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1 1 1 1 1 The rat Brown Norway model to asses the oral sensitizing properties of food proteins André Penninks 13 April 2012 ILSI-HESI-PATC, Prague, Czech Republic

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The rat Brown Norway model to asses the oral sensitizing properties of food proteins André Penninks

13 April 2012 ILSI-HESI-PATC, Prague, Czech Republic

2

Special acknowledgement

Léon Knippels, PhD

Present address: Danone Research-Centre for Specialised Nutrition

Wageningen The Netherlands

and colleagues involved in the studies conducted in the BN

rat model.

3 3 3 3 3

Why Should We Use Animal Models?

Sensitization studies in humans not possible, only challenge reaction can be studied in patients

Mechanistic research of IgE-mediated food allergy

Development of methods for prevention or therapy of food allergy

Prediction of potential allergenicity of new food proteins (e.g. GMO’s), ranking of the relative allergenicity

4 4 4

Prediction of Food Allergy

More attention for animal models predicting potential

allergenicity was raised following the introduction of GMO’s:

Is a protein that was not previously common in the human diet likely to be allergenic if introduced in commodity crops? Will production of biotechnology (GM) crops alter the allergenicity of endogenous proteins?

5 5 5 5 5

IFBC Allergenicity Assessment for GM crops

Source of Gene (Allergenic)

Sequence 1 Similarity

Solid Phase Immunoassay

Commonly Allergenic

Less Commonly Allergenic

Stability to Digestion/

Processing Skin Prick Test

DBPCFC (IRB)

STOP or label

Consult with Reg. Agency

for appropriate further tests

Reg. Approval / Market

Yes No

Yes

No Yes Yes

Yes No

No

Yes

No No (<5 sera)

Yes No

No (>5 sera)

Further testing = animal models, or ex-vivo testing ?

6 6 6 6 6

Assessment of the Allergenic Potential of Foods Derived from Biotechnology

FAO/WHO 2001 Decission Tree

Source of gene allergenic

Sequence Homology

Sequence Homology

Specific Serum Screen

Targeted Serum Screen

Likely Allergenic

Pepsin Resistance

Animal Models

+/+ +/- -/-

High Low

Probability of

Allergenicity

Yes No

No Yes

No Yes No

No Yes

Yes

7 7 7 7 7

Key factors for animal models (1)

Simple protocols for sensitization and challenges which are reproducible between laboratories and over time, and which take into account:

Genetic predisposition (species/strain-high/low responder/atopic prevalence)

Unscheduled dietary pre-exposure of test animals to test protein (diet, parents)

Sensitization age – neonate, adolescent, adult route – oral/gavage/i.p./dermal/subcutaneous. test material – whole foods/purified proteins dose frequency- daily, twice weekly, weekly etc Dose amount – high dose (tolerance)/low dose (sensitization) Use of adjuvant [no adjuvant, cholera toxin (oral), Alum (i.p.)]

8 8 8 8 8

Key factors for animal models(2)

Tolerant to most food proteins Comparable allergenicity – strong/week/non-allergenic

IgE response to comparable proteins as found in patients

Clinical reactions upon challenge

9 9 9 9 9

Relative Food Allergenicity - Animal Models (severity) -

Alle

rgen

icity

Proteins

Ara h 2

ovomucoid b-lactoglobulin

Sol t 1 (Potato)

shrimp tropomyosin Ara h1

6 – 12 soybean proteins

Wheat

Celery

Rubisco

BSA Ara h3

ovalbumin a-lactalbumin caseins

10 10 10 10 10

Animal Models

Predictive models - Brown Norway rat - oral/i.p. (Knippels et al, from 1998) - Balb/c mice - i.p., no adjuvant (Dearman et al, from 2000) - Balb/c mice - oral, CT (Adel-Patient et al, 2005) - B10A mice - i.p./nasal (Akiyama et al, 2001) - Guinea pig - oral/gavage/drinking water/i.p. (Kitagawa et al,

1995) - Dog - food with adjuvant (Ermel et al, 1997)

Mechanistic models - C3H/HeJ mice - oral with CT (Li et al, from 1999, 2000; van Wijk

et al, from 2004) - DBA/2 mice (Ito et al, 1997) - Swine (Helm et al, 2002, 2003) Each model has pro’s and con’s and potential problems

11 11 11 11 11

Brown Norway rat food allergy model Several dosing protocols studied in BN rats:

- Ad libitum via drinking water; 0.002, 0.02, 0.2, 2 and 20 mg/mL OVA for 6 weeks

- Gavage dosing of 1 mg/kg OVA, daily, once a week, twice a week, once every two week

Knippels et al, Clin Exp Allergy, 1998, 28, 368-375.

