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ResearchOnline@JCU
This file is part of the following work:
Liu, Tiange (2017) Development of a mouse model to evaluate the
degree of immunological cross-reactivity between prawns and
abalone. PhD thesis, James Cook University.
Access to this file is available from:
https://doi.org/10.4225/28/5acd39d9bf34e
Copyright © 2017 Tiange Liu.
The author has certified to JCU that they have made a reasonable effort to gain permission and acknowledge the owner of any third party copyright material included in this document. If you
believe that this is not the case, please email [email protected]
Development of a Mouse Model to Evaluate the Degree of Immunological Cross-reactivity between Prawns and Abalone
Thesis submitted by
Tiange LIU
B.Sc.(Agr.)
For the degree of Doctor of Philosophy
in the College of Public Health, Medical and Veterinary Sciences
James Cook University
Townsville, Australia
March 2017
Statement of contribution
I
STATEMENT ON THE CONTRIBUTION OF OTHERS
Nature of Assistance
Contribution Name and Affiliation
Intellectual support
Project plan and
development
• Prof. Andreas Lopata, James Cook University
• Dr. Severine Navarro, James Cook University
• Dr. Paul Giacomin, James Cook University
Editorial support • Prof. Andreas Lopata, James Cook University
• Dr. Severine Navarro, James Cook University
Grant proposal
writing • Prof. Andreas Lopata, James Cook University
Financial support
Research • ARC Future Fellowship for Prof. Andreas Lopata
• The Australian Institute of Tropical Health and Medicine research grant
Conference travel
• The Australian Institute of Tropical Health and Medicine
• Women Scientists Travel Award, Beijing Genomics Institute (BGI)
• Grant-in aid conference funding, College of Public Health, Medical and Veterinary
Stipend
• China Scholarship Council (CSC) PhD Scholarship
• James Cook University Postgraduate Scholarship
• College Scholarship, College of Public Health, Medical and Veterinary Sciences, James Cook
University
Write-up support • Doctoral Completion Grant, College of Public
Health, Medical and Veterinary Sciences, James
Cook University
Data collection
Human blood
sample collection
• Prof. Jennifer Rolland, Monash University
• Prof. Robyn O’Hehir, Monash University and The Alfred Hospital
Technical support
Recombinant
protein assay • Dr. Sandip Kamath, James Cook University
• Dr. Shruti Saptarshi, James Cook University
Mouse sample
analysis • Dr. Severine Navarro, James Cook University
• Dr. Paul Giacomin, James Cook University
Mass spectrometry • Mr. Roni Nugraha, James Cook University
Statement of contribution
II
CONTRIBUTION OF OTHERS IN CHAPTERS
Chapter 1. Introduction
T. Liu, S. Navarro, A.L. Lopata, Current advances of murine models for food allergy,
Molecular immunology, 70 (2016) 104-117.
Prof. Andreas L. Lopata
(AL), James Cook University
Dr. Severine Navarro (SN),
James Cook University
TL and AL co-developed the aim of the review article. The
figures and tables were generated by TL with editorial inputs
from AL and SN.
Chapter 2. Establishment of a mouse model for prawn allergy
Prof. Andreas L. Lopata
(AL), James Cook University
Dr. Severine Navarro (SN),
James Cook University
TL, SN and AL co-developed the research question. TL
performed the experimental work and data analysis. SN
provided assistance with mouse sample evaluation. The
figures and tables were generated by TL with the technical
assistant from SN and editorial input from AL.
Chapter 3. Evaluation of the potential immunological and clinical cross-reactivity between the whole heated extracts of Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis laevigata × Haliotis rubra)
Prof. Andreas L. Lopata
(AL), James Cook University
Dr. Paul Giacomin (PG),
James Cook University
TL, PG and AL co-developed the research question. TL
performed the experimental work and data analysis. PG
provided assistance with mouse sample evaluation. The
figures and tables were generated by TL with the editorial
input from AL.
Chapter 4. The application of recombinant tropomyosins from Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis laevigata × Haliotis rubra) in the development of mouse models for shellfish allergy
Prof. Andreas L. Lopata
(AL), James Cook University
Dr. Sandip Kamath (SK),
James Cook University
TL and AL co-developed the research question. TL performed
the experimental work and data analysis. SK provided
assistance with the immunoblots. The figures and tables were
generated by TL with editorial input from AL.
Chapter 5. Evaluation of the potential immunological and clinical cross-reactivity between tropomyosin from Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis laevigata × Haliotis rubra)
Prof. Andreas L. Lopata
(AL), James Cook University
TL and AL co-developed the research question. TL performed
the experimental work and data analysis. The figures and
tables were generated by TL with the editorial input from AL.
Acknowledgements
III
ACKNOWLEDGEMENTS
Years ago, achieving a PhD degree overseas was a seemingly unreachable dream for me.
I could never have imagined that CSC could provide me such a valuable opportunity to
study in Australia. This unique experience has changed and reshaped me. I wish to
express my heartfelt gratitude to all the amazing people who accompanied me on my
journey.
Firstly, I would like to thank my primary supervisor Prof. Andreas Lopata. Without his
unwavering support and advice, I would not have been able to complete this PhD and this
thesis would never had been written. I thank him for giving me enormous support at every
essential stage of this PhD. His guidance has had a profound effect on my growth of a
scientist and person. I also would like to thank my co-supervisor Dr. Severine Navarro.
Her extensive knowledge and rigorous scientific attitude is impressive. Receiving her
supervision at Cairns AITHM was a very lucky turning point of my PhD. Another co-
supervisor, Dr. Sandip Kamath, has become a role model for me as a PhD student. I
admire him for his diligence, modesty and devotion, and appreciate his help with many
aspects of my PhD studies, especially the learning of molecular techniques.
I am also particularly grateful to four people for their timely and selfless help in my
darkest days. Prof. James Burnell is a super-warmhearted and wise mentor. With his
guidance, I started my first real independent experiment with confidence and passion.
Even after he retired, his support is still with me. I will always remember his clear glance
and his firm tone when I was having difficulties: “keep the faith, and I believe you can
Acknowledgements
IV
make it”. Dr. Paul Giacomin offered me extensive technical and intelligent support in
my mouse experiments. I truly thank him for being there for me during this PhD’s
rollercoaster-ride. I greatly appreciate the advice from my research student monitor
A/Prof. Jeffrey Warner while completing my PhD studies. I feel so blessed because of
his understanding, patience and wisdom. I also need to thank A/Prof. Xiaoqin Sun from
Northwest Agriculture & Forestry University for using her personal experiences to paint
the picture of what success for me might look like.
