murine models for evaluating the allergenicity of
TRANSCRIPT
MURINE MODELS FOR MURINE MODELS FOR EVALUATING THE EVALUATING THE
ALLERGENICITY OF ALLERGENICITY OF GENETICALLY MODIFIED FOODSGENETICALLY MODIFIED FOODS
Hatice Aldemir, Hatice Aldemir, Ph.DPh.DUniversity of Paris XIUniversity of Paris XI
ILSI New Methods WorkshopILSI New Methods Workshop2323--25 October 200725 October 2007
Nice Nice –– France.France.
Hatice Aldemir
PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
** AnimalsAnimals–– Strain, age, sex, exposure to food, etc.Strain, age, sex, exposure to food, etc.
** Test material:Test material:–– Allergens and nonAllergens and non--allergens allergens –– Determination of matrix effect: pure protein Determination of matrix effect: pure protein vs.vs. whole plantwhole plant–– Effects of food processing or digestionEffects of food processing or digestion–– Presence of Presence of adjuvantsadjuvants: modified immune responses: modified immune responses
** Experimental design:Experimental design:–– Route of administration (iv, ip, oral, td, etc.)Route of administration (iv, ip, oral, td, etc.)–– Frequency and dose of administration: graded allergenicityFrequency and dose of administration: graded allergenicity
** Biomarkers: Biomarkers: IgEIgE, , IgGIgG, cytokines, cell surface markers, etc., cytokines, cell surface markers, etc.** Reliability of the model: interReliability of the model: inter--laboratory comparisonslaboratory comparisons** Relevance to human data: (e.g. Active Systemic Anaphylaxis)Relevance to human data: (e.g. Active Systemic Anaphylaxis)
Critical parameters for establishing a robust,Critical parameters for establishing a robust,cost effective and reproducible animal modelcost effective and reproducible animal model
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PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
MOUSE MODELS OF FOOD ALLERGYMOUSE MODELS OF FOOD ALLERGY
•• XX--M. Li et al. 2000 (Oral, Peanut)M. Li et al. 2000 (Oral, Peanut)
•• K. AdelK. Adel--Patient et al. 2000 (I.P., Milk)Patient et al. 2000 (I.P., Milk)
•• R. Dearman et al. 2003 (I.P., OVA, BSA, PNA, STA, PAP)R. Dearman et al. 2003 (I.P., OVA, BSA, PNA, STA, PAP)
•• V. V. MorafoMorafo et al. 2003 (I.G., CM, PNA)et al. 2003 (I.G., CM, PNA)
•• C.J. Betts et al. 2004 (I.D., PNA & STA)C.J. Betts et al. 2004 (I.D., PNA & STA)
•• F. F. vanWijkvanWijk et al. 2004 (Oral, Peanut)et al. 2004 (Oral, Peanut)
•• SS--Y. Lee et al. 2005 (I.G., Buckwheat)Y. Lee et al. 2005 (I.G., Buckwheat)
•• N. Birmingham et al. 2005 & 2007 (I.P. and T.D. , Hazelnut)N. Birmingham et al. 2005 & 2007 (I.P. and T.D. , Hazelnut)
•• K. K. VaaliVaali et al. 2006 (T.D., OVA)et al. 2006 (T.D., OVA)
•• GizzarelliGizzarelli et al. 2006 (I.G., WT and GMet al. 2006 (I.G., WT and GM--Soybean)Soybean)
•• etc…etc…
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Oral Oral gavagegavage sensitisation modelssensitisation models
♀
4-8-w-old
C3H/HeJ
Peanut Extract
+ Adjuvant
d0 7 21 35 42
Li et al.Li et al.20002000
d12 3 8 15 22 29 36 43 49
van van WijkWijk et al.et al.20042004
Buckwheat Extract
+ Adjuvant
d0 1 2 7 21 35
Lee et al.Lee et al.20052005
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Oral Oral gavagegavage sensitisation models (continued)sensitisation models (continued)
♀
BALB/cPeanut or Milk
♀
4-8-w-old
C3H/HeJ
♀
4-w-old
BALB/c
Wild type Soybean or GM-Soybean
+ Adjuvant
GizzarelliGizzarelli et al.et al.20062006
d0 7 14 21 28
MorafoMorafo et al.et al.20032003
AdelAdel--Patient et al.Patient et al.20052005
