Rose Horst
ImVisioN GmbH, Hannover.
Arb Paul Ehrlich Inst Bundesinstitut Impfstoffe Biomed Arzneim Langen Hess. 2009;96:319-27; discussion 327-8.
The new concept of immunotherapy with IVN201 against cat dander allergy combines two proprietary technology platforms: Intralymphatic immunotherapy (ILIT) with Modular-Antigen-Transportation (MAT) proteins. Intralymphatic immunotherapy (ILIT) is the injection of immunotherapeutics directly into the lymph node. Lymph nodes contain a high density of antigen presenting cells together with interacting T cells, which are necessary for allergen tolerance development. Therefore, this site-directed route of administration requires fewer injections of much smaller doses of the allergen than conventional administration routes to induce a highly effective, disease modifying immune response. ILIT was recently demonstrated in a clinical study to enhance safety and efficacy of immunotherapy and to reduce treatment time from 3 years to 8 weeks with only three injections, thereby significantly improving patient compliance. Patients subjectively perceived the intralymphatic injections less painful than a venous puncture. IVN201 is a functional fusion peptide which is a tailor-made recombinant allergen for ILIT with Fel d 1 as allergen module. It is designed to be rapidly taken up by antigen presenting cells in the lymph nodes and to improve the presentation of the allergen to the immune system. IVN201 was shown to induce allergen tolerance in a murine anaphylaxis model. Stimulation assays with basophil leukocytes isolated from allergic patients suggest an increased safety profile when compared to cat extract or recombinant Fel d 1. Therefore, MAT molecules are expected to be safer and more efficacious in inducing the desired immune response than recombinant allergens or allergen extracts in allergen immunotherapy when administered via the intralymphatic route.
用IVN201进行猫皮屑过敏免疫疗法的新概念结合了两个专利技术平台:采用模块化抗原转运(MAT)蛋白的淋巴结内免疫疗法(ILIT)。淋巴结内免疫疗法(ILIT)是将免疫治疗剂直接注射到淋巴结中。淋巴结含有高密度的抗原呈递细胞以及相互作用的T细胞,这些对于变应原耐受性的发展是必需的。因此,与传统给药途径相比,这种定点给药途径只需注射更少剂量的更小剂量变应原,就能诱导出高效的、改变疾病进程的免疫反应。最近一项临床研究表明,淋巴结内免疫疗法可提高免疫疗法的安全性和疗效,并将治疗时间从3年缩短至8周,只需三次注射,从而显著提高患者的依从性。患者主观上感觉淋巴结内注射比静脉穿刺疼痛程度轻。IVN201是一种功能性融合肽,是一种为淋巴结内免疫疗法量身定制的重组变应原,以Fel d 1作为变应原模块。它被设计成能被淋巴结中的抗原呈递细胞迅速摄取,并改善变应原向免疫系统的呈递。在小鼠过敏反应模型中,IVN201被证明能诱导变应原耐受性。与猫提取物或重组Fel d 1相比,对从过敏患者中分离出的嗜碱性白细胞进行的刺激试验表明其安全性更高。因此,当通过淋巴结内途径给药时,MAT分子在诱导所需免疫反应方面预计比重组变应原或变应原提取物更安全、更有效。