I am very fortunate to be a part of the Molecular Immunology Group, and thank every
member for their guidance, supports and friendship during all these years: Mr. Roni
Nugraha, Dr. Aya Taki, Dr. Martina Koeberl, Dr. Shanshan Sun, Mr. Thimo Ruether,
Mr. Juan Stephen and Dr. Elecia Johnston. Also, I would like to thank everyone in the
AITHM Loukas team, especially Prof. Alex Loukas and Ms. Mel Campbell, who made
me feel welcome and supported when I resettled in a different working environment. I
want to give many hugs to Ms. Geraldine Buitrago, Ms. Linda Jones, Mr. Luke Becker,
Mr. Rafid Al-Hallaf, Ms. Stephanie Ryan, Ms. Sally Troy and Mr. Atik Susianto for
their willingness to lend me a hand on my busiest days in the laboratory.
I would like to express my sincere gratitude to the academic and administrative staff in
the College of Public Health, Medical and Veterinary Sciences: Prof. Alan Baxter, Dr.
Margaret Jordan, Mr. Benjamin Crowley, Ms. Tina Cornell, Ms. Candi Lee, Mr.
David Jusseaume, Dr. Ray Layton, Ms. Melissa Hines and Mrs. Maree Hines. Every
success of my work has been based on their immense assistance. Also, I would like to
sincerely acknowledge the CSC, GRS, college and AITHM for their administrative and
Acknowledgements
V
financial support.
Finally, and most importantly, I am so thankful for every second of life because of my
loving family. My parents are my best friends. Their unconditional love makes me
courageous to fly thousands of kilometres away alone for a new life but I have never felt
I am on my own. Many special thanks to my boyfriend, Liqiang, who as a doctor of
engineering knows the allergy mouse models even more than I do now. Thanks for being
so caring, considerate, good-natured, smart, and coming all the way to Australia for me.
He makes me the luckiest but also a better person who is happy to strive to deserve him.
Acknowledgements
VI
This thesis is dedicated to my beloved parents, younger brother,
grandmother, and Liqiang.
Thesis abstract
VII
ABSTRACT
Food allergy is one of the major health concerns in both industrial and developing
countries. The most frequent pattern of food allergy is IgE-mediated hypersensitivity. As
the global consumption of seafood grows, the prevalence of shellfish allergy has been
increasing significantly. Unfortunately, so far, there is no cure for shellfish allergy. Many
patients follow the elimination diet to protect themselves from the potential life-
threatening consequence. Prawns and abalone are two of the most widely distributed
shellfish species in the Asian-Pacific region and the in vitro IgE cross-reactivity between
them has been reported. However, there is a lack of in vivo studies to comprehensively
assess the degree of the immunological cross-reactivity between prawns and abalone and
to identify the cross-reactive allergens.
Mouse models are very useful tools to study allergic diseases. Without involving patients
and possible health risks, the conditions of allergen exposure can be designed on
experimental animals and subsequently substantial evidence for humoral and cellular
responses can be obtained for the evaluation of potential allergic reactions. Therefore, in
this PhD thesis, a mouse model has been developed for the in-depth assessment of the
immunological cross-reactivity between prawns and abalone.
Black tiger prawn (Penaeus monodon) has been selected for the development of this
shellfish allergy model, because as one of the glorbally commercial seafood products the
major allergens of Black tiger prawn (BTP) have been well characterised using
immunochemical methods and mass spectroscopy. Moreover, tropomyosin is the most
abundant allergen in BTP extracts, and has over 95% amino acid sequence identity with
Thesis abstract
VIII
tropomyosins from other prawn species. Jade tiger abalone (Haliotis. laevigata × Haliotis.
rubra) is one of the three main species of abalone farmed in Australia. The consuption
but also the aquaculture facilities of Jade tiger abalone are rapidly expanding,
nevertheless the allergenicity of this shellfish species is poorly understood. Therefore,
Jade tiger abalone has been included in this project.
Firstly, heated extracts of Black tiger prawn (hBTP) was produced and a serial
optimisation was performed to induce a good mouse model that could mimic prawn
allergy. Two mouse strains C57BL/6 and BALB/c mice were employed, and different
doses of intraperitoneal sensitisation and frequencies of oral challenges with hBTP were
compared for the optimum production of allergen-specific IgE antibody. In Chapter 2, the
best induction protocol for the prawn allergy model was demonstrated using BALB/c
mice. Moreover, murine humoral and cellular reactions including serum IgE, IgG and
mast cell protease-1, splenic cytokines, circulating and splenic eosinophil and basophil,
as well as intestinal IgA were thoroughly analysed for the characterising this murine
model.
The whole heated extracts of Black tiger prawn and Jade tiger abalone (hAbal) were
prepared, and using this model, the immune responses against heterologous allergenic
extracts were investigated in detail in Chapter 3. The capacity of serum IgE and IgG to
bind to heterologous extracts and the production of Th2 cytokine after stimulation with
heterologous extracts were very limited as demonstrated. Interestingly, murine
splenocytes more frequently exposed to heterologous shellfish extracts could release
more IL-5 and IL-13, indicating the increasing risk of immunological cross-reactivity in
Thesis abstract
IX
patients allergic to prawns when continues consuming abalone, and vice versa. Moreover,
as compared to hBTP, hAbal was for the first time demonstrated to have a stronger
sensitisation potency in experimental animals. Furthermore, to identify the allergens in
hBTP and hAbal, the antibody binding proteins were detected using mouse sera. A very
similar antibody binding pattern in hBTP and hAbal was illustrated in the immunoblot of
patient IgE and mouse IgG. In both hBTP and hAbal, tropomyosin (TM) was
demonstrated to be the predominant allergen. In addition to TM, arginine kinase was also
identified to generate antibody reactive in both hBTP and hAbal. Notably, the murine
hBTP-specific IgG could recognise abalone TM in vitro, indicating the serologic cross-
reactivity to TM from prawns and abalone. Therefore, TM was the key allergenic protein
for the prawn-abalone cross-reactivity.
The allergenic properties of prawn and abalone TMs were particularly examined in
Chapter 4. The DNA of TM from Jade tiger abalone was for the first time sequenced and
cloned. An amino acid sequence alignment of TMs from Black tiger prawn and Jade tiger
abalone was performed, specifically for the previously identified eight IgE binding
epitopes on prawn TM. The amino acid sequence identity is 63.4% and only one of eight
predicted IgE binding regions showed identical primary structure. Moreover, recombinant
TMs (rTMs) from BTP and Abal were expressed using E. coli system. Not only the IgE-
reactivity to both rTMs was observed using patient sera, but also the allergy-like
responses were successfully induced in BALB/c mice using prawn or abalone rTM.
Prawn rTM displayed a similar allergenic potential as hBTP, in contrast abalone rTM
elicited a lower level of serum IgE as compared to hAbal, as well as splenic IL-5 and IL-
Thesis abstract
X
13, eosinophils and basophils.
