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诱导对青霉素主要抗原决定簇的免疫耐受:一种治疗青霉素过敏的方法。

Induction if immunological tolerance to the major antigenic determinant of penicillin: a therapeutic approach to penicillin allergy.

作者信息

Chiorazzi N, Eshhar Z, Katz D H

出版信息

Proc Natl Acad Sci U S A. 1976 Jun;73(6):2091-5. doi: 10.1073/pnas.73.6.2091.

DOI:10.1073/pnas.73.6.2091
PMID:59360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC430455/
Abstract

High titered IgE, IgG, and IgM antibody responses to the major antigenic determinant of penicillin, the benzylpenicilloyl hapten, were elicited by the intraperitoneal injection of the hapten coupled to keyhole limpet hemocyanin mixed with the appropriate adjuvant. However, treatment of such mice with the benzylpenicilloyl derivatized synthetic copolymer of D-glutamic acid and D-lysine, either before or after primary immunization, resulted in significant suppression of the subsequent anti-benzylpenicilloyl antibody responses of the IgE and IgG classes, as measured at the humoral and cellular levels. The state of tolerance induced by benzylpenicili-poly(DGlu, Lys) was highly specific, of long duration, and could be induced in a manner that would be appropriate for clinical use. These results provide a direct demonstration of the potential application of the poly(DGlu, Lys) immunotherapeutic approach to penicillin allergy in humans.

摘要

通过腹腔注射与钥孔戚血蓝蛋白偶联的半抗原(并与适当佐剂混合),引发了针对青霉素主要抗原决定簇苄青霉素酰半抗原的高滴度IgE、IgG和IgM抗体反应。然而,在用苄青霉素酰衍生化的D-谷氨酸和D-赖氨酸合成共聚物处理此类小鼠时,无论是在初次免疫之前还是之后,均导致IgE和IgG类后续抗苄青霉素酰抗体反应在体液和细胞水平上受到显著抑制。苄青霉素-聚(D-谷氨酸,赖氨酸)诱导的耐受状态具有高度特异性、持续时间长,并且可以以适合临床应用的方式诱导产生。这些结果直接证明了聚(D-谷氨酸,赖氨酸)免疫治疗方法在人类青霉素过敏中的潜在应用。

相似文献

1
Induction if immunological tolerance to the major antigenic determinant of penicillin: a therapeutic approach to penicillin allergy.诱导对青霉素主要抗原决定簇的免疫耐受:一种治疗青霉素过敏的方法。
Proc Natl Acad Sci U S A. 1976 Jun;73(6):2091-5. doi: 10.1073/pnas.73.6.2091.
2
Induction of immunologic tolerance to the trimellitate haptenic group in mice: model for a therapeutic approach to trimellitic anhydride-induced hypersensitivity syndromes in humans?小鼠对偏苯三酸半抗原基团的免疫耐受性诱导:人类偏苯三酸酐诱导的超敏反应综合征治疗方法的模型?
J Allergy Clin Immunol. 1980 Oct;66(4):322-6. doi: 10.1016/0091-6749(80)90028-7.
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J Exp Med. 1961 Dec 1;114(6):875-904. doi: 10.1084/jem.114.6.875.
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A survey of the prevalence of penicillin-specific IgG, IgM and IgE antibodies detected by ELISA and defined by hapten inhibition, in patients with suspected penicillin allergy and in healthy volunteers.一项关于通过酶联免疫吸附测定法(ELISA)检测并通过半抗原抑制定义的青霉素特异性IgG、IgM和IgE抗体在疑似青霉素过敏患者和健康志愿者中的患病率调查。
Br J Clin Pharmacol. 1988 Mar;25(3):381-6. doi: 10.1111/j.1365-2125.1988.tb03317.x.
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Proc Natl Acad Sci U S A. 1973 Oct;70(10):2776-80. doi: 10.1073/pnas.70.10.2776.
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Suppression of reaging antibody formation. IV. Suppression of reaginic antibodies to penicillin in the mouse.反应素抗体形成的抑制。IV. 小鼠中对青霉素反应素抗体的抑制。
J Immunol. 1976 Sep;117(3):927-34.
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Zhongguo Yao Li Xue Bao. 1996 Nov;17(6):531-4.
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Induction of tolerance to nucleic acid determinants by administration of a complex of nucleoside D-glutamic acid and D-lysine (D-GL).通过给予核苷D-谷氨酸和D-赖氨酸(D-GL)复合物诱导对核酸决定簇的耐受性。
J Immunol. 1975 Feb;114(2 pt 2):872-6.
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Induction of immunological tolerance to the penicilloyl antigenic determinant. III. Suppression of benzylpenicilloyl-specific IgE antibody formation by cleavable penicilloylated dextran.对青霉噻唑抗原决定簇的免疫耐受性诱导。III. 可裂解的青霉噻唑化葡聚糖对苄青霉素噻唑特异性IgE抗体形成的抑制作用。
Int Arch Allergy Appl Immunol. 1981;64(2):210-6. doi: 10.1159/000232694.

