The Biomedical Research Centre, University of British Columbia, Vancouver, BC, Canada.
Department of Microbiology & Immunology, Dalhousie University, Halifax, NS, Canada.
Allergy Asthma Clin Immunol. 2012 Aug 31;8(1):15. doi: 10.1186/1710-1492-8-15.
Allergy to peanuts results in severe anaphylactic responses in affected individuals, and has dramatic effects on society and public policy. Despite the health impacts of peanut-induced anaphylaxis (PIA), relatively little is known about immune mechanisms underlying the disease. Using a mouse model of PIA, we evaluated mice with deletions in four distinct immune molecules (IL7Rα, L-selectin, CD34, CD103), for perturbed responses.
PIA was induced by intragastric sensitization with peanut antigen and cholera toxin adjuvant, followed by intraperitoneal challenge with crude peanut extract (CPE). Disease outcome was assessed by monitoring body temperature, clinical symptoms, and serum histamine levels. Resistant mice were evaluated for total and antigen specific serum IgE, as well as susceptibility to passive systemic anaphylaxis.
PIA responses were dramatically reduced in IL7Rα-/- and L-selectin-/- mice, despite normal peanut-specific IgE production and susceptibility to passive systemic anaphylaxis. In contrast, CD34-/- and CD103-/- mice exhibited robust PIA responses, indistinguishable from wild type controls.
Loss of L-selectin or IL7Rα function is sufficient to impair PIA, while CD34 or CD103 ablation has no effect on disease severity. More broadly, our findings suggest that future food allergy interventions should focus on disrupting sensitization to food allergens and limiting antigen-specific late-phase responses. Conversely, therapies targeting immune cell migration following antigen challenge are unlikely to have significant benefits, particularly considering the rapid kinetics of PIA.
花生过敏会导致受影响个体发生严重的过敏反应,并对社会和公共政策产生重大影响。尽管花生引起的过敏反应 (PIA) 对健康有影响,但对其发病机制的了解相对较少。使用 PIA 的小鼠模型,我们评估了在四个不同免疫分子(IL7Rα、L-选择素、CD34、CD103)缺失的小鼠中,对扰动反应的影响。
通过用花生抗原和霍乱毒素佐剂进行胃内致敏,然后用粗花生提取物(CPE)进行腹腔内挑战,诱导 PIA。通过监测体温、临床症状和血清组胺水平来评估疾病结局。对抗性小鼠进行总和抗原特异性血清 IgE 以及对被动全身性过敏反应的易感性评估。
尽管产生了正常的花生特异性 IgE 且易发生被动全身性过敏反应,但在 IL7Rα-/-和 L-选择素-/-小鼠中,PIA 反应明显降低。相比之下,CD34-/-和 CD103-/-小鼠表现出强烈的 PIA 反应,与野生型对照无区别。
L-选择素或 IL7Rα 功能的丧失足以损害 PIA,而 CD34 或 CD103 的缺失对疾病严重程度没有影响。更广泛地说,我们的发现表明,未来的食物过敏干预措施应侧重于干扰对食物过敏原的致敏作用,并限制抗原特异性后期反应。相反,针对抗原挑战后免疫细胞迁移的治疗方法不太可能有显著的益处,尤其是考虑到 PIA 的快速动力学。