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Published in: Current Allergy and Asthma Reports 4/2017

01-04-2017 | Immunotherapy and Immunomodulators (B Vickery, Section Editor)

Human Immune Monitoring Techniques during Food Allergen Immunotherapy

Authors: Blake Rust, Erik Wambre

Published in: Current Allergy and Asthma Reports | Issue 4/2017

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Abstract

Purpose of Review

Encouraging results from recent food allergen immunotherapy clinical trials indicate that the immune system plays an essential role in peripheral tolerance to food allergen. Thus, the monitoring of changes in immune responses and their possible correlation with clinical outcome in allergic patients receiving immunotherapies could theoretically serve as surrogate markers and be harnessed as rationale for food allergen immunotherapy development.

Recent Findings

A shift towards antigen specificity in recent assays has provided a solid foundation for the elucidation of cellular mechanisms involved in food allergen immunotherapy as well as the tracking of allergen-specific immune cells.

Summary

In this review, we overview the current challenges and technologies used in immune monitoring during immunotherapy in allergic patients with a focus on cell-mediated immunity. We also discuss critical steps involved in some of the cellular immune assays utilized in clinical trials.
Literature
1.
go back to reference Peters RL, Gurrin LC, Allen KJ. The predictive value of skin prick testing for challenge-proven food allergy: a systematic review. Pediatr Allergy Immunol. 2012;23:347–52.CrossRefPubMed Peters RL, Gurrin LC, Allen KJ. The predictive value of skin prick testing for challenge-proven food allergy: a systematic review. Pediatr Allergy Immunol. 2012;23:347–52.CrossRefPubMed
2.
go back to reference Kutscher S, et al. Overnight resting of PBMC changes functional signatures of antigen specific T- cell responses: impact for immune monitoring within clinical trials. PLoS One. 2013;8:e76215.CrossRefPubMedPubMedCentral Kutscher S, et al. Overnight resting of PBMC changes functional signatures of antigen specific T- cell responses: impact for immune monitoring within clinical trials. PLoS One. 2013;8:e76215.CrossRefPubMedPubMedCentral
3.
go back to reference Lao-Araya M, Steveling E, Scadding GW, Durham SR, Shamji MH. Seasonal increases in peripheral innate lymphoid type 2 cells are inhibited by subcutaneous grass pollen immunotherapy. J Allergy Clin Immunol. 2014;134:1193–1195.e4.CrossRefPubMed Lao-Araya M, Steveling E, Scadding GW, Durham SR, Shamji MH. Seasonal increases in peripheral innate lymphoid type 2 cells are inhibited by subcutaneous grass pollen immunotherapy. J Allergy Clin Immunol. 2014;134:1193–1195.e4.CrossRefPubMed
5.
go back to reference Bonvalet M, et al. Allergen-specific CD4 + T cell responses in peripheral blood do not predict the early onset of clinical efficacy during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2012;42:1745–55.CrossRefPubMed Bonvalet M, et al. Allergen-specific CD4 + T cell responses in peripheral blood do not predict the early onset of clinical efficacy during grass pollen sublingual immunotherapy. Clin Exp Allergy. 2012;42:1745–55.CrossRefPubMed
6.
go back to reference Schroeder JT, MacGlashan DW, Lichtenstein LM. Human basophils: mediator release and cytokine production. Adv Immunol. 2001;77:93–122.CrossRefPubMed Schroeder JT, MacGlashan DW, Lichtenstein LM. Human basophils: mediator release and cytokine production. Adv Immunol. 2001;77:93–122.CrossRefPubMed
7.
go back to reference Kleine-Tebbe J, et al. Diagnostic tests based on human basophils: potentials, pitfalls and perspectives. Int Arch Allergy Immunol. 2006;141:79–90.CrossRefPubMed Kleine-Tebbe J, et al. Diagnostic tests based on human basophils: potentials, pitfalls and perspectives. Int Arch Allergy Immunol. 2006;141:79–90.CrossRefPubMed
