1. Sialic acid–modified der p 2 allergen exerts immunomodulatory effects on human PBMCs
- Author
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Brigitte-Carole Keumatio Doungtsop, MSc, Eleonora Nardini, MSc, Hakan Kalay, BSc, Serge A. Versteeg, MSc, Joyce Lübbers, PhD, Gaby van Barneveld, MSc, Eveline R.J. Li, PhD, Sandra J. van Vliet, PhD, Ronald van Ree, PhD, Esther C. de Jong, PhD, and Yvette van Kooyk, PhD
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HDM ,Der p 2 ,antigen-presenting cells ,CD4+ T cells ,IL-5 ,AIT ,Immunologic diseases. Allergy ,RC581-607 - Abstract
Background: House dust mite extract–based allergen immunotherapy (AIT) to treat house dust mite allergy is substantially effective but still presents some safety and efficacy concerns that warrant improvement. Several major allergen-based approaches to increase safety and efficacy of AIT have been proposed. One of them is the use of the group 2 allergen, Der p 2. Objective: We sought to investigate the immunomodulatory effects of sialic acid–modified major allergen recombinant Der p 2 (sia-rDer p 2) on PBMCs from healthy volunteers. Methods: We activated PBMCs with anti-CD3/CD28 antibodies and incubated them at 37°C for 6 days in the presence or absence of either native rDer p 2 or α2-3 sialic acid–modified rDer p 2 (sia-rDer p 2). We assessed the changes in CD4+ T-cell activation and proliferation by flow cytometry and changes in T-lymphocyte cytokine production in cell culture supernatant by ELISA. Results: We observed that PBMCs treated with sia-rDer p 2 presented with a markedly decreased expression of CD69 and an increased abundance of LAG-3+ lymphocytes compared with cells treated with rDer p 2. Moreover, PBMCs treated with sia-rDer p 2 showed a reduced production of IL-4, IL-13, and IL-5 and displayed a higher IL-10/IL-5 ratio compared with rDer p 2–treated PBMCs. Conclusions: We demonstrate that sia-rDer p 2 might be a safer option than native rDer p 2 for Der p 2–specific AIT. This is most relevant in the early phase of AIT that is often characterized by heightened TH2 responses, because sia-rDer p 2 does not enhance the production of TH2 cytokines.
- Published
- 2024
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