Maeta Akihiro, Sakamoto Yoko, Yuki Sayo, Takahashi Kyoko
Department of Food Science and Nutrition, School of Human Environmental Sciences, Mukogawa Women's University.
J Nutr Sci Vitaminol (Tokyo). 2017;63(2):104-110. doi: 10.3177/jnsv.63.104.
We propose a new oral immunotherapy (OIT) method that includes a small amount of a food allergen in the diet. However, it is not clear whether this method will induce oral desensitization and immune tolerance. Therefore, we investigated the therapeutic effectiveness using a 1% food allergen diet in an allergic mouse model. C3H/HeJ mice were sensitized to ovomucoid (OM) in alum four times at 12-d intervals. Sensitized mice were divided into two groups: the OIT group (19% casein diet with 1% OM) and the non-treated group (20% casein diet without OM). The non-sensitized mice served as the non-allergy group. The OIT treatment was performed for 4 wk. To assess desensitization and immune tolerance, we performed oral and intraperitoneal OM challenges, assessed vascular permeability of the dorsal skin, and measured allergic biomarkers. The OIT group exhibited significantly lower oral symptom scores and vascular permeability than the non-treated group, but the two groups did not differ in intraperitoneal allergy symptom scores. Furthermore, the OIT group had significantly higher OM-specific IgA levels in their plasma than the non-treated group. However, the plasma levels of OM-specific IgE, IgG1, and IgG2a were not significantly different between the OIT and the non-treated groups. These results suggest that the proposed OIT using an OM-supplemented diet may induce desensitization, but not immune tolerance, in an OM allergic mouse model.
我们提出了一种新的口服免疫疗法(OIT),即在饮食中加入少量食物过敏原。然而,尚不清楚这种方法是否会诱导口服脱敏和免疫耐受。因此,我们在过敏性小鼠模型中研究了使用含1%食物过敏原饮食的治疗效果。C3H/HeJ小鼠每隔12天用明矾中的卵类粘蛋白(OM)致敏4次。致敏小鼠分为两组:OIT组(含1%OM的19%酪蛋白饮食)和未治疗组(不含OM的20%酪蛋白饮食)。未致敏小鼠作为非过敏组。OIT治疗进行4周。为了评估脱敏和免疫耐受情况,我们进行了口服和腹腔注射OM激发试验,评估背部皮肤的血管通透性,并测量过敏生物标志物。与未治疗组相比,OIT组的口服症状评分和血管通透性显著降低,但两组的腹腔过敏症状评分没有差异。此外,OIT组血浆中OM特异性IgA水平显著高于未治疗组。然而,OIT组和未治疗组之间OM特异性IgE、IgG1和IgG2a的血浆水平没有显著差异。这些结果表明,在OM过敏性小鼠模型中,所提出的使用补充OM饮食的OIT可能诱导脱敏,但不能诱导免疫耐受。