{"id":12358,"date":"2019-04-10T09:01:24","date_gmt":"2019-04-10T08:01:24","guid":{"rendered":"http:\/\/www.wjst.de\/blog\/?p=12358"},"modified":"2019-12-23T16:39:04","modified_gmt":"2019-12-23T16:39:04","slug":"il33-allergy-and-helminths-shot-in-the-leg","status":"publish","type":"post","link":"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/04\/il33-allergy-and-helminths-shot-in-the-leg\/","title":{"rendered":"IL33, allergy and helminths: Shot in the leg?"},"content":{"rendered":"<p>Ever since our <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20860503?dopt=Abstract&amp;holding=npg\">NEJM paper<\/a>\u00a0in 2010 that showed an<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23222155\"> IL33\/ST2 association<\/a> there are new studies on IL33.<\/p>\n<p><a href=\"https:\/\/jacionline.org\/retrieve\/pii\/S0091674912018660\">Grotenboer 2013<\/a> did a functional annotation of the gene and it&#8217;s receptor in humans while there is no more doubt about the <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2018\/04\/loss-of-il33-protects-against-allergy\/\">involvement of IL33<\/a> in human allergy. \u00a0Right now IL33 suppression is already used as an experimental <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29045903\">screening test<\/a> for allergic reactivity <a href=\"https:\/\/www.anaptysbio.com\/wp-content\/uploads\/AAD-Presentation-Ogg-021718.pdf\">with ongoing phase II studies<\/a> of anti-IL33 or anti ST2. Good IL33 reviews can be found for example in <a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fimmu.2018.02004\/full\">frontiers in immunology<\/a>\u00a0by Tataori et al. or in <a href=\"https:\/\/www.nature.com\/articles\/s41590-018-0069-3\">nature immunology<\/a> by Smith.<\/p>\n<p>These reviews do not tell you so much about the regulation while regulation has recently elucidated by <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29475849\">Gour et al.<\/a> who describe a tropomyosin\u2013dectin-1 interaction of the human host.\u00a0Why is\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3924148\/\">tropomyosin<\/a>\u00a0such a frequent target of human IgE?<\/p>\n<blockquote><p>Muscle protein tropomyosin is an important IgE target in a number of nematode infections; <em>Onchocerca volvulus<\/em> ; <em>Ascaris lumbricoides<\/em>; <em>Anisakis simplex<\/em>; and tropomyosin from the blood fluke <em>Schistosoma mansoni<\/em> is also a human IgE antigen. Tropomyosin is highly conserved across many invertebrates and is responsible for much of the IgE cross-reactivity between <em>Ascaris<\/em> and dust-mites.<\/p><\/blockquote>\n<p>I haven&#8217;t found any good \u00a0answer to this question. As tropomyosin affects contractility &#8211; this seems like &#8220;shooting into the leg&#8221; of worms whenever they attempt to invade.<\/p>\n<p>Maybe Gour et al. did not know the earlier dissertation from\u00a0<a href=\"https:\/\/edoc.hu-berlin.de\/bitstream\/handle\/18452\/16789\/lendner.pdf?sequence=1\">Berlin<\/a>\u00a0that already showed a reduced inflammation in the OVA mouse model by administration of recombinant tropomyosin.<\/p>\n<blockquote><p>The broad cross reactivity to tropomyosin gives rise to the question if helminth tropomyosin could induce allergic reactions to itself and\/or tropomyosin of different organisms. Considering the fact that filarial nematodes express tropomyosin on their surface [&#8230;] and that the continuing turnover of microfilariae confronts the host with relevant amounts of tropomyosin makes this question even more appropriate.<\/p><\/blockquote>\n<p>Worms seems to be attacked by anti-worm-surface-tropomyosin IgE whenever the worm tries to invade \u00a0the epithelium during an acute infection. During invasion<a href=\"https:\/\/www.nature.com\/articles\/srep34255\"> extracellular IL33<\/a> is cleaved into a shorter form with enhanced activity <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1002\/eji.200737547\">attracting more immune cells<\/a>.<br \/>\nDuring chronic infestation nothing happens as long as the worm does not invade and doesn&#8217;t trigger any IL33 alarmin. As there is continuous tropomyosin antigen antigen contact, the host is\u00a0slowly desensitzed, clearing IgE in favor of\u00a0IgG4.<\/p>\n<p>Is this also a model that explains allergy? We don&#8217;t know the details but maybe this antigen recognition \/ response system is being disturbed where allergens like Der p1 mimicking a worm infection by tropomyosin can trigger the allergic reaction in particular as <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5486027\/\">Der p1 a\u00a0cysteine protease<\/a>\u00a0also mimicks an invasion signal.<\/p>\n<p><span style=\"text-decoration: underline;\">23.12.2019 Addendum<\/span><\/p>\n<p>Parasite tropomyosin ist <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/31865358\">detected in in 55%-62% of patients<\/a> (cockroach tropomyosin rPer a 7, Ascaris tropomyosin rAsc l 3).<\/p>\n\n<p>&nbsp;<\/p>\n<div class=\"bottom-note\">\n  <span class=\"mod1\">CC-BY-NC Science Surf , accessed 14.04.2026<\/span>\n <\/div>","protected":false},"excerpt":{"rendered":"<p>Ever since our NEJM paper\u00a0in 2010 that showed an IL33\/ST2 association there are new studies on IL33. Grotenboer 2013 did a functional annotation of the gene and it&#8217;s receptor in humans while there is no more doubt about the involvement of IL33 in human allergy. \u00a0Right now IL33 suppression is already used as an experimental &hellip; <a href=\"https:\/\/www.wjst.de\/blog\/sciencesurf\/2019\/04\/il33-allergy-and-helminths-shot-in-the-leg\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">IL33, allergy and helminths: Shot in the leg?<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,2],"tags":[3105,3103,3104,3106,199,1096,307],"class_list":["post-12358","post","type-post","status-publish","format-standard","hentry","category-asthma-allergy","category-genetics-biology","tag-il1","tag-il33","tag-st2","tag-alarmin","tag-allergy","tag-farming","tag-ige"],"_links":{"self":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12358","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/comments?post=12358"}],"version-history":[{"count":20,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12358\/revisions"}],"predecessor-version":[{"id":14811,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/posts\/12358\/revisions\/14811"}],"wp:attachment":[{"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/media?parent=12358"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/categories?post=12358"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wjst.de\/blog\/wp-json\/wp\/v2\/tags?post=12358"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}