowak-Wegrzyn A, Oppenheimer J, Perry TT, Randolph C, Sicherer SH, Simon RA, Vickery BP, Wood R (2014) Food allergy: a practice parameter update—2014. J Allergy Clin Immunol 134(5):1016–1025.e1043. https://​doi.​org/​10.​1016/​j.​jaci.​2014.​05.​013 CrossRefPubMed
12.
Zurück zum Zitat Virtanen T (2006) Prospects for peptide-based immunotherapy for dog allergy. Curr Opin Allergy Clin Immunol 6:461–465CrossRefPubMed Virtanen T (2006) Prospects for peptide-based immunotherapy for dog allergy. Curr Opin Allergy Clin Immunol 6:461–465CrossRefPubMed
14.
Zurück zum Zitat Carballido JM, Carballido-Perrig N, Kagi MK, Meloen RH, Wuthrich B, Heusser CH, Blaser K (1993) T cell epitope specificity in human allergic and nonallergic subjects to bee venom phospholipase A2. J Immunol 150:3582–3591PubMed Carballido JM, Carballido-Perrig N, Kagi MK, Meloen RH, Wuthrich B, Heusser CH, Blaser K (1993) T cell epitope specificity in human allergic and nonallergic subjects to bee venom phospholipase A2. J Immunol 150:3582–3591PubMed
26.
Zurück zum Zitat Li S, Li XM, Burks AW, Sampson HA (2001) Modulation of peanut allergy by peptide-based immunotherapy. J Allergy Clin Immunol 107(suppl):S233 Li S, Li XM, Burks AW, Sampson HA (2001) Modulation of peanut allergy by peptide-based immunotherapy. J Allergy Clin Immunol 107(suppl):S233
40.
Zurück zum Zitat Pauli G, Larsen TH, Rak S, Horak F, Pastorello E, Valenta R, Purohit A, Arvidsson M, Kavina A, Schroeder JW, Mothes N, Spitzauer S, Montagut A, Galvain S, Melac M, André C, Poulsen LK, Malling HJ (2008) Efficacy of recombinant birch pollen vaccine for the treatment of birch-allergic rhinoconjunctivitis. J Allergy Clin Immunol 122(5):951–960. https://doi.org/10.1016/j.jaci.2008.09.017 CrossRefPubMed Pauli G, Larsen TH, Rak S, Horak F, Pastorello E, Valenta R, Purohit A, Arvidsson M, Kavina A, Schroeder JW, Mothes N, Spitzauer S, Montagut A, Galvain S, Melac M, André C, Poulsen LK, Malling HJ (2008) Efficacy of recombinant birch pollen vaccine for the treatment of birch-allergic rhinoconjunctivitis. J Allergy Clin Immunol 122(5):951–960. https://​doi.​org/​10.​1016/​j.​jaci.​2008.​09.​017 CrossRefPubMed
41.
Zurück zum Zitat Nony E, Bouley J, le Mignon M, Lemoine P, Jain K, Horiot S, Mascarell L, Pallardy M, Vincentelli R, Leone P, Roussel A, Batard T, Abiteboul K, Robin B, de Beaumont O, Arvidsson M, Rak S, Moingeon P (2015) Development and evaluation of a sublingual tablet based on recombinant Bet v 1 in birch pollen-allergic patients. Allergy 70(7):795–804. https://doi.org/10.1111/all.12622 CrossRefPubMed Nony E, Bouley J, le Mignon M, Lemoine P, Jain K, Horiot S, Mascarell L, Pallardy M, Vincentelli R, Leone P, Roussel A, Batard T, Abiteboul K, Robin B, de Beaumont O, Arvidsson M, Rak S, Moingeon P (2015) Development and evaluation of a sublingual tablet based on recombinant Bet v 1 in birch pollen-allergic patients. Allergy 70(7):795–804. https://​doi.​org/​10.​1111/​all.​12622 CrossRefPubMed
43.