d0 7 14 21 28 35 42
+ Adjuvant
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Dermal & IntraDermal & Intra--dermal sensitisation modelsdermal sensitisation models
PNA
or
PAP
d0 7 14
Betts et al.Betts et al.20042004
IntraIntra--dermaldermal
C57BL/6
BALB/c+
Hazelnutextract
+ / - Adjuvant
Birmingham et al.Birmingham et al.2005 & 20072005 & 2007
TransdermalTransdermal
w1 w2 w3 w4 w5 w6 +d10
♀
BALB/c
OVA
d1 4 8 22 35 40 … 51
VaaliVaali et al.et al.20062006
TransdermalTransdermal
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I.P. sensitisation models I.P. sensitisation models
♀
8-12-w-old
BALB/c
OVA, BSA, PNA,STA & PAP
d0 7 14
DearmanDearman et al.et al.20032003
♀
BALB/cHazelnutextract
+ / - Adjuvant
C57BL/6
Birmingham et al.Birmingham et al.20052005
1h
d-3 1 d11 w5 w6 +d10
♀
BALB/c
AdelAdel--Patient et al.Patient et al.20002000
Milk
d1 11 18
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•• Many different models developedMany different models developed
•• All based on All based on IgEIgE detection detection
•• Adjuvant necessary for oral sensitisationAdjuvant necessary for oral sensitisation
•• Limited number of allergens and nonLimited number of allergens and non--
allergens testedallergens tested
ConclusionConclusion
Hatice Aldemir
PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
ILSI ring trialILSI ring trial
Test ProteinsAra h 1 (peanut allergen)Ara h 2 (peanut allergen)Β-lactoglobulin (cows’ milk allergen)Rubisco (non-allergen)Soy lipoxygenase (non-allergen)
Animal modelsIP; no adjuvant; BALB/cIP; no adjuvant; BALB/c, A/J, C3HIP; no adjuvant; BALB/c IP; +/- adjuvant; BALB/c, A/J, C3H, C57BL6IP; +/- adjuvant; BALB/c
LaboratoriesBayer CropScienceDupontSyngentaMonsantoDow
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ILSI ring trialILSI ring trial
Endpoints measured:
Clinical scoring => Active Systemic Anaphylaxis (ASA)
IgG levels => ELISA
IgE levels => Passive Cutaneous Anaphylaxis (PCA)
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IgGIgG
Passive Passive CutaneousCutaneous Anaphylaxis (PCA)Anaphylaxis (PCA)Phase I: Phase I: SensitisationSensitisation
D0 D7 D14D7 D14Protein Protein i.p. injectionsi.p. injections
Naïve animal Sensitised animals
Blood withdrawalBlood withdrawal
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Passive Passive CutaneousCutaneous Anaphylaxis (PCA)Anaphylaxis (PCA)Phase II: Phase II: ElicitationElicitationEar of a naïve mouse Serum from
sensitised mouse e.g. PNA
PNA+
Evans Blue
48 h
Mouse Tail
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Mast cellMast cell
IgEIgE ReceptorReceptor IgEIgEEar of a naïve mouse
Serum from sensitised mouse
e.g. PNA
48h after PNA +
Evans Blue
PCA PCA (continued)(continued)
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Passive Passive CutaneousCutaneous Anaphylaxis (PCA)Anaphylaxis (PCA)Phase II: Phase II: ElicitationElicitationEar of a naïve mouse Serum from
sensitised mouse e.g. PNA
PNA+
Evans Blue
48 h
< 3mm => IgE (-)
30 min after measure the diameter of
the blue mark
> 3mm => IgE (+)
Mouse ear
Mouse Tail
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Beta-Lactoglobulin (mm)
0 0.1% 2.5% 5%0123456789101112
STRONG HUMAN ALLERGENS
0 0.005% 0.01% 0.05% 0.1% 2.5% 5%
Ara h 1 IgE response (mm)
789101112
0123456
Ara h 2 IgE response (mm)
789101112
0123456
0,1 % 2,5 % 5 %0
Rubisco IgE response (mm)
6789101112
012345
0 0.1% 0.3%
WEAK HUMAN ALLERGENS
6789101112
5
01234
0 0.1% 0.5% 1% 1.5% 2.5% 5%
Soy Lipoxygenase IgE response (mm)
But high LPS contamination and potential cross-reactivity!
