Background: Immunotherapy for the treatment of pollen allergies traditionally involves a series of parenteral injections of a crude pollen extract. Successful application of this treatment results in the development of systemic tolerance to the sensitizing allergens, including the induction of blocking antibodies. Objective: We sought to investigate whether oral immunization with a recombinant pollen allergen could induce a systemic immune response, and the production of systemic blocking antibodies in mice. Methods: C57BL/10 mice were orally administered rLol p 5 or sodium chloride solution via gavage. Results: We report that the oral administration of rLol p 5 induced a systemic immune response, including the induction of both blocking and interspecific cross-reactive antibodies. Conclusion: Our results suggest that oral administration of a major grass pollen allergen can induce the development of a systemic immune response including the production of systemic blocking and cross-reactive antibodies, a response that may offer immunological protection upon subsequent allergen exposure.

1.
Noon L: Prophylactic inoculation for hay fever. Lancet 1911;i:572.
2.
Kuna P, Alam R, Kuzminska B, Rozniecki J: The effect of preseasonal immunotherapy on the production of histamine-releasing factor (HRF) by mononuclear cells from patients with seasonal asthma: Results of a double-blind, placebo-controlled, randomized study. J Allergy Clin Immunol 1989;83:816–824.
3.
Furin MJ, Norman PS, Creticos P, Naclerio RM: Immunotherapy decreases antigen-induced eosinophil migration into the nasal cavity. J Allergy Clin Immunol 1991;88:27–32.
4.
Varney VA, Gaga M, Frew AJ, Aber VR, Kay AB, Durham SR: Usefulness of immunotherapy in patients with severe summer hay fever uncontrolled by antiallergic drugs. Br Med J 1991;302:265–269.
5.
Rolland JM, Douglass J, O’Hehir RE: Allergen immunotherapy: Current and new therapeutic strategies. Expert Opin Investig Drugs 2000;9:515–527.
6.
Bjorksten B, Moller C, Broberger U, Ahlstedt S, Dreborg S, Johansson SG, et al: Clinical and immunological effects of oral immunotherapy with a standardized birch pollen extract. Allergy 1986;41:290–295.
7.
Moller C, Dreborg S, Lanner A, Bjorksten B: Oral immunotherapy of children with rhinoconjunctivitis due to birch pollen allergy. A double blind study. Allergy 1986;41:271–279.
8.
Suko M, Mori A, Ito K, Okudaira H: Oral immunotherapy may induce T cell anergy. Int Arch Allergy Immunol 1995;107:278–281.
9.
Litwin A, Flanagan M, Entis G, Gottschlich G, Esch R, Gartside P, et al: Oral immunotherapy with short ragweed extract in a novel encapsulated preparation: A double-blind study. J Allergy Clin Immunol 1997;100:30–38.
10.
Taudorf E, Laursen LC, Lanner A, Bjorksten B, Dreborg S, Soborg M, Weeke B: Oral immunotherapy in birch pollen hay fever. J Allergy Clin Immunol 1987;80:153–161.
11.
Bradford MM: A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 1976;72:248–254.
12.
Laemmli UK: Cleavage of structural proteins during assembly of the head of bacteriophage T4. Nature 1970;227:680–685.
13.
Hejjaoui A, Ferrando R, Dhivert H, Michel FB, Bousquet J: Systemic reactions occurring during immunotherapy with standardized pollen extracts. J Allergy Clin Immunol 1992;89:925–933.
14.
Lichtenstein LM, Holtzman NA, Burnett LS: A quantitative in vitro study of the chromatographic distribution and immunoglobulin characteristics of human blocking antibody. J Immunol 1968;101:317–324.
15.
Adkinson NF, Sobotka AK, Lichtenstein LM: Evaluation of the quantity and affinity of human IgG ‘blocking’ antibodies. J Immunol 1979;122:965–972.
16.
Aalberse RC, van der Gaag R, van Leeuwen J: Serologic aspects of IgG4 antibodies. I. Prolonged immunization results in an IgG4-restricted response. J Immunol 1983;130:722–726.
17.
Birkner T, Rumpold H, Jarolim E, Ebner H, Breitenbach M, Skvaril F, et al: Evaluation of immunotherapy-induced changes in specific IgE, IgG and IgG subclasses in birch pollen allergic patients by means of immunoblotting. Correlation with clinical response. Allergy 1990;45:418–426.
18.
Visco V, Dolecek C, Denepoux S, Le Mao J, Guret C, Rousset F, et al: Human IgG monoclonal antibodies that modulate the binding of specific IgE to birch pollen Bet v 1. J Immunol 1996;157:956–962.
19.
Lebecque S, Dolecek C, Laffer S, Visco V, Denepoux S, Pin JJ, et al: Immunologic characterization of monoclonal antibodies that modulate human IgE binding to the major birch pollen allergen Bet v 1. J Allergy Clin Immunol 1997;99:374–384.
20.
Vrtala S, Ball T, Spitzauer S, Pandjaitan B, Suphioglu C, Knox B, et al: Immunization with purified natural and recombinant allergens induces mouse IgG1 antibodies that recognize similar epitopes as human IgE and inhibit the human IgE-allergen interaction and allergen-induced basophil degranulation. J Immunol 1998;160:6137–6144.
21.
Ball T, Sperr WR, Valent P, Lidholm J, Spitzauer S, Ebner C, et al: Induction of antibody responses to new B cell epitopes indicates vaccination character of allergen immunotherapy. Eur J Immunol 1999;29:2026–2036.
22.
van Neerven RJ, Wikborg T, Lund G, Jacobsen B, Brinch-Nielsen A, Arnved J, Ipsen H: Blocking antibodies induced by specific allergy vaccination prevent the activation of CD4+ T cells by inhibiting serum-IgE-facilitated allergen presentation. J Immunol 1999;163:2944–2952.
23.
Vrtala S, Akdis CA, Budak F, Akdis M, Blaser K, Kraft D, Valenta R: T cell epitope-containing hypoallergenic recombinant fragments of the major birch pollen allergen, Bet v 1, induce blocking antibodies. J Immunol 2000;165:6653–6659.
24.
Zhang L, Kisil FT, Sehon AH, Mohapatra SS: Allergenic and antigenic cross-reactivities of group IX grass pollen allergens. Int Arch Allergy Appl Immunol 1991;96:28–34.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.