Several rat strains studied with OVA 1mg/rat for 6 wks:

- BN rats - Hooded Lister (HL) - Piebold Viral Glaxo (PVG) - Wistar IgG in all strains from d 7, IgE only in BN rats

Knippels et al, Fd Chem Toxicol, 1999, 37, 881-888.

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Brown Norway rat food allergy model

Young male Brown Norway rats (4-6 wks), bred and raised on a test protein free diet (e.g. OVA, egg white, cow’s milk free diets). 1 mg protein/ml/rat/day by gavage dosing for 42 days no adjuvants Specific IgG1, IgG2a and IgE responses Specific T cell proliferation Clinical symptoms after oral challenge Comparison of antibody responses to allergic food proteins in BN rats to those in allergic patients

13 13 13 13 13

Sensitization and challenge in the BN rat allergy model

0 42 50

Sensitization Rest Challenge

Daily gavage 1 mg protein

•Blood samples weekly

•IgG and IgE

protein by gavage • Blood pressure

• Respiratory effects

• Gut permeability

• RMCPII

• T cell proliferation

14 14

Ovalbumin-specific IgG and IgE responses

0

2

4

6

8

10

12

14

0 7 14 21 28 35 42 49 56 63

2Log

IgG

tite

r

0

2

4

6

8

10

12

14

0 7 14 21 28 35 42 49 56 63 2L

og Ig

E tit

er

Ovalbumin-specific IgG response Ovalbumin-specific IgE response

Days Days

Knippels et al, Allergy, 55, 251-258

15 15 15 15

Hen’s egg white and cow’s milk-specific IgG responses

14

Days

0

4

8

12

16

20

2log

IgG

tite

r

6 5 6 4 4 5 4 3 4 2 4 2 4 2 3 2 2

7 0 21 28 35 42 49 56 63 0 7 14 21 28 35 42 49 56 63

Days

0

3

6

9

12

15

2log

IgG

tite

r 2/5 4/5 4/5 5/5 5/5

Milk Egg

Knippels et al, Allergy, 55, 251-258

16 16 16 16 16

Immune-mediated clinical effects (OVA sensitized and challenged)

Blood pressure - decreased 10-20% of the sensitized animals Respiratory effects - decreased 10-20% of the sensitized animals Gut permeability - increased uptake bystander protein RMCP-II - increased release in serum

T cell proliferation - increased

Knippels et al, Toxicol Appl Pharmacol, 1999, 156, 161-169

17 17

Airway responsiveness control animals

0 20 40 60 80 100 120

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Brea

thin

g Fr

eque

ncy

(Hz)

0 20 40 60 80 100 120

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Brea

thin

g Fr

eque

ncy

(Hz)

Time (min) Time (min)

18 18

Airway responsiveness sensitized animals

0 20 40 60 80 100 120

Time (min)

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Brea

thin

g Fr

eque

ncy

(Hz)

0 20 40 60 80 100 120

Time (min)

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Brea

thin

g Fr

eque

ncy

(Hz)

19 19 19 19

β-lactoglobulin levels in sera from control and test animals

Time (hr) 0 0.5 1 2 3 5 8

ip sens. <LOD 1.7-4.6* 0.9-2.4* <LOD-1.6 <LOD <LOD <LOD

oral sens <LOD 0.05-0.13* 0.07-0.09 <LOD-0.05 <LOD <LOD <LOD

control <LOD <LOD-0.02 <LOD <LOD <LOD <LOD <LOD

LOD: Limit of detection (0.01 µg/ml)

Knippels et al, Toxicol Appl Pharmacol, 156, 161-169

20 20

Unscheduled dietary pre-exposure!

21 21 21 21 21

Soy-protein specific IgG responses

i.p.

0

5

10

15

20

2log

IgG

tite

r

rats bred on a soy-protein containing diet

42 28 28 RB RB RB RB

ad lib ad lib Soy i.p.

Soy Soy

0

5

10

15

20

2log

IgG

tite

r

rats bred on a soy-protein free diet

F4 F4

28 28 28 28 42 42

F4

ad lib

F4

ad lib

F4 F4 Soy

ad lib

F4 Soy

ad lib USF USF USF Soy

i.p.

Knippels et al., JACI, 1998;101:815-20

i.p.

22 22 22 22 22

Dietary Control Soy-protein specific IgG titers

RB F0 F1 F2 F3 F4 0

2

4

6

8

2log

IgG

tite

r

Knippels et al., JACI, 1998;101:815-20

23 23 23 23 23

Soy-protein specific IgG responses

i.p.