Zurück zum Zitat Gomez F, Bogas G, Gonzalez M, Campo P, Salas M, Diaz-Perales A, Rodriguez MJ, Prieto A, Barber D, Blanca M, Torres MJ, Mayorga C (2017) The clinical and immunological effects of Pru p 3 sublingual immunotherapy on peach and peanut allergy in patients with systemic reactions. Clin Exp Allergy 47(3):339–350. https://doi.org/10.1111/cea.12901 CrossRefPubMed Gomez F, Bogas G, Gonzalez M, Campo P, Salas M, Diaz-Perales A, Rodriguez MJ, Prieto A, Barber D, Blanca M, Torres MJ, Mayorga C (2017) The clinical and immunological effects of Pru p 3 sublingual immunotherapy on peach and peanut allergy in patients with systemic reactions. Clin Exp Allergy 47(3):339–350. https://​doi.​org/​10.​1111/​cea.​12901 CrossRefPubMed
44.
Zurück zum Zitat Toda M, Reese G, Gadermaier G, Schulten V, Lauer I, Egger M, Briza P, Randow S, Wolfheimer S, Kigongo V, del Mar San Miguel Moncin M, Fötisch K, Bohle B, Vieths S, Scheurer S (2011) Protein unfolding strongly modulates the allergenicity and immunogenicity of Pru p 3, the major peach allergen. J Allergy Clin Immunol 128(5):1022–1030 e1021-1027. https://doi.org/10.1016/j.jaci.2011.04.020 CrossRefPubMed Toda M, Reese G, Gadermaier G, Schulten V, Lauer I, Egger M, Briza P, Randow S, Wolfheimer S, Kigongo V, del Mar San Miguel Moncin M, Fötisch K, Bohle B, Vieths S, Scheurer S (2011) Protein unfolding strongly modulates the allergenicity and immunogenicity of Pru p 3, the major peach allergen. J Allergy Clin Immunol 128(5):1022–1030 e1021-1027. https://​doi.​org/​10.​1016/​j.​jaci.​2011.​04.​020 CrossRefPubMed
49.
Zurück zum Zitat Swoboda IB-SA, Linhart B, Verdino P, Keller W, Schulmeister U, Sperr WR, Valent P, Peltre G, Quirce S, Douladiris N, Papadopoulos NG, Valenta R, Spitzauer S (2007) A recombinant hypoallergenic parvalbumin mutant for immunotherapy of IgE-mediated fish allergy. J Immunol 178(10):6290–6296CrossRefPubMed Swoboda IB-SA, Linhart B, Verdino P, Keller W, Schulmeister U, Sperr WR, Valent P, Peltre G, Quirce S, Douladiris N, Papadopoulos NG, Valenta R, Spitzauer S (2007) A recombinant hypoallergenic parvalbumin mutant for immunotherapy of IgE-mediated fish allergy. J Immunol 178(10):6290–6296CrossRefPubMed
50.
Zurück zum Zitat Zuidmeer-Jongejan L, Huber H, Swoboda I, Rigby N, Versteeg SA, Jensen BM, Quaak S, Akkerdaas JH, Blom L, Asturias J, Bindslev-Jensen C, Bernardi ML, Clausen M, Ferrara R, Hauer M, Heyse J, Kopp S, Kowalski ML, Lewandowska-Polak A, Linhart B, Maderegger B, Maillere B, Mari A, Martinez A, Mills ENC, Neubauer A, Nicoletti C, Papadopoulos NG, Portoles A, Ranta-Panula V, Santos-Magadan S, Schnoor HJ, Sigurdardottir ST, Stahl-Skov P, Stavroulakis G, Stegfellner G, Vázquez-Cortés S, Witten M, Stolz F, Poulsen LK, Fernandez-Rivas M, Valenta R, van Ree R (2015) Development of a hypoallergenic recombinant parvalbumin for first-in-man subcutaneous immunotherapy of fish allergy. Int Arch Allergy Immunol 166(1):41–51. https://doi.org/10.1159/000371657 CrossRefPubMed Zuidmeer-Jongejan L, Huber H, Swoboda I, Rigby N, Versteeg SA, Jensen BM, Quaak S, Akkerdaas JH, Blom L, Asturias J, Bindslev-Jensen C, Bernardi ML, Clausen M, Ferrara R, Hauer M, Heyse J, Kopp S, Kowalski ML, Lewandowska-Polak A, Linhart B, Maderegger B, Maillere B, Mari A, Martinez A, Mills ENC, Neubauer A, Nicoletti C, Papadopoulos NG, Portoles A, Ranta-Panula V, Santos-Magadan S, Schnoor HJ, Sigurdardottir ST, Stahl-Skov P, Stavroulakis G, Stegfellner G, Vázquez-Cortés S, Witten M, Stolz F, Poulsen LK, Fernandez-Rivas M, Valenta R, van Ree R (2015) Development of a hypoallergenic recombinant parvalbumin for first-in-man subcutaneous immunotherapy of fish allergy. Int Arch Allergy Immunol 166(1):41–51. https://​doi.​org/​10.​1159/​000371657 CrossRefPubMed
51.