With the availability of prawn and abalone rTMs, the potential immunological cross-
reactivity to TM from prawns and abalone was assessed using a mouse model in Chapter
5. Prawn-TM-sensitised mice demonstrated a considerable level of Th2 reactions to
hAbal. However, no significant responses were observed after orally challenging abalone-
TM-sensitised mice with hBTP, indicating the presence of unique immunodominant
fragments in abalone TM. Heterologous TM elicited very limited effector cells,
suggesting the low degree of in vivo immunological cross-reactivity to TM from prawns
and abalone.
In summary, this thesis has demonstrated the establishment of a suitable mouse model for
shellfish allergy that revealed the limited level of immunological cross-reactivity between
heated extracts of prawns and abalone. The evaluation of rTMs using human sera and the
mouse model has highlighted its allergenicity and its responsibility in prawn-abalone
cross-reactivity. The research presented in this PhD thesis provides important
contributions to the precise diagnosis and medical advices for susceptible individuals.
Future studies are warranted to identify B and T cell epitopes of the detected allergens,
and using this mouse model to develop better diagnostics and immunotherapies for
shellfish allergy.
Table of contents
XI
TABLE OF CONTENTS
STATEMENT ON THE CONTRIBUTION OF OTHERS ......................................... I
CONTRIBUTION OF OTHERS IN CHAPTERS ..................................................... II
ACKNOWLEDGEMENTS ........................................................................................ III
ABSTRACT ................................................................................................................. VII
LIST OF FIGURES ................................................................................................. XVII
LIST OF TABLES .................................................................................................... XXII
LIST OF ABBREVIATIONS ................................................................................. XXIV
CHAPTER 1: INTRODUCTION .................................................................................. 1
1.1 Allergy and allergen .................................................................................................. 2
1.2 Food allergy ............................................................................................................... 5
1.3 Cross-reactivity in food allergy ................................................................................ 5
1.3.1 Characteristics of cross-reactive allergens ........................................................... 7
1.3.2 Cross-reactive allergens in shellfish ..................................................................... 8
1.4 Mouse models for food allergies ............................................................................ 19
1.4.1 Mouse strain ....................................................................................................... 25
1.4.2 Mouse gender ..................................................................................................... 28
1.4.3 Route of sensitisation ......................................................................................... 31
1.4.4 The food allergen .................................................................................................. 7
1.4.4.1 Milk allergens in mouse studies ................................................................... 41
1.4.4.2 Peanut allergens in mouse studies ................................................................ 43
1.4.4.3 Shellfish allergens in mouse studies ............................................................ 45
1.4.5 Advances of food allergy mechanisms in mouse studies ................................... 47
Table of contents
XII
1.4.6 Conclusion .......................................................................................................... 49
1.5 Summary and research synopsis of the thesis ...................................................... 50
1.6 References ................................................................................................................ 37
CHAPTER 2: ESTABLISHMENT OF A MOUSE MODEL FOR PRAWN
ALLERGY ..................................................................................................................... 79
2.1 Introduction ............................................................................................................. 80
2.2 Aims .......................................................................................................................... 83
2.3 Animals, materials, and methods ........................................................................... 84
2.3.1 Animals ............................................................................................................... 84
2.3.2 Preparation of shellfish extracts ......................................................................... 84
2.3.2.1 Preparation of heated Black tiger prawn extracts ........................................ 84
2.3.2.2 Protein concentration estimate ..................................................................... 85
2.3.3 Establishment and evaluation of mouse models in shellfish allergies ............... 85
2.3.3.1 Mice sensitisation and challenge with allergens .......................................... 85
2.3.3.2 Measurement of antibodies and mast cell protease-1 in serum ................... 86
2.3.3.3 Cell stimulation with allergens .................................................................... 89
2.3.3.4 Flow cytometry ............................................................................................ 91
2.3.3.5 Preparation of jejunum protein extracts ....................................................... 92
2.3.3.6 Measurement of cytokines ........................................................................... 93
2.3.3.7 Histology ...................................................................................................... 95
2.3.3.8 Measurement of allergen-specific IgA antibody .......................................... 95
2.3.3.9 Statistical analysis ........................................................................................ 96
2.4 Results ...................................................................................................................... 97
2.4.1 Experiment #1 .................................................................................................... 97
2.4.1.1 Experimental design ..................................................................................... 97
2.4.1.2 Induction of antibody and mast cell protease-1 in sera ................................ 99
2.4.1.3 Production of cytokines by splenocytes in vitro ........................................ 101
2.4.1.4 Production of cytokines in jejunums .......................................................... 104
2.4.2 Experiment #2 .................................................................................................. 107
Table of contents
XIII
2.4.2.1 Experimental design ................................................................................... 107
2.4.2.2 Induction of serum antibody responses ...................................................... 109
2.4.2.3 Eosinophil and basophil responses in blood .............................................. 112
2.4.2.4 Secretion of allergen-specific IgA in jejunum ........................................... 116
2.4.3 Experiment #3 .................................................................................................. 118
2.4.3.1 Experimental design ................................................................................... 118
2.4.3.2 Serum antibodies and mast cell protease-1 ................................................ 120
2.4.3.3 Production of cytokines by spleens and mesenteric lymph nodes ............. 122
2.4.3.4 Induction of eosinophilia in spleens .......................................................... 124
2.4.3.5 Jejunum histology ...................................................................................... 125
2.5 Discussion .............................................................................................................. 127
2.6 References .............................................................................................................. 131
CHAPTER : EVALUATION OF THE POTENTIAL IMMUNOLOGICAL
CROSS-REACTIVITY BETWEEN THE WHOLE HEATED EXTRACTS OF
