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Designer covalent heterobivalent inhibitors prevent IgE-dependent responses to peanut allergen.


ABSTRACT: Allergies are a result of allergen proteins cross-linking allergen-specific IgE (sIgE) on the surface of mast cells and basophils. The diversity and complexity of allergen epitopes, and high-affinity of the sIgE-allergen interaction have impaired the development of allergen-specific inhibitors of allergic responses. This study presents a design of food allergen-specific sIgE inhibitors named covalent heterobivalent inhibitors (cHBIs) that selectively form covalent bonds to only sIgEs, thereby permanently inhibiting them. Using screening reagents termed nanoallergens, we identified two immunodominant epitopes in peanuts that were common in a population of 16 allergic patients. Two cHBIs designed to inhibit only these two epitopes completely abrogated the allergic response in 14 of the 16 patients in an in vitro assay and inhibited basophil activation in an allergic patient ex vivo analysis. The efficacy of the cHBI design has valuable clinical implications for many allergen-specific responses and more broadly for any antibody-based disease.

SUBMITTER: Deak PE 

PROVIDER: S-EPMC6500160 | biostudies-literature | 2019 Apr

REPOSITORIES: biostudies-literature

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Designer covalent heterobivalent inhibitors prevent IgE-dependent responses to peanut allergen.

Deak Peter E PE   Kim Baksun B   Abdul Qayum Amina A   Shin Jaeho J   Vitalpur Girish G   Kloepfer Kirsten M KM   Turner Matthew J MJ   Smith Neal N   Shreffler Wayne G WG   Kiziltepe Tanyel T   Kaplan Mark H MH   Bilgicer Basar B  

Proceedings of the National Academy of Sciences of the United States of America 20190408 18


Allergies are a result of allergen proteins cross-linking allergen-specific IgE (sIgE) on the surface of mast cells and basophils. The diversity and complexity of allergen epitopes, and high-affinity of the sIgE-allergen interaction have impaired the development of allergen-specific inhibitors of allergic responses. This study presents a design of food allergen-specific sIgE inhibitors named covalent heterobivalent inhibitors (cHBIs) that selectively form covalent bonds to only sIgEs, thereby pe  ...[more]

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