title: Therapeutic reversal of food allergen sensitivity by mature retinoic acid-differentiated dendritic cell induction of LAG3+CD49b-Foxp3-regulatory T cells.
abstract: BACKGROUND
  Anaphylaxis is a life-threatening condition for which we have limited therapeutic options. Although specific immunotherapy for food allergies is becoming more effective, it is still laborious and carries substantial risk of adverse events. On the other hand, regulatory dendritic cell (DC) therapy is effective in mouse models of allergic disease and has been shown to work with TH2 cells from atopic asthmatic patients.
  
  
  OBJECTIVE
  We assessed whether DC immunotherapy could reverse food allergen sensitivity in mouse models to provide proof of concept relating to their use in the clinic.
  
  
  METHODS
  We generated and characterized mature retinoic acid-skewed dendritic cells (DC-RAs) and assessed their abilities to reverse ovalbumin or peanut allergies in mouse models, as well as their operative mechanisms.
  
  
  RESULTS
  DC-RAs displayed a mature yet tolerogenic phenotype, expressing IL-10, TGF-β, IL-27, and aldehyde dehydrogenase 1A2 but not IL-12 or IL-35; IL-10 and TGF-β together drove their suppression of TH2 cell proliferation. Delivery of specific allergen-presenting DC-RAs to half-maximally sensitized mice with ovalbumin or peanut allergy reduced anaphylactic responses to oral allergen challenge by 84% to 90%, as well as diarrhea, mast cell activation, and TH2 cytokine responses and serum allergen-specific IgE/IgG1levels. DC-RA expression of IL-27 was important to their induction of CD25+lymphocyte activation gene 3 (LAG3)+, CD49b-, forkhead box P3 (Foxp3)-regulatory T cells in vitro, such that β subunit of IL-27 (Ebi)-/-(ie, IL-27-incompetent) DC-RAs were ineffective in inducing food allergen tolerance.
  
  
  CONCLUSIONS
  Our data indicate that regulatory DC immunotherapy can be effective for food allergies and suggest that induction of Foxp3-regulatory T cells might be a useful strategy for tolerance induction in this context.
authors.affiliation: Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Dawicki
authors.affiliation: Department of Veterinary Microbiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Chunyan
authors.initials: C
authors.lastname: Li
authors.affiliation: Department of Veterinary Microbiology, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Town
authors.affiliation: Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
authors.forename: Xiaobei
authors.initials: X
authors.lastname: Zhang
authors.affiliation: Department of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada. Electronic address: john.gordon@usask.ca.
authors.forename: John R
authors.initials: JR
authors.lastname: Gordon
mesh_terms: D000485:Allergens / Q000276:immunology; D000818:Animals; D010367:Arachis / Q000276:immunology; D016207:Cytokines / Q000276:immunology; D003713:Dendritic Cells / Q000166:cytology / Q000276:immunology*; D005260:Female; D005512:Food Hypersensitivity / Q000276:immunology / Q000628:therapy*; D007167:Immunotherapy; D008807:Mice, Inbred BALB C; D008810:Mice, Inbred C57BL; D008822:Mice, Transgenic; D010047:Ovalbumin / Q000276:immunology; D016176:T-Lymphocyte Subsets / Q000276:immunology*; D050378:T-Lymphocytes, Regulatory / Q000276:immunology*; D014212:Tretinoin
chemical_list: D000485:Allergens; D016207:Cytokines; D014212:Tretinoin; D010047:Ovalbumin
keywords: Regulatory dendritic cells; anaphylaxis; food allergy; immunotherapy; tolerance