BCS ResultsBCS Results
No No IgGIgG !!!!!!
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(+) specific IgG and IgE
Positive Clinical Score
Positive Clinical Score
Not examined.(+) specific IgG and IgE
(+) specific IgE
(+) specific IgE
SoybeanLipo-oxygenase
(+) specific IgG and IgE
Positive Clinical Score
Positive Clinical Score
Not examined.Not examined.(+) specific IgE
(+) specific IgE
Ara h1
(-) specific IgG
Positive Clinical Score
Positive Clinical Score
Not examined.Not examined.(-) specific IgG and IgE
(-) specific IgG and IgE
Ara h2
(+) specific IgG and IgE
Negative Clinical Score
Negative Clinical Score
(+) specific IgG and IgE
Not examined.(-) specific IgE
(-) specific IgE
β-lacto-globulin
(+) specific IgG and IgE
Negative Clinical Score
Negative Clinical Score
Not examined.(+) specific IgG and IgE
(+) specific IgE
(+) specific IgE
Rubisco
Lab DSensitize days 1, 7 IgG =>ELISAIgE => PCA d14
Lab CSensitize days 0, 7, 28IgE => het. PCA day 28 Clinical Symptoms d45
Lab BSensitize days 1, 7IgG => ELISAIgE => PCA d14
Lab ASensitize days 1, 7, 14IgG => ELISAIgE => PCA d21
Protein
BALB/cC3H/HeJA/JBDF1C3H/HeJBDF1BALB/c
EVALUATION OF IP MOUSE MODELS FOR ASSESSING THE ALLERGENIC POTENTIAL OF PROTEINS. Thomas, K., Hérouet, C., Bannon, G., Ladics, G., MacIntosh, S., Privalle, L., Woolhiser, M., Hefle, S. ILSI, Bayer CropScience, Monsanto, Dupont Co., Bayer Bioscience, BASF, The Dow Chemical Company, University of Nebraska. AAAAI Congress, San Antonio, 2005.
Combined ResultsCombined Results
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• Difficult to differentiate between allergens and non-allergens consistently with various models.
• Adequate purification (e.g. LPS) and good characterization of proteins are important.
• The mechanisms of action for each protein (allergy vs. tolerance) need to be explored.
ILSI ring trial: ConclusionILSI ring trial: Conclusion
Hatice Aldemir
PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
R.J. R.J. DearmanDearman et al. => et al. => Intraperitoneal sensitisation modelIntraperitoneal sensitisation model 20032003
Ovalbumin
Peanut agglutinin
Potato agglutinin
d0 d7 d14
I.P. I.P. Sacrifice
♀
8-12-w-old
BALB/c
Dearman RJ, Stone S, Caddick HT, Basketter DA, Kimber I. Evaluation of protein allergenic potential in mice: dose-response analyses. Clin Exp Allergy. 2003 Nov;33(11):1586-94.Clinical and Experimental Allergy 33: 1586, 2003.