8.
go back to reference Ebo DG, et al. Basophil activation test by flow cytometry: present and future applications in allergology. Cytom Part B Clin Cytom. 2008;74B:201–10.CrossRef Ebo DG, et al. Basophil activation test by flow cytometry: present and future applications in allergology. Cytom Part B Clin Cytom. 2008;74B:201–10.CrossRef
9.
go back to reference Thyagarajan A, et al. Evidence of pathway-specific basophil anergy induced by peanut oral immunotherapy in peanut-allergic children. Clin Exp Allergy. 2012;42:1197–205.CrossRefPubMedPubMedCentral Thyagarajan A, et al. Evidence of pathway-specific basophil anergy induced by peanut oral immunotherapy in peanut-allergic children. Clin Exp Allergy. 2012;42:1197–205.CrossRefPubMedPubMedCentral
10.
go back to reference Gernez Y, Waters J, Tirouvanziam R, Herzenberg L, Moss R. Basophil activation test determination of CD63 combined with CD203c is not superior to CD203c alone in identifying allergic bronchopulmonary aspergillosis in cystic fibrosis. J Allergy Clin Immunol. 2016;138:1195–6.CrossRefPubMed Gernez Y, Waters J, Tirouvanziam R, Herzenberg L, Moss R. Basophil activation test determination of CD63 combined with CD203c is not superior to CD203c alone in identifying allergic bronchopulmonary aspergillosis in cystic fibrosis. J Allergy Clin Immunol. 2016;138:1195–6.CrossRefPubMed
11.
go back to reference Ishizaka K, Ishizaka T, Hornbrook MM. Physico-chemical properties of human reaginic antibody. IV. Presence of a unique immunoglobulin as a carrier of reaginic activity. J Immunol. 1966;97:75–85.PubMed Ishizaka K, Ishizaka T, Hornbrook MM. Physico-chemical properties of human reaginic antibody. IV. Presence of a unique immunoglobulin as a carrier of reaginic activity. J Immunol. 1966;97:75–85.PubMed
12.
go back to reference Johansson SGO, Bennich H. Studies on a new class of immunoglobulin. I. Immunological properties. Nobel Symp 3. 1967;Almqvist a:193–7. Johansson SGO, Bennich H. Studies on a new class of immunoglobulin. I. Immunological properties. Nobel Symp 3. 1967;Almqvist a:193–7.
15.
go back to reference Dang TD, et al. Increasing the accuracy of peanut allergy diagnosis by using Ara h 2. J Allergy Clin Immunol. 2012;129:1056–63.CrossRefPubMed Dang TD, et al. Increasing the accuracy of peanut allergy diagnosis by using Ara h 2. J Allergy Clin Immunol. 2012;129:1056–63.CrossRefPubMed
16.
go back to reference van de Veen W, et al. IgG4 production is confined to human IL-10–producing regulatory B cells that suppress antigen-specific immune responses. J Allergy Clin Immunol. 2013;131:1204–12.CrossRefPubMed van de Veen W, et al. IgG4 production is confined to human IL-10–producing regulatory B cells that suppress antigen-specific immune responses. J Allergy Clin Immunol. 2013;131:1204–12.CrossRefPubMed
17.
go back to reference Boonpiyathad T, et al. High-dose bee venom exposure induces similar tolerogenic B-cell responses in allergic patients and healthy beekeepers. Allergy. 2016; doi:10.1111/all.12966.PubMed Boonpiyathad T, et al. High-dose bee venom exposure induces similar tolerogenic B-cell responses in allergic patients and healthy beekeepers. Allergy. 2016; doi:10.​1111/​all.​12966.PubMed
18.
go back to reference Franz B, May KF, Dranoff G, Wucherpfennig K, Wucherpfennig K. Ex vivo characterization and isolation of rare memory B cells with antigen tetramers. Blood. 2011;118:348–57.CrossRefPubMedPubMedCentral Franz B, May KF, Dranoff G, Wucherpfennig K, Wucherpfennig K. Ex vivo characterization and isolation of rare memory B cells with antigen tetramers. Blood. 2011;118:348–57.CrossRefPubMedPubMedCentral
19.