引用本文的文献

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Adjuvant and suppressive effects of Grass Conjuvac and other alginate conjugates on IgG and IgE antibody responses in mice.草结合疫苗及其他藻酸盐偶联物对小鼠IgG和IgE抗体反应的佐剂和抑制作用。
Immunology. 1981 Sep;44(1):41-50.
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Hapten-specific T-cell unresponsiveness induced bybenzylpenicilloyl autologous gamma globulin conjugates in human lymphocyes in vitro.苄青霉素酰自体γ球蛋白缀合物在体外诱导人淋巴细胞产生半抗原特异性T细胞无反应性。
J Clin Invest. 1980 Jun;65(6):1509-14. doi: 10.1172/JCI109816.
3
Can persistent IgE responses be suppressed?持续性IgE反应能被抑制吗?
Clin Exp Immunol. 1990 Dec;82(3):423-6. doi: 10.1111/j.1365-2249.1990.tb05464.x.
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Immunological tolerance to allergenic protein determinants: a therapeutic approach for selective inhibition of IgE antibody production.对变应原蛋白决定簇的免疫耐受:一种选择性抑制IgE抗体产生的治疗方法。
Proc Natl Acad Sci U S A. 1979 Mar;76(3):1430-4. doi: 10.1073/pnas.76.3.1430.
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Immunological properties of conjugates of ragweed pollen antigen E with methoxypolyethylene glycol or a copolymer of D-glutamic acid and D-lysine.豚草花粉抗原E与甲氧基聚乙二醇或D-谷氨酸和D-赖氨酸共聚物的缀合物的免疫学特性。
J Exp Med. 1979 Feb 1;149(2):424-35. doi: 10.1084/jem.149.2.424.
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The use of hapten-polysaccharide conjugates for the induction of B-cell tolerance involving IgE responses. I. Preparation, characterization and specific tolerogenic activity of penicilloy l-substituted levans affecting IgE responses in normal and sensitized mice.用于诱导涉及IgE应答的B细胞耐受性的半抗原-多糖缀合物。I. 影响正常和致敏小鼠IgE应答的青霉噻唑酰基取代果聚糖的制备、表征及特异性致耐受性活性。
Clin Exp Immunol. 1978 Mar;31(3):499-511.

本文引用的文献

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Plaque Formation in Agar by Single Antibody-Producing Cells.琼脂中由单个抗体产生细胞形成的斑块。
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Benzylpenicilloyl specific serum antibodies to penicillin in man. I. Development of a sensitive hemagglutination assay method and haptenic specificities of antibodies.人体内针对青霉素的苄基青霉素酰特异性血清抗体。I. 一种灵敏的血凝试验方法的建立及抗体的半抗原特异性
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Hapten-specific tolerance. Preferential depression of the high affinity antibody response.半抗原特异性耐受。高亲和力抗体应答的优先抑制。
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Induction of immunological tolerance by a hapten (DNP) bound to a non-immunogenic protein carrier.通过与非免疫原性蛋白质载体结合的半抗原(二硝基苯酚)诱导免疫耐受。
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