NO Adjuvant
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Results: Phase IResults: Phase I 20032003
Dearman RJ, Skinner RA, Herouet C, Labay K, Debruyne E, Kimber I. Induction of IgE antibody responses by protein allergens: inter-laboratory comparisons. Food Chem Toxicol. 41(11): 1509-1516, 2003.
PNA 0.1% 2% OVA 5% STAPeanut Egg Potato
Serum levels of specificSerum levels of specific--IgGIgG and IgG1and IgG1
Syn BCS Syn BCS Syn BCS
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Results: Phase IResults: Phase I 20032003
Dearman RJ, Skinner RA, Herouet C, Labay K, Debruyne E, Kimber I. Induction of IgE antibody responses by protein allergens: inter-laboratory comparisons. Food Chem Toxicol. 41(11): 1509-1516, 2003.
Serum levels of specific Serum levels of specific IgEIgE
PNA 0.1% 2% OVA 5% STAPeanut Egg Potato
Syn BCS Syn BCS Syn BCS
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Apparent spectrum based on Apparent spectrum based on IgEIgE levelslevels
1
10
100
0 1 2 3 4 5 6
PNA 0.1%
2% OVA
5% STA
Protein concentration (%)
Rec
ipro
calP
CA
titr
e
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Conclusions: Phase IConclusions: Phase I 20032003
Dearman RJ, Skinner RA, Herouet C, Labay K, Debruyne E, Kimber I. Induction of IgE antibody responses by protein allergens: inter-laboratory comparisons. Food Chem Toxicol. 41(11): 1509-1516, 2003.
=> Measurement of IgE responses by PCA in BALB/c mice appears to accurately identify allergens.
=> This model is relatively robust and can be transferred successfully between laboratories.
Hatice Aldemir C. Herouet-Guicheney, H. Aldemir, R. Bars, D. de Barbeyrac, D. Rouquié, P. Kennel, B. Stahl, R. Dearman, I. Kimber. Manuscript ready for submission.
Results: Phase IIResults: Phase II 20072007
IgEIgE levelslevels
0
1
2
3
4
5
6
OVA 2% OVA 1% OVA 0.2%R
ecip
roca
l PCA
titre
64
32
16
8
4
2
1
2% 1% 0.2%2% 1% 0.2%OvalbuminOvalbumin
0
1
2
3
4
5
6
PNA 0.1% PNA 0.05% PNA 0.01%
Reci
proc
al P
CA ti
tre
64
32
16
8
4
2
1<1 ND
0.1% 0.05% 0.01%0.1% 0.05% 0.01%Peanut AgglutininPeanut Agglutinin
Syngenta BCS
Hatice Aldemir C. Herouet-Guicheney, H. Aldemir, R. Bars, D. de Barbeyrac, D. Rouquié, P. Kennel, B. Stahl, R. Dearman, I. Kimber. Manuscript ready for submission.
Conclusions: Phase IIConclusions: Phase II 20072007
=> Confirmation of the strength and repeatability of the model.
=> The model needs to be standardized by testing more proteins.
Hatice Aldemir
PlanPlan
•• Critical parameters of animal modelsCritical parameters of animal models
•• Mouse modelsMouse models•• Literature review Literature review
•• ILSI ring trial (2005)ILSI ring trial (2005)
•• SyngentaSyngenta--Bayer CS Collaborative workBayer CS Collaborative work
•• A new promising mouse modelA new promising mouse model
•• ConclusionConclusion
Hatice Aldemir
AimAim
Ara h 1Ara h 2Peanut Agglutinin
A new model of food allergyA new model of food allergy
Peanut
Strongly allergenicStrongly allergenic
Potato
PAP
Weakly allergenicWeakly allergenic
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6-12-w-old female Balb/c mice
Sensitisation protocolSensitisation protocol
Different concentrations of Ara h 1, PAP or PNA were tested.Different concentrations of Ara h 1, PAP or PNA were tested.
