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基于纳米颗粒的过敏免疫疗法。

Nanoparticle based-immunotherapy against allergy.

作者信息

Gamazo Carlos, Gastaminza Gabriel, Ferrer Marta, Sanz María L, Irache Juan M

机构信息

University of Navarra Dept. Microbiology C/Irunlarrea, 1; 31080 - Pamplona, Spain.

出版信息

Immunotherapy. 2014;6(7):885-97. doi: 10.2217/imt.14.63.

Abstract

Allergic diseases are one of the most prevalent diseases, reaching epidemic proportions in developed countries. An allergic reaction occurs after contact with an environmental protein, such as inhalants allergens (pollen, animal dander, house dust mites), or food proteins. This response is known as part of the type 2 immunity that is counterbalanced by Type 1 immunity and Tregs. Widely used allergen-specific immunotherapy (IT) is a long term treatment to induce such switch from Th2 to Th1 response. However, conventional IT requires multiple allergen injections over a long period of time and is not free of risk of producing allergic reactions. As a consequence, new safer and faster immunotherapeutic methods are required. This review deals with allergen IT using nanoparticles as allergen delivery system that will allow a different way of administration, reduce dose and diminish allergen exposure to IgE bound to mast cells or basophils.

摘要

过敏性疾病是最常见的疾病之一,在发达国家已达到流行程度。接触环境蛋白(如吸入性变应原(花粉、动物皮屑、屋尘螨)或食物蛋白)后会发生过敏反应。这种反应是2型免疫的一部分,由1型免疫和调节性T细胞(Tregs)进行平衡。广泛使用的变应原特异性免疫疗法(IT)是一种长期治疗方法,可诱导从Th2反应向Th1反应的转变。然而,传统的免疫疗法需要在很长一段时间内多次注射变应原,并且存在产生过敏反应的风险。因此,需要新的更安全、更快的免疫治疗方法。本综述探讨了使用纳米颗粒作为变应原递送系统的变应原免疫疗法,这将允许采用不同的给药方式,减少剂量并减少变应原与结合在肥大细胞或嗜碱性粒细胞上的IgE的接触。

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