[HTML][HTML] Cell therapy for prophylactic tolerance in immunoglobulin E-mediated allergy
U Baranyi, AM Farkas, K Hock, B Mahr, B Linhart… - …, 2016 - thelancet.com
U Baranyi, AM Farkas, K Hock, B Mahr, B Linhart, M Gattringer, M Focke-Tejkl, A Petersen…
EBioMedicine, 2016•thelancet.comBackground Therapeutic strategies for the prophylaxis of IgE-mediated allergy remain an
unmet medical need. Cell therapy is an emerging approach with high potential for
preventing and treating immunological diseases. We aimed to develop a cell-based therapy
inducing permanent allergen-specific immunological tolerance for preventing IgE-mediated
allergy. Methods Wild-type mice were treated with allergen-expressing bone marrow cells
under a short course of tolerogenic immunosuppression (mTOR inhibition and costimulation …
unmet medical need. Cell therapy is an emerging approach with high potential for
preventing and treating immunological diseases. We aimed to develop a cell-based therapy
inducing permanent allergen-specific immunological tolerance for preventing IgE-mediated
allergy. Methods Wild-type mice were treated with allergen-expressing bone marrow cells
under a short course of tolerogenic immunosuppression (mTOR inhibition and costimulation …
Background
Therapeutic strategies for the prophylaxis of IgE-mediated allergy remain an unmet medical need. Cell therapy is an emerging approach with high potential for preventing and treating immunological diseases.
We aimed to develop a cell-based therapy inducing permanent allergen-specific immunological tolerance for preventing IgE-mediated allergy.
Methods
Wild-type mice were treated with allergen-expressing bone marrow cells under a short course of tolerogenic immunosuppression (mTOR inhibition and costimulation blockade). Bone marrow was retrieved from a novel transgenic mouse ubiquitously expressing the major grass pollen allergen Phl p 5 as a membrane-anchored protein (BALB/c-Tg[Phlp5-GFP], here mPhl p 5). After transplantation recipients were IgE-sensitized at multiple time points with Phl p 5 and control allergen.
Results
Mice treated with mPhl p 5 bone marrow did not develop Phl p 5-specific IgE (or other isotypes) despite repeated administration of the allergen, while mounting and maintaining a strong humoral response towards the control allergen. Notably, Phl p 5-specific T cell responses and allergic airway inflammation were also completely prevented. Interestingly allergen-specific B cell tolerance was maintained independent of Treg functions indicating deletional tolerance as underlying mechanism.
Conclusion
This proof-of-concept study demonstrates that allergen-specific immunological tolerance preventing occurrence of allergy can be established through a cell-based therapy employing allergen-expressing leukocytes.
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