February 6, 2015

Influence of the route of exposure and the matrix on the sensitization potency of a major cows’ milk allergen

Brief communicationOpen Access

Published: 28 January 2015

Sophie Wavrin1Herve Bernard1Jean-Michel Wal2 and Karine Adel-Patient1*
Abstract (provisional)
Background
Allergic sensitisation to food may occur through non-gastrointestinal routes such as via skin or lung. We recently demonstrated in mice that cutaneous or respiratory pre-exposures to peanut proteins on intact epithelia induce a Th2 priming and allow subsequent oral sensitization without the use of adjuvant. We then aimed to assess the impact of a similar pattern of exposure to another relevant food allergen, cows´ milk.

Findings
The humoral and cellular immune response induced in BALB/cJ mice after repeated cutaneous applications on intact skin or after intranasal administration of cows´ milk proteins was analysed. In order to assess the potential effect of the food matrix, we used either a purified major cows´ milk allergen, B-lactoglobulin (BLG), or whole cows´ milk containing the same amount of BLG. We then studied the impact of these pre-exposures on a subsequent oral exposure to milk in the presence or absence of the mucosal Th2 adjuvant, Cholera toxin (CT). Cutaneous applications of milk induced production of BLG-specific IgE and IgG1 in 5 and 8 mice out of 20 respectively, whereas purified BLG alone did not. Intranasal exposure to milk, but not to BLG, led to BLG-specific IgG1 production in 8 out of 20 mice. Notably, cutaneous pre-exposure to milk favours further oral sensitisation without CT, while intra-nasal pre-exposure to BLG prevents further experimental sensitisation.
Conclusions
Altogether, our results thus demonstrated that the immune response induced after non-gastrointestinal exposure to food depends on the allergen, the matrix and the route of exposure.
The complete article is available as a provisional PDF. The fully formatted PDF and HTML versions are in production.

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