Therapeutic targets for olive pollen allergy defined by gene markers modulated by Ole e 1-derived peptides
Introduction
Allergen-specific CD4+ helper T-cell (Th) generation is the initial event leading to the development of allergic disease. Type I allergy is caused by an inappropriate Th2 response to environmental allergens (El Biaze et al., 2003, Schleimer et al., 1989, Walker et al., 1991) leading to antigen-specific IgE production as well as recruitment and activation of proinflammatory cells (e.g., eosinophils and mast cells) in mucosal target organs (Hakansson et al., 1997, Hakansson et al., 1998, Till et al., 1997). In contrast, under similar exposure conditions, tolerance to allergens is maintained in non-allergic individuals. A deficit in immune tolerance is considered to cause allergy in predisposed individuals. Peripheral T-cell tolerance is characterized by functional inactivation due to specific T-cell subtypes with an immunosuppressive function, generically named regulatory T-cells (Tregs) (Akdis, 2008). IL-10 and TGF-β, secreted by these Tregs, may play an important role (Robinson, 2009, Akdis and Akdis, 2009, Palomares et al., 2010).
Olive tree pollen is one of the most important causes of pollinosis in the Mediterranean countries and some parts of Australia and North America. Olive pollen induces mainly nasal and conjunctival symptoms, although it may cause asthma exacerbation in areas with high antigenic load. The major olive allergen, Ole e 1, recognized by around 80% of allergic subjects, is a single polypeptide chain of 145 aa (Villalba et al., 1993, Lauzurica et al., 1988) that shows a high degree of sequence homology and IgE crossreactivity to the main allergens in other Oleaceae family pollens such as lilac, privet and, in particular, to ash, a relevant allergen source in areas such as Central Europe and North America. These facts make possible their use as a marker allergen to detect genuine sensitization to this family and in particular to ash (Martín-Orozco et al., 1994, Niederberger et al., 2002, Castro et al., 2007, Lombardero et al., 2002).
Ole e 1 has at least 4 B-cell epitopes (Martín-Orozco et al., 1994) and 2 regions, aa91 to 102 and aa109 to 130 that are defined as immunodominant T-cell epitopes (Cárdaba et al., 1998). Several works have analyzed the IgG and IgE B-cell epitopes of Ole e 1 for developing a molecule-based therapeutic strategy (González et al., 2006, Marazuela et al., 2008, Twaroch et al., 2011).
On the other hand, it was published how continuous exposure to olive pollen lowered the likelihood of patients to be sensitized to olive-pollen allergens (Geller-Bernstein et al., 2002, Florido et al., 1999). Also, a pilot study showed how stimulation with Ole e 1 peptides induced a different cytokine profile in peripheral blood mononuclear cells (PBMCs) from olive pollen-allergic patients compared to non-allergic subjects, according to IL-10 (Cárdaba et al., 2007), being the peptides that included aa10-31 Ole e 1 region, mainly recognized by non-allergic subjects, and postulated as possible immunomodulator peptides. More recently, we have described the decrease of TGF-β sera levels and Foxp3 mRNA expression in olive pollen-allergic subjects, compared with healthy controls and subjects with specific treatment, facts that indicated the lack of regulatory mechanisms in olive pollen-allergic subjects during the pollen season (Aguerri et al., 2012). Further, we have defined a gene-expression pattern that makes it possible to discriminate different clinical conditions related with olive-pollen response in subjects with high exposure (Aguerri et al., 2013).
This report explores how Ole e 1-derived peptides affect gene expression and examines the capacity of these peptides to modulate the levels of Th1/Th2 and Treg cytokines by studying the stimulation of PBMCs of responder and non-responder subjects to this allergen. This study could be important to understand the behavior of Ole e 1 peptides and their capacity to modulate genes and/or pathways that play essential roles in this disease, as well as to establish biomarkers, that might be useful as new therapeutic tools to modulate olive-pollen allergy and allergy to other members of the Oleaceae family.
Section snippets
Subjects
The study population comprised 15 untreated olive pollen-allergic patients and 14 non-allergic controls selected from a previous immunological study (Aguerri et al., 2012). The subjects were unrelated and recruited and diagnosed at the Allergy Service of hospitals in Andalusia (Spain), a region in southern Spain with particularly high pollen counts during the pollen season and high prevalence of asthma. Subjects were selected in 2 olive pollen exposure conditions: April to June, with very high
Subjects
The demographic and clinical parameters of the population studied are summarized in Table 1.
The mean levels of Olea europaea-specific IgE andibodies and total IgE underwent a statistically significant increase in the allergic group (P < 0.05); in these subjects, higher levels were obtained outside pollen season than during pollen season, as has been described previously (Aguerri et al., 2012).
Levels of cytokines in supernatant of stimulated PBMCs
No clear pattern of secreted cytokines made it possible to distinguish between both groups. Mean levels
Discussion
Twelve olive-pollen proteins have been characterized as having allergenic activity (Ole e 1 to 12) (Villalba et al., 2014). Ole e 1, the major allergen, has been extensively studied (Cárdaba et al., 2002, Cárdaba et al., 2007, Llanes et al., 2009). This report aims to define new therapeutic biomarkers that could be useful in improving therapy for olive-pollen allergy by analyzing the influence of total extract from olive pollen and peptides defined as immunodominant (Cárdaba et al., 1998) and
Author contribution statement
D. Calzada, M. Aguerri, and B. Cárdaba have worked in all project steps: Design of the study, experimental work, results discussion, and manuscript drafting.
S. Baos collaborated in part of experimental work.
D. Montaner, M. Mata, and J. Dopazo have performed the statistical analysis.
J. Quiralte and F. Florido performed the patient selection and collaborated in the design of study.
C. Lahoz collaborated in the design of the study, results discussion, and manuscript elaboration.
Conflict of interest statement
The authors declare that they have no conflicts of interest.
Acknowledgements
This work was supported in part by research grants CP05/00183, PI10/0025, PI13/01730 co-supported by FEDER, CIBERES (ISCIII, 0013) and RETIC (RD09/0076/00101) from the Fondo de Investigación Sanitaria (Ministerio de Sanidad y Consumo, Spain), Fundación Ramón Areces 2007 (5236/001). D. Calzada and M. Aguerri were supported by Fundación Conchita Rábago, Madrid, Spain and S. Baos by CIBERES (ISCIII, 0013) and Fundación Conchita Rábago. We are also grateful to Dr. J. Delgado and Dr. A. Miranda for
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These authors have contributed equally to this article.