go back to reference Hoh RA, et al. Single B-cell deconvolution of peanut-specific antibody responses in allergic patients. J Allergy Clin Immunol. 2016;137:157–67.CrossRefPubMed Hoh RA, et al. Single B-cell deconvolution of peanut-specific antibody responses in allergic patients. J Allergy Clin Immunol. 2016;137:157–67.CrossRefPubMed
20.
go back to reference Turcanu V, Maleki SJ, Lack G. Characterization of lymphocyte responses to peanuts in normal children, peanut-allergic children, and allergic children who acquired tolerance to peanuts. J Clin Invest. 2003;111:1065–72.CrossRefPubMedPubMedCentral Turcanu V, Maleki SJ, Lack G. Characterization of lymphocyte responses to peanuts in normal children, peanut-allergic children, and allergic children who acquired tolerance to peanuts. J Clin Invest. 2003;111:1065–72.CrossRefPubMedPubMedCentral
21.
go back to reference Bedoret D, et al. Changes in antigen-specific T-cell number and function during oral desensitization in cow’s milk allergy enabled with omalizumab. Mucosal Immunol. 2012;5:267–76.CrossRefPubMedPubMedCentral Bedoret D, et al. Changes in antigen-specific T-cell number and function during oral desensitization in cow’s milk allergy enabled with omalizumab. Mucosal Immunol. 2012;5:267–76.CrossRefPubMedPubMedCentral
22.
go back to reference Scott-Taylor TH, Hourihane JB, Harper J, Strobel S. Patterns of food allergen-specific cytokine production by T lymphocytes of children with multiple allergies. Clin Exp Allergy. 2005;35:1473–80.CrossRefPubMed Scott-Taylor TH, Hourihane JB, Harper J, Strobel S. Patterns of food allergen-specific cytokine production by T lymphocytes of children with multiple allergies. Clin Exp Allergy. 2005;35:1473–80.CrossRefPubMed
23.
go back to reference Schade RP, et al. Differences in antigen-specific T-cell responses between infants with atopic dermatitis with and without cow’s milk allergy: relevance of TH2 cytokines. J Allergy Clin Immunol. 2000;106:1155–62.CrossRefPubMed Schade RP, et al. Differences in antigen-specific T-cell responses between infants with atopic dermatitis with and without cow’s milk allergy: relevance of TH2 cytokines. J Allergy Clin Immunol. 2000;106:1155–62.CrossRefPubMed
24.
go back to reference Wisniewski JA, et al. Analysis of cytokine production by peanut-reactive T cells identifies residual Th2 effectors in highly allergic children who received peanut oral immunotherapy. Clin Exp Allergy. 2015;45:1201–13.CrossRefPubMedPubMedCentral Wisniewski JA, et al. Analysis of cytokine production by peanut-reactive T cells identifies residual Th2 effectors in highly allergic children who received peanut oral immunotherapy. Clin Exp Allergy. 2015;45:1201–13.CrossRefPubMedPubMedCentral
25.
go back to reference Michaud B, et al. Casein-specific IL-4- and IL-13-secreting T cells: a tool to implement diagnosis of cow’s milk allergy. Allergy. 2014;69:1473–80.CrossRefPubMed Michaud B, et al. Casein-specific IL-4- and IL-13-secreting T cells: a tool to implement diagnosis of cow’s milk allergy. Allergy. 2014;69:1473–80.CrossRefPubMed
26.
go back to reference • Nepom GT. MHC class II tetramers. J Immunol. 2012;188. In this excellent review, key issues governing CD4 T cell identification by MHC class II tetramers are discussed, and examples from human immune monitoring studies illustrate the lessons learned. • Nepom GT. MHC class II tetramers. J Immunol. 2012;188. In this excellent review, key issues governing CD4 T cell identification by MHC class II tetramers are discussed, and examples from human immune monitoring studies illustrate the lessons learned.
27.
go back to reference Biselli R, Matricardi PM, D’Amelio R, Fattorossi A. Multiparametric flow cytometric analysis of the kinetics of surface molecule expression after polyclonal activation of human peripheral blood T lymphocytes. Scand J Immunol. 1992;35:439–47.CrossRefPubMed Biselli R, Matricardi PM, D’Amelio R, Fattorossi A. Multiparametric flow cytometric analysis of the kinetics of surface molecule expression after polyclonal activation of human peripheral blood T lymphocytes. Scand J Immunol. 1992;35:439–47.CrossRefPubMed