Protein ConcentrationsProtein Concentrations0.01 0.01 g/lg/l (0.0025 mg/mouse)(0.0025 mg/mouse)0.04 0.04 g/lg/l (0.01 mg/mouse)(0.01 mg/mouse)0.16 0.16 g/lg/l (0.04 mg/mouse)(0.04 mg/mouse)0.64 0.64 g/lg/l (0.16 mg/mouse)(0.16 mg/mouse)2.50 2.50 g/lg/l (0.64 mg/mouse)(0.64 mg/mouse)
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The parameters: TimThe parameters: Tim--1, 1, ILIL--5/IFN5/IFN--γγ, , IgEIgE
IL-4
IgEIgEIgG1IgG1
&
B LymphocyteB Lymphocyte
IgG2aIgG2a
IFN-γ
Th 1Th 1
Th 2Th 2
TimTim--11
IL-5
IntermediateEarly Late
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Late Marker => ProteinLate Marker => Protein--specific IgEspecific IgE (ELISA)(ELISA)
Protein-specific IgE levels
0.000
0.500
1.000
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
1 / 1
61
/ 32
1 / 6
41
/ 128
1 / 2
561
/ 512
1 / 1
024
1 / 2
048
PBS 0.03 mg/ml 0.15 mg/ml 0.27 mg/ml 0.83 mg/ml 2.5 mg/ml
Arah1 Pap PNA
0 0.01 0.04 0.16 0.64 2.5 Protein sensitisation concentrations (g/l)
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Splenocyte culture for cytokine expressionSplenocyte culture for cytokine expression
Cell recovery
Put in culture
96-well plate
Allergen is Allergen is added in added in cultureculture
Filter
Cutting into pieces
Ex vivoEx vivo Cell CultureCell Culture
Supernatant collection
In the immune system of the sensitisedIn the immune system of the sensitised--micemice
Lymphocyte ThLymphocyte Th
AllergenAllergen
APCAPC
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Intermediate Markers => ILIntermediate Markers => IL--5 / IFN5 / IFN--γγ RatioRatio
H. Aldemir, R. Bars, C. Herouet-Guicheney. Partly presented in ITCASS, Lodi, Italy, 2006.
0
20
40
60
80
100
120
140
0 10 50 250 0 10 50 250 0 10 50 250 0 10 50 250 0 10 50 250 0 10 50 250
0.0025 0.01 0.04 0.16 0.64 2.5
Arah1 PNA PAP
0 0.01 0.04 0.16 0.64 2.5Protein sensitisation concentrations (g/l)
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Early marker => Surface TimEarly marker => Surface Tim--1 expression1 expression
Control-Arah1 Allergen Ara h 1
Tim-1 surface expression
42.3 %20.4 %
14.1 %20.7 %
Control-PAP Non-Allergen PAP
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The parameters: TimThe parameters: Tim--1, 1, ILIL--5 / IFN5 / IFN--γγ, , IgEIgE
IL-4
IgEIgEIgG1IgG1
&
B LymphocyteB Lymphocyte
IgG2aIgG2a
IFN-γ
Th 1Th 1
Th 2Th 2
TimTim--11
IL-5
IntermediateEarly Late
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New model: ConclusionNew model: Conclusion
This animal model with the This animal model with the
selected parameters selected parameters
is promising to discriminate between is promising to discriminate between
Strong AllergenStrong Allergen Weak allergenWeak allergen
However: Standardisation of the model is necessaryHowever: Standardisation of the model is necessary
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General ConclusionGeneral Conclusion
=> => Standardisation / International validation Standardisation / International validation
Need for more proteins to be testedNeed for more proteins to be tested
=> => Several animal models are neededSeveral animal models are needed
* * Clinical modelClinical model vs.vs. Mechanistic modelMechanistic model
ASA scoringASA scoring IgEIgE, , IgGsIgGs, cytokines, etc., cytokines, etc.