0

5

10

15

20

2log

IgG

tite

r

rats bred on a soy-protein containing diet

42 28 28 RB RB RB RB

ad lib ad lib Soy i.p.

Soy Soy

0

5

10

15

20

2log

IgG

tite

r

rats bred on a soy-protein free diet

F4 F4

28 28 28 28 42 42

F4

ad lib

F4

ad lib

F4 F4 Soy

ad lib

F4 Soy

ad lib USF USF USF Soy

i.p.

Knippels et al., JACI, 1998;101:815-20

i.p.

24 24 24 24 24

25 25 25 25 25

Peanut specific IgG2a responses

0

2

4

6

8

10

12

Day 7 Day 35 Day 42

2log

IgG

2a ti

ters

20 10 40 89 50 100 60 40 20 70 70 50 80 40

I.P

100

0,01 mg/day 135°C

0,1 mg/day 135°C

1,0 mg/day 135°C

1,0 mg/day 160°C

10 mg/day 135°C

Ladics et al, Toxicol Sci, 2003; 73, 8-16 Kimber et al, Env Health Persp, 2003, 111, 8, 1125-1130

26 26 26 26 26

Rat mast cell protease II (RMCP-II) levels in serum after oral challenge with CPE or RPE

0

5

10

15

20

25

30

35

40

0 0,5 1 2 3

Time after challenge (hours)

RM

CPI

I con

cent

ratio

n (n

g/m

l)

0 5

10 15 20 25 30 35 40 45

Group

RM

CPI

I con

cent

ratio

n (n

g/m

l)

t = 0 t = 3

** **

C C 1 10 1 10 1

CPE RPE

27 27 27 27 27

Specific IgG2a responses against Ara h1, Ara h2, and Ara h3

Serum Dilution

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024 0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024

Serum Dilution

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1,8

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024

Serum Dilution

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1,8

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024

Serum Dilution

0

0,2

0,4

0,6

0,8

1

1,2

1,4

1,6

1,8

1\8 1\16 1\32 1\64 1\128 1\256 1\512 1\1024

Serum Dilution

Ara h1 Ara h2 Ara h3

I.P.

Oral

Ladics et al, Toxicol Sci, 2003: 73, 8-16; Ladics et al, Reg Tox Pharmacol, 2010, 56, 212-224

28

Dietary control in the development of a peanut allergy model in BN rats

BN rats bred for 3 generations on a peanut- and soy- free diet (3G PE/soy-

free) and rats raised on a commercially peanut-and whey-protein free diet

(PE-W free) were daily i.g. dosed with 1 or 10 mg PE without adjuvant.

In 3G PE/soy-free BN rats IgE titers > than those of the PE-W free rats

In 3G PE/soy-free BN rats 100% IgE responders both to 1 and 10 PE.

In PE-W free BN rats only 10% IgE responders (2/20) sensitized with 1 mg

PE and no IgE responders when sensitized with 10 mg PE

In 3G PE/soy-free BN rats 100% IgG1 and IgG2a responders and higher

levels than in PE-W free BN rats

In PE-W free BN rats 19/20 IgG1 and 17/20 IgG2a responders sensitized with

1 mg PE and 9/10 IgG1 and IgG2a responders sensitized with 10 mg PE

De Jonge et al, Methods 41,99-111, 2007

29 29 29 29

Protein Source Molecular weight (by gel-migration)

Purity

Sol t 1 (Patatin0 Weak

Potato tuber

Ara h 1 strong

Peanut

Shrimp tropomyosin Intermediate

Raw brown Shrimp

Beef Tropomyosin No allergen

Raw beef

94.6%

99.3%

92.6%

88%

37-38 kDa

35-39 kDa

60-67 kDa

40-43 kDa

Purified Proteins

Ladics et al, Reg Toxicol Pharmacol 2010, 56, 212-224

30 30 30 30 30

Brown Norway - IgE results – 2nd Exp.

