Department of Rheumatology, Immunology and Allergology, University Hospital, University of Bern, Bern, Switzerland.
Department of Dermatology, Zurich University Hospital, Schlieren/Zurich, Switzerland.
Allergy. 2018 Feb;73(2):341-349. doi: 10.1111/all.13268. Epub 2017 Sep 12.
The goal of allergen-specific immunotherapy is the induction of protective immune responses in the absence of anaphylactic reactions. We have previously shown that Fel d 1, the major cat allergen, displayed in a repetitive fashion on virus-like particles (VLPs) may fulfill these criteria. Specifically, Fel d 1 on VLPs induced strongly increased protective IgG responses compared to free allergen in mice while anaphylactic reactions were essentially abolished. Here we extend these findings to human mast cells and offer a mechanistic explanation for the reduced anaphylactic activity.
We differentiated human mast cells in vitro from blood-derived stem cell progenitors and sensitized the cells with a monoclonal Fel d 1-specific IgE. We compared the capability of Fel d 1 to induce mast cell activation in its free form versus displayed on VLPs and we performed allergen binding studies by surface plasmon resonance as well as flow cytometry.
We show that free Fel d 1 induces degranulation of IgE-sensitized mast cells whereas Fel d 1 displayed on VLPs fails to induce mast cell activation. We demonstrate that this inability to activate mast cells is based on a biophysical as well as a biochemical mechanism. Firstly, Fel d 1 on VLPs showed a strongly impaired ability to bind to surface-bound IgE. Secondly, despite residual binding, repetitively displayed allergen on VLPs failed to cause mast cell activation.
These findings indicate that repetitively displaying allergens on VLPs increases their immunogenicity while reducing their potential to cause anaphylactic reactions by essentially eliminating IgE-mediated activation of mast cells.
变应原特异性免疫治疗的目的是在不发生过敏反应的情况下诱导保护性免疫应答。我们之前已经表明,以重复方式展示在病毒样颗粒(VLPs)上的主要猫过敏原 Fel d 1 可能符合这些标准。具体来说,与游离过敏原相比,VLPs 上展示的 Fel d 1 可在小鼠中诱导强烈增加的保护性 IgG 应答,而过敏反应基本上被消除。在这里,我们将这些发现扩展到人类肥大细胞,并为降低过敏反应活性提供了一种机制解释。
我们从血液衍生的干细胞祖细胞中体外分化人类肥大细胞,并使用单克隆 Fel d 1 特异性 IgE 对细胞进行敏化。我们比较了 Fel d 1 在游离形式和展示在 VLPs 上诱导肥大细胞活化的能力,并通过表面等离子体共振和流式细胞术进行了过敏原结合研究。
我们表明,游离的 Fel d 1 可诱导 IgE 敏化的肥大细胞脱颗粒,而展示在 VLPs 上的 Fel d 1 则不能诱导肥大细胞活化。我们证明,这种不能激活肥大细胞的能力基于一种生物物理和生化机制。首先,VLPs 上的 Fel d 1 显示出强烈受损的结合表面结合的 IgE 的能力。其次,尽管有残留结合,但 VLPs 上重复展示的过敏原不能引起肥大细胞活化。
这些发现表明,在 VLPs 上重复展示过敏原可提高其免疫原性,同时通过基本上消除 IgE 介导的肥大细胞活化来降低其引起过敏反应的潜力。