* * ProteinProtein vs.vs. FoodFood
Purity & conformationPurity & conformation Matrix & ProcessingMatrix & Processing
=> => Weigh of evidence approach (Weigh of evidence approach (Codex Codex AlimentariusAlimentarius 2003)2003)
Thank you very much Thank you very much
for your kind attention.for your kind attention.
Sponsored bySponsored by
Bayer Bayer CropScienceCropScience
Special thanks to:Special thanks to:
Dr. C. Dr. C. HerouetHerouet--GuicheneyGuicheney (BCS)(BCS)
Dr. R. Bars (BCS)Dr. R. Bars (BCS)
Prof. M. Prof. M. PallardyPallardy (Univ. Paris XI)(Univ. Paris XI)
Prof. N. Prof. N. GlaichenhausGlaichenhaus (Univ. Nice)(Univ. Nice)
BCS participants to the workBCS participants to the work
Dr. de Dr. de BarbeyracBarbeyrac
Dr. P. KennelDr. P. Kennel
Dr. D. Dr. D. RouquiéRouquié
BCS BCS ZootechZootech & Technical Groups& Technical Groups
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Ara h1
02
46
810
1214
1618
PAP
0
24
6
810
12
1416
18
Late Marker => ProteinLate Marker => Protein--specific specific IgGIgG
Peanut Lectin
0
2
4
6
8
10
12
14
16
18
RUBISCO
0
2
4
6
8
10
12
14
16
18
0.0025 0.01 0.04 0.16 0.64 2.5 mg/ml 0.0025 0.01 0.04 0.16 0.64 2.5 mg/ml
0.0025 0.01 0.04 0.16 0.64 2.5 mg/ml 0.0025 0.01 0.04 0.16 0.64 2.5 mg/ml
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Molecular mechanism of allergyMolecular mechanism of allergy
Differentiation
ProliferationAllergenAllergenSecondary contactSecondary contact
T helper 0T helper 0NaiveNaive
AllergenAllergen
Primary contactPrimary contact
DCDC
T helper 0T helper 0NaiveNaive
NonNon--AllergenAllergen
Primary contactPrimary contact
DCDC
Th 2Th 2
TimTim--11
TimTim--33
Th 1Th 1
Differentiation
NonNon--AllergenAllergenSecondary contactSecondary contact
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Blood sample CentrifugationSerum recovery
The protein
Serum dilutions
Antibody against mouse antibodyEvaluation of OD by
spectrophotometre
ELISA (ELISA (IgsIgs, Cytokines, etc..), Cytokines, etc..)
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+
+
+
+
+
+
+
+
+
SupernatantSupernatant
IFN- γ
IL-4
IL-5
CytometricCytometric Bead Array (CBA)Bead Array (CBA)
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Analysis of cytokines by Analysis of cytokines by Cytometric Bead Array (Cytometric Bead Array (CBA)CBA)
Fluorescence Intensity=
Quantity of cytokine
Col
or o
f the
bea
ds
=
Diff
eren
tes c
ytok
ines
ILIL--44ILIL--55
IFNIFN--γγ
FACS In CNRS Lab.
Becton Dickinson (BD)
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CD4 => T helper cell markerCD4 => T helper cell marker
CD4-FITC
Total splenocytes are analysed according to size and granularity C
ell g
ranu
lart
y
Cell sizeC
ell g
ranu
lart
y
Total splenocytes
Non-stained cells
CD4-FITCCD4-FITC
T helper cells are marked with the specific antibody CD4-FITC
T helper marker-stained cells
T helper cells
Non-Th cells
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Endotoxins (Endotoxin Units / mg protein)Endotoxins (Endotoxin Units / mg protein)
100 EU/mg
Threshold for cytokine response bias.Ref: Dearman 2007
Endotoxin levels
10
4105
10
7800
1028
10 30 10 89 150
1000
2000
3000
4000
5000
6000
7000
8000
9000
Arah1 PAP PNA RUB SLP
EU e
ndot
oxin
/ m
g pr
otei
n
Before Purification After Purification
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