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一种发酵大豆制品对花生过敏的治疗作用与1型辅助性T细胞和2型辅助性T细胞反应的调节有关。

Therapeutic effects of a fermented soy product on peanut hypersensitivity is associated with modulation of T-helper type 1 and T-helper type 2 responses.

作者信息

Zhang T, Pan W, Takebe M, Schofield B, Sampson H, Li X-M

机构信息

Department of Pediatrics, Mount Sinai School of Medicine, New York, NY 10029, USA.

出版信息

Clin Exp Allergy. 2008 Nov;38(11):1808-18. doi: 10.1111/j.1365-2222.2008.03075.x. Epub 2008 Aug 13.

Abstract

BACKGROUND

ImmuBalance is a koji fungus (Aspergillus oryzae) and lactic acid fermented soybean product. This unique production process is believed to create a food supplement that helps to induce or maintain normal immune response.

OBJECTIVE

To assess possible therapeutic effects of ImmuBalance on peanut (PN) hypersensitivity using a murine model of peanut allergy (PNA).

METHODS

PN allergic C3H/HeJ mice were fed standard mouse chow containing 0.5% or 1.0% ImmuBalance (ImmuBalance 2X), radiation-inactivated 1.0% ImmuBalance (I-ImmuBalance 2X), or regular diet chow (sham) for 4 weeks, beginning 10 weeks after the initial PN sensitization, and then challenged with PN. Anaphylactic symptom scores, plasma histamine, serum PN specific-IgE levels and splenocyte cytokine profiles were determined.

RESULTS

While 100% of sham-treated PNA mice developed anaphylactic reactions with a median score of 3.3 following PN challenge, only 50% of ImmuBalance, 30% of ImmuBalance 2X and 40% of I-ImmuBalance 2X-treated mice developed allergic reactions with median scores of 1.0, 0.4 and 0.5 respectively, which were significantly less than that in the sham-treated mice (P<0.05). Plasma histamine and PN specific-IgE levels were also significantly less in all treated mice than in sham-treated mice (P<0.05). Furthermore, IL-4, IL-5 and IL-13 production by PN-stimulated splenocytes in vitro from ImmuBalance fed mice were markedly reduced compared with sham-treated mice, whereas IFN-gamma production was moderately increased. TGF-beta and TNF-alpha production were similar.

CONCLUSIONS

ImmuBalance protects against PN-induced anaphylaxis when administered as a food supplement in this model. Protection was associated with down-regulation of Th2 responses. This supplement may provide a potential novel therapy for PNA.

摘要

背景

免疫平衡素是一种由米曲霉真菌和乳酸发酵制成的大豆制品。据信,这种独特的生产工艺造就了一种有助于诱导或维持正常免疫反应的食品补充剂。

目的

使用花生过敏(PNA)小鼠模型评估免疫平衡素对花生(PN)超敏反应的可能治疗效果。

方法

在初次PN致敏10周后,将对PN过敏的C3H/HeJ小鼠分别喂食含0.5%或1.0%免疫平衡素(免疫平衡素2倍剂量)、经辐射灭活的1.0%免疫平衡素(I - 免疫平衡素2倍剂量)的标准小鼠饲料或常规饲料(假处理),持续4周,然后用PN进行激发。测定过敏症状评分、血浆组胺、血清PN特异性IgE水平和脾细胞细胞因子谱。

结果

假处理的PNA小鼠在PN激发后100%出现过敏反应,中位评分为3.3,而免疫平衡素处理组中只有50%、免疫平衡素2倍剂量处理组中30%以及I - 免疫平衡素2倍剂量处理组中40%的小鼠出现过敏反应,中位评分分别为1.0、0.4和0.5,均显著低于假处理小鼠(P<0.05)。所有处理组小鼠的血浆组胺和PN特异性IgE水平也均显著低于假处理小鼠(P<0.05)。此外,与假处理小鼠相比,喂食免疫平衡素的小鼠经PN刺激的脾细胞体外培养产生的IL - 4、IL - 5和IL - 13明显减少,而IFN - γ产生适度增加。TGF - β和TNF - α产生相似。

结论

在该模型中,作为食品补充剂给予时,免疫平衡素可预防PN诱导的过敏反应。这种保护作用与Th2反应的下调有关。这种补充剂可能为PNA提供一种潜在的新疗法。

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本文引用的文献

1
Food allergy overview in children.儿童食物过敏概述
Clin Rev Allergy Immunol. 2008 Apr;34(2):217-30. doi: 10.1007/s12016-007-8034-1.
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Food anaphylaxis.食物过敏反应
Clin Exp Allergy. 2007 May;37(5):651-60. doi: 10.1111/j.1365-2222.2007.02682.x.
10
Beyond allergen avoidance: update on developing therapies for peanut allergy.超越避免接触过敏原:花生过敏治疗新进展
Curr Opin Allergy Clin Immunol. 2005 Jun;5(3):287-92. doi: 10.1097/01.all.0000168796.20324.bd.

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