BLACK TIGER PRAWN (Penaeus monodon) AND JADE TIGER ABALONE
(Haliotis laevigata × Haliotis rubra) ........................................................................... 135
3.1 Introduction ........................................................................................................... 136
3.2 Aims ........................................................................................................................ 138
3.3 Animals, materials, and methods ......................................................................... 139
3.3.1 Animals ............................................................................................................. 139
3.3.2 Preparation of heated extracts of prawns, abalone and cow’s milk .................. 139
3.3.3 Induction and evaluation of mouse models for shellfish allergies ................... 139
3.3.3.1 Mice sensitisation and challenge ............................................................... 139
3.3.3.2 Measurement of antibodies and mast cell protease-1 in serum ................. 142
3.3.3.3 In vitro stimulation of splenocytes with shellfish extracts ......................... 142
3.3.3.4 Flow cytometry .......................................................................................... 143
3.3.3.5 Measurement of cytokines ......................................................................... 143
3.3.3.6 Measurement of allergen-specific IgA antibody ........................................ 143
Table of contents
XIV
3.3.3.7 Statistical analysis ...................................................................................... 143
3.3.3.8 Sodium dodecyl sulfate-polyacrylamide gel electrophoresis .................... 144
3.3.3.9 Mouse immunoblotting .............................................................................. 144
3.3.3.10 Mass spectrometric identification of mouse IgG reactive proteins ......... 145
3.4 Results .................................................................................................................... 147
3.4.1 Induction of serum antibodies .......................................................................... 147
3.4.2 Protein separation and identification of antibody binding proteins ................. 152
3.4.3 Production of cytokines by stimulated splenocytes ......................................... 155
3.4.4 Induction of eosinophil and basophil in spleen and blood ............................... 158
3.4.5 Secretion of IgA antibody in jejunums ............................................................. 161
3.5 Discussion .............................................................................................................. 163
3.6 References .............................................................................................................. 167
CHAPTER : THE APPLICATION OF RECOMBINANT TROPOMYOSINS
FROM BLACK TIGER PRAWN (Penaeus monodon) AND JADE TIGER
ABALONE (Haliotis laevigata × Haliotis rubra) IN THE DEVELOPMENT OF
MOUSE MODELS FOR SHELLFISH ALLERGY ................................................ 172
4.1 Introduction ........................................................................................................... 173
4.2 Aims ........................................................................................................................ 176
4.3 Animals, materials and methods .......................................................................... 177
4.3.1 Cloning and cDNA sequencing of tropomyosin from Jade tiger abalone ........ 177
4.3.1.1 Total RNA isolation ................................................................................... 177
4.3.1.2 cDNA transcription and PCR amplification of tropomyosin ..................... 177
4.3.1.3 Cloning of the coding region of tropomyosin into pProEX HTb vector ... 178
4.3.1.4 Transformation of DH12S competent cells and sequencing of the plasmid DNA ....................................................................................................................... 180
4.3.1.5 Transformation of BL21 competent cells .................................................. 180
4.3.2 Expression and purification of recombinant tropomyosins .............................. 181
4.3.2.1 Culturing of BL21 Escherichia coli cells and auto-induction of the recombinant protein expression ............................................................................. 181
Table of contents
XV
4.3.2.2 Purification of recombinant tropomyosins of Jade tiger abalone and Black tiger prawn ............................................................................................................. 182
4.3.3 Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) ..... 182
4.3.4 Patient sera ....................................................................................................... 183
4.3.5 Patient immunoblotting .................................................................................... 183
4.3.6 Mouse immunoblotting .................................................................................... 184
4.3.7 Mass spectrometric identification .................................................................... 184
4.3.8 Amino acid sequence alignment of prawn and abalone tropomyosins ............ 184
4.3.9 Animals ............................................................................................................. 186
4.3.10 Preparation of shellfish extracts and recombinant tropomyosins ................... 186
4.3.11 Induction and evaluation of mouse models in shellfish allergies ................... 186
4.3.11.1 Mouse sensitisation and challenge ........................................................... 186
4.3.11.2 Detection of serum antibodies and mast cell protease-1 .......................... 188
4.3.11.3 In vitro stimulation of splenocytes and measurement of cytokines ......... 188
4.3.11.4 Flow cytometry ........................................................................................ 188
4.3.11.5 Statistical analysis .................................................................................... 188
4.4 Results .................................................................................................................... 189
4.4.1 Jade tiger abalone and Black tiger prawn tropomyosin sequence comparison 189
4.4.2 Identification of human IgE reactivity to abalone and prawn tropomyosin ..... 191
4.4.3 Serum antibodies and mast cell protease-1 ...................................................... 195
4.4.4 Identification of mouse IgG binding proteins .................................................. 198
4.4.5 Production of cytokines by stimulated and unstimulated splenocytes ............. 200
4.4.6 Secretion of IgA antibody in mouse jejunum ................................................... 203
4.4.7 Induction of eosinophil and basophil in circulating blood and spleen ............. 204
4.5 Discussion .............................................................................................................. 206
4.6 References .............................................................................................................. 209
CHAPTER 5: EVALUATION OF THE POTENTIAL IMMUNOLOGICAL
CROSS-REACTIVITY BETWEEN TROPOMYOSIN FROM BLACK TIGER
PRAWN (Penaeus monodon) AND JADE TIGER ABALONE (Haliotis laevigata ×
Table of contents
XVI
Haliotis rubra) .............................................................................................................. 215
5.1 Introduction ........................................................................................................... 216
5.2 Aims ........................................................................................................................ 218
5.3 Animals, materials, and methods ......................................................................... 219
5.3.1 Animals ............................................................................................................. 219
5.3.2 Preparation of shellfish extracts and recombinant tropomyosins ..................... 219
5.3.3 Induction and evaluation of mouse models in shellfish allergies ..................... 219
5.3.3.1 Mice sensitisation and challenge ............................................................... 219
5.3.3.2 Detection of serum specific antibody and mast cell protease-1 ................. 220
5.3.3.3 In vitro re-stimulation of splenocyte and quantification of cytokines ....... 221
