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通过鼻内给药重组产牛β-乳球蛋白乳酸乳球菌进行过敏治疗。

Allergy therapy by intranasal administration with recombinant Lactococcus lactis Producing bovine beta-lactoglobulin.

作者信息

Cortes-Perez Naima G, Ah-Leung Sandrine, Bermúdez-Humarán Luis G, Corthier Gérard, Langella Philippe, Wal Jean-Michel, Adel-Patient Karine

机构信息

INRA, UR0496, Unité d'Immuno-Allergie Alimentaire, CEA-SPI, iBiTecS, Gif-sur-Yvette, France.

出版信息

Int Arch Allergy Immunol. 2009;150(1):25-31. doi: 10.1159/000210377. Epub 2009 Apr 2.

DOI:10.1159/000210377
PMID:19339799
Abstract

BACKGROUND

In the last years, the use of probiotics such as lactic acid bacteria (LAB) has been proposed as an attractive alternative for the management of allergic diseases. A partial prevention from sensitization to bovine beta-lactoglobulin (BLG), one of the major cows' milk allergens, could be achieved in mice after intranasal administration with a recombinant LAB strain, Lactococcus lactis, producing BLG (LL-BLG). This study aimed to evaluate the effects of the LL-BLG strain in a therapeutic protocol.

METHODS

Three groups of mice were first orally sensitized to cows' milk and then intranasally administered with either the LL-BLG strain, BLG protein alone or saline solution. Serum samples were collected to analyze BLG-specific IgE, IgG1 and IgG2a, and mice were further intranasally challenged with BLG to elicit a specific allergic reaction.

RESULTS

Treatment with LL-BLG, but not with BLG alone, contributed to diminish IgG1 production in serum and bronchoalveolar lavage fluids. This was associated with decreased IL-4 production and enhanced IFN-gamma production by BLG-reactivated splenocytes, suggesting a switch from Th2- to Th1-immune response. Furthermore, we observed that administration of LL-BLG or LL locally reduced the allergic reaction induced after intranasal challenge, as evidenced by decreased release of IL-4 in bronchoalveolar lavage fluids.

CONCLUSION

These preliminary results demonstrate the efficiency of the intranasal administration of LL-BLG for specific therapy against cows' milk-related allergy.

摘要

背景

在过去几年中,使用益生菌如乳酸菌(LAB)已被提议作为治疗过敏性疾病的一种有吸引力的替代方法。用一株产生牛β-乳球蛋白(BLG)的重组乳酸菌乳酸乳球菌(LL-BLG)经鼻内给药后,可使小鼠对主要牛奶过敏原之一的牛β-乳球蛋白(BLG)致敏得到部分预防。本研究旨在评估LL-BLG菌株在治疗方案中的效果。

方法

三组小鼠首先经口对牛奶致敏,然后经鼻内给予LL-BLG菌株、单独的BLG蛋白或盐溶液。收集血清样本以分析BLG特异性IgE、IgG1和IgG2a,并进一步用BLG经鼻内激发小鼠以引发特异性过敏反应。

结果

用LL-BLG治疗,但不是单独用BLG治疗,有助于减少血清和支气管肺泡灌洗液中IgG1的产生。这与BLG重新激活的脾细胞中IL-4产生减少和IFN-γ产生增加有关,提示从Th2免疫反应向Th1免疫反应转变。此外,我们观察到给予LL-BLG或LL局部减少了经鼻内激发后诱导的过敏反应,支气管肺泡灌洗液中IL-4释放减少证明了这一点。

结论

这些初步结果证明了经鼻内给予LL-BLG对牛奶相关过敏进行特异性治疗的有效性。

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