52.
Zurück zum Zitat Chatel JM, Bernard H, Clement G, Frobert Y, Batt CA, Gavalchin J, Peltres G, Wal JM (1997) Expression, purification and immunological characterization of recombinant bovine beta-lactoglobulin, a major cow milk allergen. Mol Immunol 33:1113–1118CrossRef Chatel JM, Bernard H, Clement G, Frobert Y, Batt CA, Gavalchin J, Peltres G, Wal JM (1997) Expression, purification and immunological characterization of recombinant bovine beta-lactoglobulin, a major cow milk allergen. Mol Immunol 33:1113–1118CrossRef
55.
Zurück zum Zitat Cortes-Perez NG, Ah-Leung S, Bermudez-Humaran LG, Corthier G, Langella P, Wal JM, Adel-Patient K (2009) Allergy therapy by intranasal administration with recombinant Lactococcus lactis producing bovine beta-lactoglobulin. Int Arch Allergy Immunol 150(1):25–31. https://doi.org/10.1159/000210377 CrossRefPubMed Cortes-Perez NG, Ah-Leung S, Bermudez-Humaran LG, Corthier G, Langella P, Wal JM, Adel-Patient K (2009) Allergy therapy by intranasal administration with recombinant Lactococcus lactis producing bovine beta-lactoglobulin. Int Arch Allergy Immunol 150(1):25–31. https://​doi.​org/​10.​1159/​000210377 CrossRefPubMed
59.
61.
Zurück zum Zitat Hohman RJ, Dreskin SC (2001) Measuring Degranulation of Mast Cells. Current Protocols in Immunology: John Wiley & Sons, Inc Hohman RJ, Dreskin SC (2001) Measuring Degranulation of Mast Cells. Current Protocols in Immunology: John Wiley & Sons, Inc
66.
Zurück zum Zitat Li X, Huang CK, Schofield BH, Burks AW, Bannon GA, Kim KH, Huang SK, Sampson HA (1999) Strain-dependent induction of allergic sensitization caused by peanut allergen DNA immunization in mice. J Immunol 162:3045–3052PubMed Li X, Huang CK, Schofield BH, Burks AW, Bannon GA, Kim KH, Huang SK, Sampson HA (1999) Strain-dependent induction of allergic sensitization caused by peanut allergen DNA immunization in mice. J Immunol 162:3045–3052PubMed
Metadaten
Titel
Peptide and Recombinant Allergen Vaccines for Food Allergy
verfasst von
Quindelyn S. Cook
A. Wesley Burks
Publikationsdatum
24.01.2018
Verlag
Springer US
Erschienen in
Clinical Reviews in Allergy & Immunology / Ausgabe 2/2018
Print ISSN: 1080-0549
Elektronische ISSN: 1559-0267
DOI
https://doi.org/10.1007/s12016-018-8673-4

Weitere Artikel der Ausgabe 2/2018

Clinical Reviews in Allergy & Immunology 2/2018 Zur Ausgabe

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.