5.3.3.4 Flow cytometry .......................................................................................... 222
5.3.3.5 Measurement of intestinal specific IgA antibody ...................................... 222
5.3.3.6 Statistical analysis ...................................................................................... 223
5.4 Results .................................................................................................................... 224
5.4.1 Antibody response and mMCP-1 levels in serum ............................................ 224
5.4.2 Release of cytokines by allergen restimulated splenocytes in vitro ................. 227
5.4.3 Induction of eosinophil and basophil in circulating blood and spleen ............. 230
5.4.4 Secretion of mucosal IgA antibody in jejunum ................................................ 231
5.5 Discussion .............................................................................................................. 233
5.6 References .............................................................................................................. 237
CHAPTER 6: GENERAL DISCUSSION AND FUTURE DIRECTIONS ........... 241
APPENDIX .................................................................................................................. 248
List of figures
XVII
LIST OF FIGURES
Figure 1.1 Humoral and cellular mechanisms of IgE-mediated allergic inflammation
against food allergens .................................................................................................... 6
Figure 1.2 The proportional prevalence of self-reported food allergen sources of
children and adults in the United States ...................................................................... 38
Figure 2.1 Protocol of inducing shellfish allergy in a mouse model ........................... 98
Figure 2.2 Levels of serum antibodies including hBTP-specific IgE (A), IgG1 (B) and
IgG2a (C), and mMCP-1 (D) ...................................................................................... 99
Figure 2.3 Production of cytokines by unstimulated splenocytes: IL-4 (A), IL-5 (B),
IL-6 (C), IL-9 (D), IL-10 (E), IL-13 (F), IL-17A (G), IL-23 (H), mMCP-1 (I) and
IFN-gamma (J) .......................................................................................................... 101
Figure 2.4 Production of cytokines by hBTP-stimulated splenocytes: IL-4 (A), IL-5
(B), IL-6 (C), IL-9 (D), IL-10 (E), IL-13 (F), IL-17A (G), IL-23 (H), mMCP-1 (I) and
IFN-gamma (J) .......................................................................................................... 103
Figure 2.5 Production of cytokines in homogenised jejunum: IL-4 (A), IL-5 (B), IL-
10 (C), IL-17A (D), IL-23 (E), mMCP-1 (F) and IFN-gamma (G) .......................... 105
Figure. 2.6 Optimised sensitisation and oral challenge protocol, on the basis of
Experiment #1, to establish the mouse model for shellfish allergy ........................... 108
Figure. 2.7 Levels of total serum IgE on Day 25 (A), 31 (B) and 34 (C), and hBTP-
specific IgE on Day 34 (D) ........................................................................................ 110
List of figures
XVIII
Figure. 2.8 Levels of serum hBTP-specific IgG1 (A) and IgG2a (B) on Day 34 ..... 111
Figure. 2.9 A: Representative contour plots showing the gating strategy of viable
eosinophils, FcεRI-basophils and IgE-binding basophils. B: The representative
contour plots of control and treatment groups, showing circulating eosinophils,
FcεRI-basophils and IgE-binding basophils. C, D and E: The levels of eosinophils,
FcεRI-binding basophils, and mean fluorescence intensity (MFI) of IgE antibody
binding on blood basophils from three mouse groups sensitised with different doses of
hBTP as well as the PBS/alum control mice ...................................................... 112-114
Figure 2.10 The level of hBTP-specific IgA in the jejunum ..................................... 116
Figure 2.11 Optimised sensitisation and oral challenge protocol, based on previous
Experiments #1 and 2, to establish the mouse model for prawn allergy ................... 119
Figure 2.12 Levels of serum total IgE antibody in each mouse group at four time-
points (A), serum hBTP-specific IgE antibody (B), IgG2a antibody (F) and mMCP-1
on Day 34 (C), as well as serum hBTP-specific IgG1 antibody on Day 31 (D) and
Day 34 (E) .......................................................................................................... 120-121
Figure 2.13 Cytokine IL-5, IL-13 and IFN-gamma released by hBTP-stimulated
spleens (A, B and C) and MLNs (A’, B’ and C’) ...................................................... 123
Figure 2.14 The number of eosinophil in spleens ..................................................... 124
Figure 2.15 Representative histology of tissue stained with hematoxylin and eosin
demonstrating vasodilation and eosinophilic infiltration into the jejunum tissues ... 125
List of figures
XIX
Figure 3.1 Experimental design in the sensitisation and control groups ................... 141
Figure 3.2 Levels of serum hBTP-specific IgE antibody in the hBTP-sensitised mice
(A), hAbal-specific IgE antibody in the hAbal-sensitised mice (B), and the allergen
recognition of IgE antibody in hBTP/hBTP group (C) and hAbal/hAbal group (D),
and the total IgE antibody (E) ............................................................................ 147-147
Figure 3.3 Levels of serum specific IgG1 antibody in the hBTP-sensitised mice (A)
and hAbal-sensitised mice (B), and the IgG1 reactivity to hBTP and hAbal in the sera
from hBTP/hBTP group (C) and hAbal/hAbal group (D) ......................................... 149
Figure 3.4 Levels of serum hBTP-specific IgG2a antibody in the hBTP-sensitised
mice (A), hAbal-specific IgG2a antibody in the hAbal-sensitised mice (B), and the
allergen recognition of IgG2a antibody in hBTP/hBTP group (C) and hAbal/hAbal
group (D) ................................................................................................................... 151
Figure 3.5 SDS-PAGE protein analysis (A) and immunoblot for analysing the cross-
reactivity of IgG in the sera from hBTP/hBTP group and hAbal/hAbal group to the
heated extracts of abalone and prawns (B) ................................................................ 152
Figure 3.6 Production of IL-5 (A and A’), IL-13 (B and B’), IFN-gamma (C and C’)
by hBTP or hAbal-stimulated splenocytes ................................................................ 155
Figure 3.7 Proportions of eosinophil and IgE-binding basophil in blood (A and B) and
spleen (A’ and B’) ...................................................................................................... 158
Figure 3.8 Levels of the intestinal hBTP-specific IgA antibody in hBTP-sensitised
List of figures
XX
mice (A), hAbal-specific IgA antibody in hAbal-sensitised mice (B), and the allergen
recognition of IgA antibody in the hBTP/hBTP group (C) and hAbal/hAbal group (D)
................................................................................................................................... 161
Figure 4.1 The experimental design of the mouse model for shellfish allergy ......... 187
Figure 4.2 The Amino acid sequence alignment of tropomyosins from Black tiger
prawn (Penaeus monodon), Genbank protein ID ADM34184.1, and Jade tiger abalone
(Haliotis laevigata × Haliotis rubra), Genbank protein ID APG42675.1 ................ 190
Figure 4.3 SDS-PAGE Coomassie stain (A1 and B1) and IgE immunoblot using sera
from 12 shellfish allergic patients of heated abalone extracts (A2), heated prawn
extracts (A3), recombinant abalone tropomyosin (B2) and recombinant prawn
tropomyosin (B3) ...................................................................................................... 191
Figure 4.4 Production of serum allergen-specific IgE (A and B), total IgE (C) and
mast cell protease-1 (mMCP-1) (D) .......................................................................... 195
Figure 4.5 Production of serum allergen-specific IgG1 (A and B) and allergen-specific
IgG2a (C and D) ........................................................................................................ 196
Figure 4.6 Immunoblot analysis of the IgG reactivity to the heated extracts of abalone
(A) and prawns (B) .................................................................................................... 198
Figure 4.7 Production of cytokines by stimulated splenocytes ................................. 200
Figure 4.8 Production of cytokines by unstimulated splenocytes ............................. 202
