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解读花生口服免疫治疗的成败。

Interpreting success or failure of peanut oral immunotherapy.

机构信息

Pritzker School of Molecular Engineering and.

Biological Sciences Division, University of Chicago, Chicago, Illinois, USA.

出版信息

J Clin Invest. 2022 Jan 18;132(2). doi: 10.1172/JCI155255.

DOI:10.1172/JCI155255
PMID:35040441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8759774/
Abstract

Peanut oral immunotherapy (OIT) was recently approved by the US FDA. However, not all patients respond to OIT, and there is a high likelihood of regaining sensitization to peanuts after cessation of treatment. It is important, therefore, to identify biomarkers that impact and predict OIT outcomes. In this issue of the JCI, Monian, Tu, and colleagues describe distinct subsets of peanut-reactive CD4+ Th cell phenotypes and gene signatures with relevance to OIT outcomes using single-cell RNA-Seq and paired T cell receptor (TCR) α/β sequencing. The insights obtained will inform the development of therapeutics that target these Th cell phenotypes or deplete peanut-specific Th2 cells to achieve sustained nonresponsiveness in food allergy.

摘要

花生口服免疫疗法(OIT)最近获得了美国 FDA 的批准。然而,并非所有患者对 OIT 都有反应,并且在治疗停止后重新致敏花生的可能性很高。因此,确定影响和预测 OIT 结果的生物标志物非常重要。在本期 JCI 中,Monian、Tu 和同事使用单细胞 RNA-Seq 和配对的 T 细胞受体(TCR)α/β测序,描述了与 OIT 结果相关的花生反应性 CD4+ Th 细胞表型和基因特征的不同亚群。获得的这些见解将为开发针对这些 Th 细胞表型的治疗方法或耗尽花生特异性 Th2 细胞以实现食物过敏的持续无反应性提供信息。

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1
Interpreting success or failure of peanut oral immunotherapy.解读花生口服免疫治疗的成败。
J Clin Invest. 2022 Jan 18;132(2). doi: 10.1172/JCI155255.
2
Peanut oral immunotherapy differentially suppresses clonally distinct subsets of T helper cells.花生口服免疫治疗可特异性抑制不同克隆的辅助性 T 细胞亚群。
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本文引用的文献

1
Peanut oral immunotherapy differentially suppresses clonally distinct subsets of T helper cells.花生口服免疫治疗可特异性抑制不同克隆的辅助性 T 细胞亚群。
J Clin Invest. 2022 Jan 18;132(2). doi: 10.1172/JCI150634.
2
Open-label follow-on study evaluating the efficacy, safety, and quality of life with extended daily oral immunotherapy in children with peanut allergy.开放性标签续贯研究评估延长每日口服免疫治疗对花生过敏儿童的疗效、安全性和生活质量。
Allergy. 2022 Mar;77(3):991-1003. doi: 10.1111/all.15027. Epub 2021 Sep 24.
3
IgE-Mediated Peanut Allergy: Current and Novel Predictive Biomarkers for Clinical Phenotypes Using Multi-Omics Approaches.
免疫球蛋白 E 介导的花生过敏:使用多组学方法的临床表型的当前和新型预测生物标志物。
Front Immunol. 2021 Jan 28;11:594350. doi: 10.3389/fimmu.2020.594350. eCollection 2020.
4
Th2A and Th17 cell frequencies and regulatory markers as follow-up biomarker candidates for successful multifood oral immunotherapy.Th2A和Th17细胞频率以及调节性标志物作为成功的多种食物口服免疫疗法的后续生物标志物候选物。
Allergy. 2020 Jun;75(6):1513-1516. doi: 10.1111/all.14180. Epub 2020 Jan 31.
5
Sustained outcomes in oral immunotherapy for peanut allergy (POISED study): a large, randomised, double-blind, placebo-controlled, phase 2 study.口服免疫治疗花生过敏的持续疗效(POISED 研究):一项大型、随机、双盲、安慰剂对照、2 期研究。
Lancet. 2019 Oct 19;394(10207):1437-1449. doi: 10.1016/S0140-6736(19)31793-3. Epub 2019 Sep 12.
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Identification of a T follicular helper cell subset that drives anaphylactic IgE.鉴定出驱动过敏 IgE 的滤泡辅助 T 细胞亚群。
Science. 2019 Aug 30;365(6456). doi: 10.1126/science.aaw6433. Epub 2019 Aug 1.
7
Newly identified T cell subsets in mechanistic studies of food immunotherapy.在食物免疫治疗的机制研究中发现的新的 T 细胞亚群。
J Clin Invest. 2019 Apr 1;129(4):1431-1440. doi: 10.1172/JCI124605.
8
AR101 Oral Immunotherapy for Peanut Allergy.AR101 口服免疫疗法治疗花生过敏。
N Engl J Med. 2018 Nov 22;379(21):1991-2001. doi: 10.1056/NEJMoa1812856. Epub 2018 Nov 18.
9
Efficacy, Safety, and Quality of Life in a Multicenter, Randomized, Placebo-Controlled Trial of Low-Dose Peanut Oral Immunotherapy in Children with Peanut Allergy.在一项多中心、随机、安慰剂对照的临床试验中,评估低剂量花生口服免疫治疗在儿童花生过敏中的疗效、安全性和生活质量。
J Allergy Clin Immunol Pract. 2019 Feb;7(2):479-491.e10. doi: 10.1016/j.jaip.2018.10.048. Epub 2018 Nov 10.
10
Immune mechanisms of oral immunotherapy.口服免疫治疗的免疫机制。
J Allergy Clin Immunol. 2018 Feb;141(2):491-498. doi: 10.1016/j.jaci.2017.12.979. Epub 2017 Dec 26.