Virtanen Tuomas
Department of Clinical Microbiology, University of Kuopio, Harjulantie 1 B (POB 1627), FIN-70211 Kuopio, Finland.
Curr Opin Allergy Clin Immunol. 2006 Dec;6(6):461-5. doi: 10.1097/01.all.0000246615.40085.2f.
Tolerance to ubiquitous environmental substances, allergens, can be accomplished with specific immunotherapy. Conducting therapy with allergen peptides helps to avoid immediate allergic reactions. Dogs are a source of important indoor allergens, which necessitates the development of effective modes of therapy against the allergy they cause.
The human T-cell epitopes of the major dog allergen Can f 1 were determined recently. They were found to be distributed in seven epitope regions along the molecule. For the peptide immunotherapy of dog allergy, using a pool of seven peptides, one from each of the epitope regions of Can f 1, seems at present to be the best approach. As Can f 1 is not as immunodominant as the main allergens of some other mammals, it remains to be seen whether peptides from other dog allergens should be included in the pool.
The use of a pool of seven peptides from the T-cell epitope regions of Can f 1 is likely to be feasible for treating dog allergy in a great majority of Caucasian populations. In the future, patient-tailored preparations of variants of the T-cell epitope-containing peptides may offer a way to enhance the efficacy of peptide-based immunotherapy.
对普遍存在的环境物质过敏原的耐受性可通过特异性免疫疗法实现。使用过敏原肽进行治疗有助于避免速发型过敏反应。狗是重要的室内过敏原来源,因此有必要开发针对它们所引起过敏的有效治疗方法。
最近确定了主要狗过敏原Can f 1的人T细胞表位。发现它们沿分子分布在七个表位区域。对于狗过敏的肽免疫疗法,使用一组七种肽(每种肽来自Can f 1的一个表位区域)目前似乎是最佳方法。由于Can f 1不像其他一些哺乳动物的主要过敏原那样具有免疫优势,是否应将来自其他狗过敏原的肽纳入该组还有待观察。
使用来自Can f 1的T细胞表位区域的七种肽的组合很可能对大多数白种人群治疗狗过敏是可行的。未来,针对含T细胞表位肽变体的患者定制制剂可能提供一种提高基于肽的免疫疗法疗效的方法。