Induction of antigen-specific tolerance by oral administration of Lactococcus lactis delivered immunodominant DQ8-restricted gliadin peptide in sensitized nonobese …

IL Huibregtse, EV Marietta, S Rashtak… - The Journal of …, 2009 - journals.aai.org
IL Huibregtse, EV Marietta, S Rashtak, F Koning, P Rottiers, CS David, SJH Van Deventer
The Journal of Immunology, 2009journals.aai.org
Active delivery of recombinant autoantigens or allergens at the intestinal mucosa by
genetically modified Lactococcus lactis (LL) provides a novel therapeutic approach for the
induction of tolerance. Celiac disease is associated with either HLA-DQ2-or HLA-DQ8-
restricted responses to specific antigenic epitopes of gliadin, and may be treated by
induction of Ag-specific tolerance. We investigated whether oral administration of LL-
delivered DQ8-specific gliadin epitope induces Ag-specific tolerance. LL was engineered to …
Abstract
Active delivery of recombinant autoantigens or allergens at the intestinal mucosa by genetically modified Lactococcus lactis (LL) provides a novel therapeutic approach for the induction of tolerance. Celiac disease is associated with either HLA-DQ2-or HLA-DQ8-restricted responses to specific antigenic epitopes of gliadin, and may be treated by induction of Ag-specific tolerance. We investigated whether oral administration of LL-delivered DQ8-specific gliadin epitope induces Ag-specific tolerance. LL was engineered to secrete a deamidated DQ8 gliadin epitope (LL-eDQ8d) and the induction of Ag-specific tolerance was studied in NOD AB DQ8 transgenic mice. Tolerance was assessed by delayed-type hypersensitivity reaction, cytokine measurements, eDQ8d-specific proliferation, and regulatory T cell analysis. Oral administration of LL-eDQ8d induced suppression of local and systemic DQ8-restricted T cell responses in NOD AB DQ8 transgenic mice. Treatment resulted in an Ag-specific decrease of the proliferative capacity of inguinal lymph node (ILN) cells and lamina propria cells. Production of IL-10 and TGF-β and a significant induction of Foxp3+ regulatory T cells were associated with the eDQ8d-specific suppression induced by LL-eDQ8d. These data provide support for the development of effective therapeutic approaches for gluten-sensitive disorders using orally administered Ag-secreting LL. Such treatments may be effective even in the setting of established hypersensitivity.
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