28.
go back to reference • Chattopadhyay PK, Yu J, Roederer M. A live-cell assay to detect antigen-specific CD4+ T cells with diverse cytokine profiles. Nat Med. 2005;11:1113–7. An elegant study utilizing a live-cell assay to detect antigen-specific regulatory CD4+ T cell responses by CD154 expression. CrossRefPubMed • Chattopadhyay PK, Yu J, Roederer M. A live-cell assay to detect antigen-specific CD4+ T cells with diverse cytokine profiles. Nat Med. 2005;11:1113–7. An elegant study utilizing a live-cell assay to detect antigen-specific regulatory CD4+ T cell responses by CD154 expression. CrossRefPubMed
29.
go back to reference Bacher P, et al. Antigen-reactive T cell enrichment for direct, high-resolution analysis of the human naive and memory Th cell repertoire. J Immunol. 2013;190:3967–76.CrossRefPubMed Bacher P, et al. Antigen-reactive T cell enrichment for direct, high-resolution analysis of the human naive and memory Th cell repertoire. J Immunol. 2013;190:3967–76.CrossRefPubMed
30.
go back to reference Scriba TJ, et al. Ultrasensitive detection and phenotyping of CD4+ T cells with optimized HLA class II tetramer staining. J Immunol. 2005;175. Scriba TJ, et al. Ultrasensitive detection and phenotyping of CD4+ T cells with optimized HLA class II tetramer staining. J Immunol. 2005;175.
31.
go back to reference • Wambre E, et al. Differentiation stage determines pathologic and protective allergen-specific CD4+ T-cell outcomes during specific immunotherapy. J Allergy Clin Immunol. 2012;129:544–551.e7. This study used an ex-vivo tetramer approach to characterize allergen-specific CD4+ T cell responses at single level and showed that the differentiation stage divides these cells into two distinct subpopulations with unique functional properties and different fates during therapy. CrossRefPubMed • Wambre E, et al. Differentiation stage determines pathologic and protective allergen-specific CD4+ T-cell outcomes during specific immunotherapy. J Allergy Clin Immunol. 2012;129:544–551.e7. This study used an ex-vivo tetramer approach to characterize allergen-specific CD4+ T cell responses at single level and showed that the differentiation stage divides these cells into two distinct subpopulations with unique functional properties and different fates during therapy. CrossRefPubMed
32.
go back to reference Sandoval-Montes C, Santos-Argumedo L. CD38 is expressed selectively during the activation of a subset of mature T cells with reduced proliferation but improved potential to produce cytokines. J Leukoc Biol. 2004;77:513–21.CrossRefPubMed Sandoval-Montes C, Santos-Argumedo L. CD38 is expressed selectively during the activation of a subset of mature T cells with reduced proliferation but improved potential to produce cytokines. J Leukoc Biol. 2004;77:513–21.CrossRefPubMed
34.
go back to reference Kulis M, Vickery BP, Burks AW. Pioneering immunotherapy for food allergy: clinical outcomes and modulation of the immune response. Immunol Res. 2011;49:216–26.CrossRefPubMed Kulis M, Vickery BP, Burks AW. Pioneering immunotherapy for food allergy: clinical outcomes and modulation of the immune response. Immunol Res. 2011;49:216–26.CrossRefPubMed
35.
go back to reference de Leeuw RJ, Kost SE, Kakal JA, Nelson BH. The prognostic value of FoxP3+ tumor-infiltrating lymphocytes in cancer: a critical review of the literature. Clin Cancer Res. 2012;18:3022–9.CrossRef de Leeuw RJ, Kost SE, Kakal JA, Nelson BH. The prognostic value of FoxP3+ tumor-infiltrating lymphocytes in cancer: a critical review of the literature. Clin Cancer Res. 2012;18:3022–9.CrossRef
36.
