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      Isolation of a high‐affinity Bet v 1‐specific IgG‐derived ScFv from a subject vaccinated with hypoallergenic Bet v 1 fragments

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          Abstract

          Background

          Recombinant hypoallergenic allergen derivatives have been used in clinical immunotherapy studies, and clinical efficacy seems to be related to the induction of blocking IgG antibodies recognizing the wild‐type allergens. However, so far no treatment‐induced IgG antibodies have been characterized.

          Objective

          To clone, express, and characterize IgG antibodies induced by vaccination with two hypoallergenic recombinant fragments of the major birch pollen allergen, Bet v 1 in a nonallergic subject.

          Methods

          A phage‐displayed combinatorial single‐chain fragment (ScFv) library was constructed from blood of the immunized subject and screened for Bet v 1‐reactive antibody fragments. ScFvs were tested for specificity and cross‐reactivity to native Bet v 1 and related pollen and food allergens, and epitope mapping was performed. Germline ancestor genes of the antibody were analyzed with the ImMunoGeneTics ( IMGT) database. The affinity to Bet v 1 and cross‐reactive allergens was determined by surface plasmon resonance measurements. The ability to inhibit patients’ IgE binding to ELISA plate‐bound allergens and allergen‐induced basophil activation was assessed.

          Results

          A combinatorial ScFv library was obtained from the vaccinated donor after three injections with the Bet v 1 fragments. Despite being almost in germline configuration, ScFv (clone H3‐1) reacted with high affinity to native Bet v 1 and homologous allergens, inhibited allergic patients’ polyclonal IgE binding to Bet v 1, and partially suppressed allergen‐induced basophil activation.

          Conclusion

          Immunization with unfolded hypoallergenic allergen derivatives induces high‐affinity antibodies even in nonallergic subjects which recognize the folded wild‐type allergens and inhibit polyclonal IgE binding of allergic patients.

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          Most cited references32

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          Immunological mechanisms of allergen-specific immunotherapy.

          Allergen-specific immunotherapy has been carried out for almost a century and remains one of the few antigen-specific treatments for inflammatory diseases. The mechanisms by which allergen-specific immunotherapy exerts its effects include the modulation of both T-cell and B-cell responses to allergen. There is a strong rationale for improving the efficacy of allergen-specific immunotherapy by reducing the incidence and severity of adverse reactions mediated by IgE. Approaches to address this problem include the use of modified allergens, novel adjuvants and alternative routes of administration. This article reviews the development of allergen-specific immunotherapy, our current understanding of its mechanisms of action and its future prospects.
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            The extent of affinity maturation differs between the memory and antibody-forming cell compartments in the primary immune response.

            Immunization with protein-containing antigens results in two types of antigen-specific B cell: antibody forming cells (AFCs) producing antibody of progressively higher affinity and memory lymphocytes capable of producing high affinity antibody upon re-exposure to antigen. The issue of the inter-relationship between affinity maturation of memory B cells and AFCs was addressed through analysis of single, antigen-specific B cells from the memory and AFC compartments during the primary response to a model antigen. Only 65% of splenic memory B cells were found capable of producing high affinity antibody, meaning that low affinity cells persist into this compartment. In contrast, by 28 days after immunization all AFCs produced high affinity antibody. We identified a unique, persistent sub-population of bone marrow AFCs containing few somatic mutations, suggesting they arose early in the response, yet highly enriched for an identical affinity-enhancing amino acid exchange, suggesting strong selection. Our results imply that affinity maturation of a primary immune response occurs by the early selective differentiation of high affinity variants into AFCs which subsequently persist in the bone marrow. In contrast, the memory B-cell population contains few, if any, cells from the early response and is less stringently selected.
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              International Consensus on Allergen Immunotherapy II: Mechanisms, standardization, and pharmacoeconomics.

              This article continues the comprehensive international consensus (ICON) statement on allergen immunotherapy (AIT). The initial article also recently appeared in the Journal. The conclusions below focus on key mechanisms of AIT-triggered tolerance, requirements in allergen standardization, AIT cost-effectiveness, and regulatory guidance. Potential barriers to and facilitators of the use of AIT are described in addition to future directions. International allergy specialists representing the European Academy of Allergy and Clinical Immunology; the American Academy of Allergy, Asthma & Immunology; the American College of Allergy, Asthma and Immunology; and the World Allergy Organization critically reviewed the existing literature and prepared this summary of recommendations for best AIT practice. The authors contributed equally and reached consensus on the statements presented herein.
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                Author and article information

                Contributors
                sabine.flicker@meduniwien.ac.at
                Journal
                Allergy
                Allergy
                10.1111/(ISSN)1398-9995
                ALL
                Allergy
                John Wiley and Sons Inc. (Hoboken )
                0105-4538
                1398-9995
                20 February 2018
                July 2018
                : 73
                : 7 ( doiID: 10.1111/all.2018.73.issue-7 )
                : 1425-1435
                Affiliations
                [ 1 ] Division of Immunopathology Institute of Pathophysiology and Allergy Research Center for Pathophysiology, Infectiology and Immunology Vienna General Hospital Medical University of Vienna Vienna Austria
                [ 2 ] Institute of Molecular Biosciences BioTechMed, University of Graz Graz Austria
                [ 3 ] Division of Hematology and Hemostaseology Department of Internal Medicine I Vienna General Hospital Medical University of Vienna Vienna Austria
                [ 4 ] GE Healthcare Europe GmbH Freiburg Germany
                [ 5 ] NRC Institute of Immunology FMBA of Russia Moscow Russia
                Author notes
                [*] [* ] Correspondence

                Sabine Flicker, Division of Immunopathology, Institute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Vienna General Hospital, Medical University of Vienna, Vienna, Austria.

                Email: sabine.flicker@ 123456meduniwien.ac.at

                Author information
                http://orcid.org/0000-0002-4016-4259
                http://orcid.org/0000-0002-2261-958X
                http://orcid.org/0000-0001-5944-3365
                http://orcid.org/0000-0003-4768-8693
                Article
                ALL13394
                10.1111/all.13394
                6032869
                29315611
                2281616a-c0a1-4c21-84d2-71078fc57c84
                © 2018 The Authors. Allergy Published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 22 December 2017
                Page count
                Figures: 5, Tables: 1, Pages: 11, Words: 6968
                Funding
                Funded by: Austrian Science Fund (FWF)
                Award ID: F4607
                Award ID: P23318‐B11
                Award ID: F4602
                Award ID: F4604
                Award ID: F4605
                Award ID: F4611
                Funded by: Government of the Russian Federation
                Award ID: 14.W03.31.0024
                Categories
                Original Article
                ORIGINAL ARTICLES
                Experimental Allergy and Immunology
                Custom metadata
                2.0
                all13394
                July 2018
                Converter:WILEY_ML3GV2_TO_NLMPMC version:version=5.4.3 mode:remove_FC converted:05.07.2018

                Immunology
                allergy,bet v 1,combinatorial cloning,igg antibody,recombinant hypoallergenic allergen derivative

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