Figure 4.9 Secretion of intestinal hBTP-specific IgA (A) and hAbal-specific IgA (B)
List of figures
XXI
................................................................................................................................... 203
Figure 4.10 Proportions of eosinophil and IgE-binding basophil in blood (A and B)
and spleen (A’ and B’) ............................................................................................... 204
Figure 5.1. Experimental procedures of sensitisation and oral challenge in seven
mouse groups ............................................................................................................. 220
Figure 5.2 Levels of serum IgE antibody (A and B) and mMCP-1 (E) and reactivity of
IgG1 antibody (C and D) against heterologous tropomyosin ............................. 225-226
Figure 5.3 Production of cytokines by allergen-restimulated splenocytes ................ 227
Figure 5.4 Eosinophil and IgE bound basophil in circulating blood (A and B) and
spleen (A’ and B’) ...................................................................................................... 230
Figure 5.5 Levels of allergen-specific IgA in jejunum .............................................. 232
Figure 6.1 Molecular phylogenetic tree of tropomyosins from different invertebrate
species inferred using Neighbour-Joining method .................................................... 247
List of tables
XXII
LIST OF TABLES
Table 1.1 Current allergen databases ............................................................................. 3
Table 1.2 The risk of cross-reaction to other foods in patients with specific food
allergy .......................................................................................................................... 12
Table 1.3 The risk of cross-reaction to foods in patients allergic to non-food ............ 15
Table 1.4 Identified and characterised allergens of shellfish....................................... 17
Table 1.5 Sequence identify of shellfish tropomyosins (TMs) .................................... 18
Table 1.6 A summary of 26 different mouse models for food allergy established
within the past two decades, categorised by sensitisation and challenge routes ......... 21
Table 1.7 The most common anaphylaxis scoring system used in published studies of
food allergy mouse models .......................................................................................... 25
Table 1.8 Comparison of the immune responses of mouse models for peanut
sensitisation via the oral or nasal route ....................................................................... 36
Table 1.9 Characteristics of the major identified allergenic proteins derived from milk,
peanut and shellfish, and their usage in the establishment of food allergy mouse
models ......................................................................................................................... 39
Table 3.1 IgG antibody reactive proteins identified by SDS-PAGE using mass
spectrometry technique .............................................................................................. 153
Table 4.1 Demographics of 12 shellfish allergic patients and one non-atopic control
List of tables
XXIII
donor .......................................................................................................................... 185
Table 4.2 IgE antibody reactive proteins identified by SDS-PAGE using mass
spectrometry technique .............................................................................................. 192
List of abbreviations
XXIV
LIST OF ABBREVIATIONS
°C – Degree Celsius
μl – Microlitre
AH – Aluminum hydroxide
AK – Arginine kinase
ASCIA – Australasian Society of Clinical Immunology and Allergy
BAA – Basophil activation assay
BLAST – Basic Local Alignment Search Tool
BSA – Bovine serum albumin
BT – Body temperature
BW – Body weight
CD – Cluster of differentiation
cDNA – Complementary deoxynucleic acid
CMP – Cow’s milk protein
CNP – Cashew nut protein extracts
CPE – Crude peanut extracts
CT – Cholera toxin
Da – Daltons
DBPCFC – Double blinded placebo controlled food challenges
EBBE – Enterocyte brush border enzymes
EC – Epicutaneous
E. coli – Escherichia coli
List of abbreviations
XXV
ELISA – Enzyme-linked immunosorbent assay
EU – European Union
FBS – Fetal bovine serum
FcεR – The high affinity immunoglobulin E receptor
FSC- A, H or W – Forward scatter-area, height or width
g – Gravity
GWP – Ground whole peanut
hAbal – Heated Jade tiger abalone (Haliotis laevigata × Haliotis rubra))
hBTP – Heated Black tiger prawn (Penaeus monodon)
HRP – Horseradish peroxidase
IFN – Interferon
IG – Intragastric
IgE – Immunoglobulin Isotype E
IgG – Immunoglobulin Isotype G
IgA – Immunoglobulin Isotype A
IL – Interleukin
IN – Intranasal
IP – Intraperitoneal
IV – Intravenous
kDa – Kilodaltons
l - Litre
M – Molar
List of abbreviations
XXVI
MFI – Mean fluorescence intensity
mg – Milligram
MHC – Major histocompatibility complex
ml – Millilitre
MLC – Myosin light chain
MLN – Mesenteric lymph node
mMCP-1 – Mouse mast cell protease-1
MS – Mass spectrometry
NA – Not applicable
NCBI – National Center for Biotechnology Information
ND – Not determined
ng – Nanogram
ns – Not significant
NT – Not tested
OVA – Ovalbumin
Ovm – Egg-allergen ovomucoid
PBMC – Peripheral blood mononuclear cell
PBS – Phosphate buffered saline
PC – Pilchard extracts
PCR – Polymerase chain reaction
pg – Picogram
PN – Peanut
List of abbreviations
XXVII
PT – Pertussis toxin
PVDF – Polyvinylidene difluoride
r – Recombinant
RNA – Ribonucleic acid
RPM – Revolutions per minute
RT-PCR – Reverse transcriptase – polymerase chain reaction
SC – Subcutaneous
SEB – Staphylococcal-enterotoxin
SCBP – Sarcoplasmic calcium binding protein
SDS – Sodium dodecyl sulphate
SEM – The standard error of the mean
Siglec F – Sialic acid-binding immunoglobulin-like lectin F
SPT – Skin prick test
SSC-A, H or W – Side scatter-area, height or width
SUC – Sucralfate
TBS – Tris buffered saline
TF – Transcription factor
Th – T helper
TIM – Triose phosphate isomerase
TLR – Toll-like receptor
TM – Tropomyosin
TnC – Troponin C
List of abbreviations
XXVIII
Treg – T regulator cells
CHAPTER
INTRODUCTION
Published in part:
T. Liu, S. Navarro, A.L. Lopata, Current advances of murine models for food allergy,
Molecular immunology, 70 (2016) 104-117.
Chapter 1
2
1.1 Allergy and allergen
Allergy is often defined as the adverse immune reactions mediated by abnormally
produced Immunoglobulin E (IgE) antibody to certain substances that most of the people
tolerate. The substances that could trigger allergic responses are termed allergens and the
most common allergens are pollens, dust mites, mold spores, pet dander, foods, insect
stings and medicines. The allergic diseases that can significantly impact the quality of life
include asthma, allergic rhinitis (hay fever), food allergies and atopic dermatitis. Over the
recent two decades, there have been a greatly increasing number of reports of allergic
diseases in Australia, food allergies in particular [1, 2]. The 2013 Allergy and Immune
Diseases in Australia (AIDA) Report and the 2014 Allergy in Australia report released
by the Australasian Society for Clinical Immunology and Allergy (ASCIA) stated that
almost 20% of Australians are suffering allergic diseases, and by 2050 the number of
patients affected by allergic diseases in Australia will increase by 70% to 7.7 million [3].
Allergy has become a very essential issue of human health causing constant concerns.
Both environmental factors and genetic associations probably contribute to allergy
diseases. The development of Genome-Wide Association Studies (GWAS) promotes the
identification of a substantial number of susceptibility loci associated with allergic
disease [4, 5]. The hygiene hypothesis is one of the popular but controversial theories
explaining the relatively high prevalence of allergic disease in the industrialised society
compared with the developing world. Briefly, the hygiene theory proposes that during the
childhood, people who live in a hygiene-improved environment have less chance to be
exposed to pathogens, such as bacteria and viruses. Consequently, the immature immune
system could not receive appropriate stimulations from microbes to develop a strong T
helper 1 (Th1) pattern of immune responses, while pro-allergic responses of T helper 2
Chapter 1
3
(Th2) may not be counterbalanced in the immunological frame. Thus, predisposition to
allergy might result from the low infection during childhood [6].