Day 42 IgE Responders IgG2a RespondersELISA PCA ELISA ELISA

Titre(#rats) # rats Titre # ratsAra h11 mg/ml 4.7 (3/6) 1/6 11.3 6/61 mg/ml + CT 4.3 (3/4) 0/4 4.5 2/4I.p. + Alum 4.2 (6/6) 1/6 12.2 6/6

Pen a 11 mg/ml 9.5 (2/6) 1/6 12.2 6/61 mg/ml + CT 0 (0/4) 0/4 10.5 4/4I.p. + Alum 10.2 (6/6) 3/6 12.5 6/6

Sol t 11 mg/ml 9 (1/6) 1/6 15 6/61 mg/ml + CT 8.5 (2/4) 0/4 14.5 4/4I.p. + Alum 10.8 (6/6) 5/6 13.8 6/6

Beef1 mg/ml 0 (0/6) 0/6 3.75 4/61 mg/ml + CT 0 (0/4) 0/4 4 4/4I.p. + Alum 0 (0/6) 0/6 3 3/6

Human allergen ranking high high low-med. non-

31 31 31 31 31

2S albumin form Brazil nut (Ber e1): The role of -S-S- bridges

Hypothesis: “Brazil nut 2S albumin is a potent allergen due to its stability

towards digestion. This stability is supported by -S-S- bridges”

Testing the hypothesis:

prepare 2 forms of Brazil nut 2S albumin and test for: structure, stability, allergenicity

Native Brazil nut 2S albumin (N-2S) Reduced-alkylated Brazil nut 2s albumin (RA-2S)

32 32 32 32 32

(RA)-2S albumin (Ber e1)-specific antibody responses (day 42)

0

5

10

15

20

2log

ant

ibod

y tit

er

water 0.1 mg 1 mg 0.1 mg 1 mg

2S albumin RA-2S albumin

50 50

50

70 70

50 50

60

IgG1

IgG2a

IgE

33 33 33 33 33

IgG and IgE responses in BN rat model upon oral exposure to whole foods

Protein 2log IgG Number of responders IgG IgE PE (1 mg) 10 10/10 4/10 HEW (2.5 mg) 7.2 5/6 1/6 HEW (10 mg) 14 4/6 2/6 CM (10 mg) 2.5 4/5 2/5 Knippels and Penninks, Toxicol Appl Pharmacol, 2005

34 34 34 34 34

IgG and IgE responses in BN rat model upon oral exposure to purified proteins

Protein 2log IgG Number of responders IgG IgE i.p. OVA 12.3 8/10 6/10 6/6 Ber e1 6.9 7/10 5/10 6/6 Ara h1 11.3 6/6 3/6 6/6 Pen a1 12.2 6/6 2/6 6/6 Sol t1 15 6/6 1/6 6/6 Beef tropo 3.8 4/6 0/6 0/6

Knippels and Penninks, Toxicol Appl Pharmacol, 2005

35

Results obtained with BN rats in other labs Atkinson et al, Toxicology 91, 281-288, 1994 Atkinson et al, Fd Chem Toxicol 34, 27-34, 1996 Miller et al, Clin Exp Allergy 29, 1696-1704, 1999

Diet, gavage and i.p. exposures in the presence of adjuvant Akiyama et al, Immunology Letters 78, 1-5, 2001

OVA-specific IgE upon gavage > drinking water (1 mg OVA/day) Jia et al, World J Gastroenterol 11, 5381-5384, 2005

IgE responders OVA (8/10) > BSA (2/10) > PAP (0/10) Madsen and Pilegaard, Int Arch Allergy Immunol 130, 66-72, 2003

No priming of the IR in newborn BN rats dosed with OVA in mouth Pilegaard and Madsen, Toxicology 196, 247-257, 2004

Female BN rats > IgE/IgG titers against OVA/egg white than males Bogh et al, Clin Exp Allergy 39, 1611-1621

Digested Ara h1 has sensitizing capacity in BN rats

36 36 36 36 36

Further Food Allergy Research (1)

Currently at TNO no further development of the BN rat model for prediction of the potential allergenicity of new proteins. At TNO special attention will be given to the a slightly adapted

protocol of the mice model of Li et al (1999, 2000) for assessment of potental allergenicity of new proteins. In collaboration with the Utrecht Centre of Food Allergy (UCFA)

a new mice model is currently validated to test for hypo-allergenicity of partial and extensively hydrolysed infant formula (to replace the guinea pig ASA/PCA test).

37 37 37 37 37

Further Food Allergy Research (2) Mechanistic research in animal models for food allergy is further

focussed on improvement of strategies for prevention (tolerance induction) and therapy. Special attention is given at TNO to the collection of physical

and biological data of proteins (strong-, week-, and non allergenic proteins) for development of a toolbox to predict potential allergenicity of new proteins. Special attention is given at TNO to quantitative risk

assessment in food allergy.

38 38 38 38

Dept Toxicology and Applied Risk Assessment TNO Triskelion BV

Zeist

Thank you for your attention

André Penninks

[email protected]

39 39 39 39 39

TNO Triskelion Contract research organisation Fully owned by TNO 200 employees HQ in Zeist, The Netherlands

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