Page 95 - CSIR-IGIB Annual Report 2020-21
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Novel Therapeutic Approaches in  Cockroach          resulted in marked decrease in cellular infiltration
            Allergy                                             in lung and is accompanied by reduction in specific
            Periplaneta americana is the principal cockroach    serum IgE levels (and increase in serum IgG2a).
            species predominant in tropical and sub-tropical    Th2 cytokines IL-4 and IL-5 were also reduced in
            regions worldwide.  Identification of  allergenic   peptide treatment groups (T1 and  T3 treated
            proteins is crucial for understanding the etiology   groups) exhibiting modulation of cytokine milieu
            of allergic  reactions and is of  paramount         in vivo.  Recombinant cockroach allergens and
            importance for developing diagnostic and            their peptides conjugated with adjuvants could be
            therapeutic strategies. Allergen Immunotherapy is   promising candidates to improve the intervention
            the only curative approach with long-term           of type I allergy.
            remission  of   symptoms.    Conjugation   of
            immunodominant T cell peptides with adjuvants       Food allergy and cross-reactive allergen
            may be utilized to improve AIT. Flagellin (FlaA, a   Food allergy affects 6-8% children and 3-4% adults
            TLR-5 ligand) is a  potent TLR-5 ligand and was     while pollen from trees, grasses and weeds affect
            therefore conjugated  with major cockroach          approximately 40% of allergic individuals. There is
            allergen Per a10 and its immunodominant T cell      no treatment for food allergy except allergen
            epitopes. Fusion constructs were generated using    avoidance. Phaseolus vulgaris (red kidney bean)
            recombinant DNA technology, expressed in E. coli    has been reported as highly cross-reactive allergic
            and recombinant proteins were purified  using       sensitizer in North  India.  Utilizing in  silico
            affinity chromatography.                            approaches, a cysteine protease from P. vulgaris
            Immunomodulatory effect of fusion proteins was      demonstrating 50% sequence identity with fruits,
            assessed using in vitro  and in vivo  strategies.    pollen and mites has been predicted as a major
            Studies on  bone marrow derived Dendritic cells     cross-reactive allergen. Gene sequence for
            co-culture with splenic T cells revealed robust     cysteine protease was  cloned,  expressed,  and
            induction of Th1 and T regulatory cytokines in FlaA   purified. Recombinant protein was found to be a
            conjugated fusion proteins. In the murine model     major allergen by ELISA and immunoblot. Further,
            of cockroach allergy, reduced Th2 cytokines and     cross-reactivity studies with recombinant protein
            cellular infiltration in lungs was observed in groups   showed 50% inhibition at 8.4 ng of self-protein.
            treated with FlaA-Per a10, FlaA-PT1 and FlaA-PT3    Purified protein has  significant cross-reactivity
            associated  with induction of CD4+Foxp3+  T         with dust  mite followed  by  peanut, black  gram,
            regulatory cells in spleen. Enhanced levels of      and fungal allergens with 50% IgE inhibition at 7.2,
            erythropoetin and myeloperoxidase was observed      52, 437, 4, 78 and 73 respectively. Further,
            in the mice treated with Per a 10 and equimolar     recombinant protease  was able to activate
            mixture of FlaA and Per a 10 as compared to fusion   passively sensitized basophils with upregulated
            proteins FlaA-Per a 10 and FlaA-PT1, FlaA-PT2 and   expression of CD203c activation marker indicating
            FlaA-PT3. Our laboratory has also identified a      biological activity. We have identified three B- and
            Glutathione-S-Transferase allergen Per a5 from P.   T-cell epitopes of  cysteine protease using
            americana.  The allergen exhibits  up to  65%       bioinformatics.  Epitopes  were    chemically
            immune reactivity with cockroach hypersensitive     synthesized  and in  vitro validated using sera
            sera and demonstrates cross reactivity with fungal   samples. B-cell epitopes  showed significant IgE-
            and mite GSTs. In silico analysis of  immune        binding whereas T-cell  epitopes showed low IgE
            epitopes  reveal high  conservancy among the        binding.  One of the clinically relevant pollen
            predicted epitopes of Per a5 with corresponding     source is Prosopis juliflora sharing cross-reactivity
            GST allergens in mite,  fungal and  helminth.       with several tree pollen and food.  Recently, a
            Further, immunotherapeutic potential  of Per a5     35kDa vicilin-like protein, also a glycoprotein was
            derived T  cell epitopes (T1, T2 and T3) was        identified from P. juliflora which showed 75% sera
            examined in murine  model. Peptide treatment        reactivity indicating it as  a major allergen.  The




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