Table 1.1 Current allergen databases [7, 8].
Category Name URL (http://) Biological database
Allergome http://www.allergome.org
Informall http://www.farrp.unl.edu/resources/gi-fas/informall
Allallergy http://www.allallergy.net
Molecular database
Allermatch http://www.allermatch.org
Allergen online http://allergenonline.com
Allergen database for food safety (ADFS)
http://allergen.nihs.go.jp/ADFS/
Structural Database of Allergenic Proteins
http://fermi.utmb.edu/SDAP
During the last few decades, the rapid advances of genomic and proteomic technologies
have promoted the discovery of allergenic proteins based on their sequences, biological
functions, immunological potentials and three-dimensional structures. The relative
information to allergens is organised and stored at database systems (Table 1.1). A better
knowledge of the characteristics of allergens is very necessary for the development of
allergen-specific immunotherapy and the understanding of immunological mechanisms
of allergic diseases. The very first allergen characterised was the food allergen found in
cod fish, namely Gad c 1, a parvalbumin protein [9].
The first engineered recombinant allergens is Dol m 5 from the white-faced hornet
(Dolichovespula maculata) [10], and during the last two decades, a greatly increasing
number of recombinant allergens with molecular and immunological properties
comparable with their native counterparts have been produced using recombinant DNA
Chapter 1
4
technology [11]. The advances of recombinant allergens provide novel perspectives to
study two major topics in molecular and clinical allergology: diagnosis and
immunotherapy. The availability of recombinant allergens promotes the development of
component-resolved diagnostics, that means precise identification of the disease-eliciting
allergens and thus the individual patient’s sensitisation profiles [12]. Another introduced
concept is component-resolved immunotherapy or specific immunotherapy (SIT) in
which hypoallergenic allergen derivatives with reduced allergenicity are generated and
used for inducing immuno-modulation in patients with allergic diseases [13-16].
Chapter 1
5
1.2 Food allergy
Food allergy is an important public health issue in industrial countries due to the
increasing prevalence and the potential life-threatening consequence, effecting up to 8%
of children and 4% of adults [17-19]. Food allergies are also becoming increasingly
important in developing countries [20], particularly to more exotic food sources. Food
allergy or hypersensitivity can be defined as adverse reactions by the immune system to
food compounds that are allergens. The most common pattern of food allergy is known
as type 1 hypersensitivity, mediated by IgE antibody. Allergic mechanisms consist of two
phases: the sensitisation and the effector phases (Figure 1.1). Food allergens are taken up
by antigen-presenting cells (APCs), processed and presented to T helper (Th)
lymphocytes. In sensitised individuals, Th2 responses activate B cells to produce antigen-
specific IgE antibody after the exposure to allergens. During the effector phase, enhanced
Th2-type pattern of immunological responses to the same allergens can induce clinical
symptoms after subsequent exposures. The central allergic inflammation events include
the activation of mast cells, eosinophils and basophils, and the release of histamine and
Th2-type cytokines [21, 22]. The exact symptoms of IgE-mediated food allergy usually
relate to the exposure routes to allergens, as shown in Figure 1.1, and may include itchy
flushing skin, diarrhea and/or vomiting, respiratory distress, or even fatal anaphylaxis
[23]. I focus on IgE-mediated food allergy in this research project.
So far, there are still many questions to be investigated about the mechanisms, multiple
risk factors and events leading to sensitisation towards food compounds [19, 24].
Unfortunately, currently all therapeutic approaches for food allergy are still in clinical
phase I-III and patients can only protect themselves through strict avoidance of all
allergen-containing food products [25]. However, many important questions about food
allergy cannot be answered by in vitro molecular experiments alone, and an appropriate
Chapter 1
6
in vivo experimental platform becomes an urgent need. Mechanistic research or
modifications of experimental conditions using human studies cannot be easily performed
in patients. Moreover, the amount and types of tissue samples that can be collected from
patients with food allergy are very restricted. Therefore, animal models become very
valuable research tools of choice. Without taking risks on human lives, animal models
help us getting more insights into three major aspects of food allergy: 1) the evaluation
of food allergens, 2) studies on immunological responses and mechanisms and 3) the
development of preventive and therapeutic treatments [26].
Figure 1.1 Humoral and cellular mechanisms of IgE-mediated allergic inflammation
against food allergens (Modified and adapted from [27, 28]).
IgE antibody production
Allergen processing
Antigen processing cell
T-lymphocyte
B-lymphocyte
Mast
Initial exposure
SeafoodAllergen
IgE receptorst cell
Subsequent exposure
Cellular barrier
Ca2
Mediatorrelease
Clinical EffectsRhinitisAsthmaUrticariaProtein contact dermatitis
NoseLung
dn Skin
Gut
Chapter 1
7
1.3 Cross-reactivity in food allergy
Allergenic proteins derive from a high variety of natural sources and are capable to result
in Th2 immune responses mediated by high-affinity IgE antibody and/or provoke clinic
effects in sensitised individuals. The phenomenon that the IgE antibody can recognise or
bind to allergens from a different source as to the sensitising inducer is called cross-
reactivity. The risk of cross-reactivity to foods in susceptible populations is illustrated in
Table 1.2 and 1.3 [29-33]. In food allergy, the cross-reactivity between milk from
different animals including cow, goat and buffalo, between eggs from different birds, or
between different species of legumes are very frequent. Except for the classic food
allergies where the primary sensitisation is believed to occur in the gastrointestinal tract,
many cases of food allergies are resulting from immunological cross-reactivity with
inhalant allergens, such as tree pollen, natural latex and house dust-mite.
1.3.1 Characteristics of cross-reactive allergens
The allergens that cause cross-reactivity often have certain homology, especially the
similarity of the antibody-binding regions. The effecter cells may not be activated if the
allergen with sequence similarity of amino acid less than 70% [29]. In general, 50% or
less of identity can rarely lead to cross-reactivity, although similar protein folds might be
generated [34]. The research on the cloning and sequencing of allergens can provide the
molecular basis to help to predict this cross-reactivity. In addition to the amino acid
sequence similarity, the shared tertiary structure of allergenic proteins can also contribute
to cross-reactivity. X-ray diffraction or NMR has been used to identify the three-
dimensional structures of some allergens within the recent two decades. From the
perspective of the molecular classification only, most allergens belong to a small number
of structural or functional protein families [31]. However, the roles of their biochemical
Chapter 1
8
functions e.g. the enzymatic activity of some allergens in the allergic mechanisms remain
largely unknown [35]. The closer the taxonomic distance between different allergen
sources are, this higher the possibility of clinical and immunological cross-reactivity
might be [29].
