Department of Otorhinolaryngology, Jikei University School of Medicine, Tokyo, Japan,
Department of Otorhinolaryngology, Federation of National Public Service Personnel Mutual Aid Associations, Tokyo Kyosai Hospital, Tokyo, Japan,
Int Arch Allergy Immunol. 2021;182(2):109-119. doi: 10.1159/000509996. Epub 2020 Aug 27.
A rice-based peptide vaccine containing 7 linked human predominant T-cell epitopes (7Crp) derived from Japanese cedar (JC) pollen allergens, Cry j 1 and Cry j 2, was developed. Here, we examined the efficacy and safety of this transgenic rice in JC pollinosis patients.
Transgenic rice (5, 20, and 80 g) was administered orally. We measured the T-cell proliferative activity against 7Crp, Cry j 1, and Cry j 2; the cytokine expression levels; and specific IgE and IgG4 production levels. In addition, the symptom and medication scores were monitored during the pollen season, and quality of life (QOL) was evaluated.
T-cell proliferative activities to Cry j 1, Cry j 2, and 7Crp were significantly depressed in a dose-dependent manner. Oral intake of 80 g transgenic rice for 20 weeks resulted in significant suppression of allergen-specific T-cell proliferation with downregulation of IL-13 and upregulation of IL-10 levels but no changes to specific IgE and IgG4 levels. The QOL symptom scores for allergic rhinitis were not significantly improved.
Allergen-specific T-cell responses were significantly reduced by oral intake of transgenic rice in a dose-dependent manner. However, neither medication score nor QOL symptom scores could be improved during the JC pollen season with oral intake of transgenic rice for 20 weeks.
一种含有 7 个连接的人类优势 T 细胞表位(7Crp)的基于大米的肽疫苗,源自日本雪松(JC)花粉过敏原 Cry j 1 和 Cry j 2,已经被开发出来。在这里,我们研究了这种转基因大米在 JC 花粉过敏患者中的疗效和安全性。
口服转基因大米(5、20 和 80 克)。我们测量了对 7Crp、Cry j 1 和 Cry j 2 的 T 细胞增殖活性;细胞因子表达水平;以及特异性 IgE 和 IgG4 产生水平。此外,在花粉季节监测症状和用药评分,并评估生活质量(QOL)。
T 细胞对 Cry j 1、Cry j 2 和 7Crp 的增殖活性呈剂量依赖性显著降低。口服 80 克转基因大米 20 周导致过敏原特异性 T 细胞增殖显著抑制,IL-13 下调和 IL-10 上调,但特异性 IgE 和 IgG4 水平没有变化。过敏性鼻炎的 QOL 症状评分没有显著改善。
口服转基因大米可剂量依赖性地显著降低过敏原特异性 T 细胞反应。然而,在口服转基因大米 20 周的 JC 花粉季节期间,无论是用药评分还是 QOL 症状评分都没有改善。