go back to reference Devaud C, Darcy PK, Kershaw MH. Foxp3 expression in T regulatory cells and other cell lineages. Cancer Immunol Immunother. 2014;63:869–76.CrossRefPubMed Devaud C, Darcy PK, Kershaw MH. Foxp3 expression in T regulatory cells and other cell lineages. Cancer Immunol Immunother. 2014;63:869–76.CrossRefPubMed
37.
go back to reference Abbas AK, et al. Regulatory T cells: recommendations to simplify the nomenclature. Nat Immunol. 2013;14:307–8.CrossRefPubMed Abbas AK, et al. Regulatory T cells: recommendations to simplify the nomenclature. Nat Immunol. 2013;14:307–8.CrossRefPubMed
38.
go back to reference Syed A, et al. Peanut oral immunotherapy results in increased antigen-induced regulatory T-cell function and hypomethylation of forkhead box protein 3 (FOXP3). J Allergy Clin Immunol. 2014;133:500–10.CrossRefPubMedPubMedCentral Syed A, et al. Peanut oral immunotherapy results in increased antigen-induced regulatory T-cell function and hypomethylation of forkhead box protein 3 (FOXP3). J Allergy Clin Immunol. 2014;133:500–10.CrossRefPubMedPubMedCentral
39.
go back to reference •• Bacher P, et al. Regulatory T cell specificity directs tolerance versus allergy against aeroantigens in humans. Cell. 2016;17–24. An elegant study utilizing a live-cell assay to detect antigen-specific regulatory CD4+ T cell responses by CD137 expression. •• Bacher P, et al. Regulatory T cell specificity directs tolerance versus allergy against aeroantigens in humans. Cell. 2016;17–24. An elegant study utilizing a live-cell assay to detect antigen-specific regulatory CD4+ T cell responses by CD137 expression.
40.
go back to reference Wang J, Ioan-Facsinay A, van der Voort EIH, Huizinga TWJ, Toes REM. Transient expression of FOXP3 in human activated nonregulatory CD4+ T cells. Eur J Immunol. 2007;37:129–38.CrossRefPubMed Wang J, Ioan-Facsinay A, van der Voort EIH, Huizinga TWJ, Toes REM. Transient expression of FOXP3 in human activated nonregulatory CD4+ T cells. Eur J Immunol. 2007;37:129–38.CrossRefPubMed
41.
go back to reference Bacher P, et al. Antigen-specific expansion of human regulatory T cells as a major tolerance mechanism against mucosal fungi. Mucosal Immunol. 2013;7:916–28.PubMed Bacher P, et al. Antigen-specific expansion of human regulatory T cells as a major tolerance mechanism against mucosal fungi. Mucosal Immunol. 2013;7:916–28.PubMed
42.
go back to reference Ryan JF, et al. Successful immunotherapy induces previously unidentified allergen-specific CD4+ T-cell subsets. Proc Natl Acad Sci U S A. 2016;113:E1286–95.CrossRefPubMedPubMedCentral Ryan JF, et al. Successful immunotherapy induces previously unidentified allergen-specific CD4+ T-cell subsets. Proc Natl Acad Sci U S A. 2016;113:E1286–95.CrossRefPubMedPubMedCentral
43.
go back to reference Miyao T, et al. Plasticity of Foxp3+ T cells reflects promiscuous Foxp3 expression in conventional T cells but not reprogramming of regulatory T cells. Immunity. 2012;36:262–75.CrossRefPubMed Miyao T, et al. Plasticity of Foxp3+ T cells reflects promiscuous Foxp3 expression in conventional T cells but not reprogramming of regulatory T cells. Immunity. 2012;36:262–75.CrossRefPubMed
45.
go back to reference Hong X, Wang X. Epigenetics and development of food allergy (FA) in early childhood. Curr Allergy Asthma Rep. 2014;14:460.CrossRefPubMed Hong X, Wang X. Epigenetics and development of food allergy (FA) in early childhood. Curr Allergy Asthma Rep. 2014;14:460.CrossRefPubMed
Metadata
Title
Human Immune Monitoring Techniques during Food Allergen Immunotherapy
Authors
Blake Rust
Erik Wambre
Publication date
01-04-2017
Publisher
Springer US
Published in
Current Allergy and Asthma Reports / Issue 4/2017
Print ISSN: 1529-7322
Electronic ISSN: 1534-6315
DOI
https://doi.org/10.1007/s11882-017-0689-y

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