1.3.2 Cross-reactive allergens in shellfish
Shellfish, combining crustacean and mollusks, is one of the big eight groups of foods
responsible for around 90% of food allergies [36]. Unlike milk allergy, shellfish allergy
often persists through the entire lifetime and is often not “outgrown”. The prevalence of
shellfish allergy is increasing considerable with the global growing consumption of
seafood [37, 38]. A small amount of shellfish can cause serious clinical reactions and
patients have variable symptoms ranging from mild rashes and hives to fatal anaphylactic
shock [39]. The adverse immune responses occur mainly when people ingest shellfish.
Patients with asthma, dermatitis and urticaria can also be found in the domestic and in the
occupational environment through handling of shellfish and inhalation of cooking vapors
[40, 41]. Many patients cross-react to more than one shellfish species, especially within
crustacean [42-44]. Several pan-allergens, mainly tropomyosin (TM) and arginine kinase
(AK), can contribute to cross-reactivity among shellfish and with other inedible
invertebrates such as mites, parasites and cockroaches [45-47].
TM has been identified as the major allergen in a variety of shellfish species (Table 1.4).
Over 60% of people with shellfish allergy are sensitised and react to TM [47]. Within the
crustacean, IgE cross-reactivity to TM is very frequent [43, 44, 48]. Also, inhibition
immunoblotting data showed patients with crustacean allergy had IgE cross-reactivity to
TM from cephalopods (cuttlefish, squid and octopus) [49], gastropods (abalone, turban
shell, Middendorf’s buccinum and whelk), and bivalves (mussel, clam, cockle, oyster and
Chapter 1
9
scallop) [50, 51]. TMs are coiled-coil parallel dimers that form a head-to-tail polymer
along the length of actin filaments, and the best-known function of TM is binding to actin
to regulate contractions of skeletal muscle and the heart [52]. The molecular weight of
TM ranges from 34 kDa to 38 kDa. It is a highly heat stable, water soluble, and IgE
reactivity is due with mainly to linear IgE epitopes. Heated shellfish species still contain
allergenic TM [53], nevertheless combining thermal and high-pressure treatments may
accelerate the digestion of TM in the gastrointestinal tract and reduce the allergenicity of
TM [54, 55]. As a highly conserved protein, the amino acid sequence identity of TM
seems over 89% within the crustacean, but much lower between crustacean and molluscs
(Table 1.5). The different degrees of TM’s primary structure can help to explain the IgE-
mediated cross-reactivity among various shellfish species.
Importantly, TM is also the major suspect for hypersensitivity against inhaled arthropods
(i.e. cockroach, house dust mites and even nematodes), and their cross-reactivity with
shellfish. Several tropomyosins have been officially acknowledged by the WHO/IUIS
allergen nomenclature subcommittee (www.allergen.org), including Bla g 7 from
Blattella germanica (German cockroach), Blo t 10 from Storage mite (Blomia tropicalis),
Lep d 10 from Storage mite (Lepidoglyphus destructor), Der f 10 from American house
dust mite (Dermatophagoides farinae), Der p 10 from European house dust mite
(Dermatophagoides pteronyssinus), Tyr p 10 from Mold mite (Tyrophagus
putrescentiae), Ani s 3 from Herring worm (Anisakis simplex), and Onch v from Filarial
nematode (Onchocerca volvulus). More than 80% of the amino sequence of prawn TM is
identical with mite TM and cockroach TM. Shared IgE epitopes of TM were
demonstrated among prawn, house dust mite and cockroach as well [56]. Clinical
relevance of shellfish-mites cross-reactivity was reported in a population of Orthodox
Jews with no prior exposure to shellfish. The subjects allergic to house dust mite could
Chapter 1
10
cross-react to shrimp tropomyosin [57]. A study from Italy illustrated the ingestion of
snail could probably cause asthmatic symptoms in patients allergic to house dust mite,
whereas TM had only minor contribution to the cross-reactivity between snail and house
dust mite [58].
AK is believed to be another cross-reactive allergen widely distributed among
invertebrates. AK is a 40-42 kDa phosphotransferase that catalyses the reversible
phosphorylation of high-energy phosphate from arginine phosphate to ADP to form ATP,
thereby regenerating and maintaining high ATP during bursts of cellular activity in
invertebrates [59, 60]. According to the Allfam database
(http://www.meduniwien.ac.at/allfam), AK has been identified in six crustacean species
(mainly prawns), one mollusk species (octopus), house dust mite and cockroach. The IgE
cross-reactive homologs of AK has been found in several invertebrate species such as
mite, cockroach, lobster, king prawn, and mussel [61].
Currently, in addition to TM and AK, four allergenic proteins are identified particularly
in crustacean (Table 1.4). Myosin light chain (MLC), troponin C (TnC), and sarcoplasmic
calcium binding proteins (SCBPs) are from the EF hand superfamily, and these proteins
derived from crustaceans [62-64], such as Pen m 3, Hom a 3, Pen m 6, Hom a 6, Cra c 4,
Lit v 4, were demonstrated to bind to human IgE antibody. Moreover, the allergenicity of
triosephosphate isomerase (TIM) has been demonstrated in Brown shrimp (Crangon
crangon), American house dust mite (Dermatophagoides farinae), Freshwater crayfish
(Archaeopotamobius sibiriensis), and German cockroach (Blattella germanica). The
biochemical function of TIM is to catalyse the interconversion of dihydroxyacetone
phosphate and glyceraldehyde-3-phosphate in the glycolytic and gluconeogenic pathways
[65, 66]. As a ubiquitous enzyme, TIM is highly conserved among both eukaryotes and
prokaryotes with a molecular weight of 28 kDa [67]. Similar to MLC, TnC and SCBPs,
Chapter 1
11
TIM has not been well studied and there is a lack of evidence showing the potential
contribution of these allergens to shellfish cross-reactivity [47].
Identification and characterisation of shellfish allergens are essential for detailing
immunological mechanisms of cross-reactivity, but also developing precise diagnostics
and therapies. Further investigation is needed to determine the cross-reactive IgE and
cellular epitopes of allergens from different shellfish species and inhalant invertebrate
allergen sources. In vivo research is still limited to confirm the clinical relevance of in
vitro IgE cross-reactivity in shellfish allergy.
Chapter 1
12
Table 1.2 The risk of cross-reaction to other foods in patients with specific food
allergy.
•
•
•
•
•
•
•
Chapter 1
13
•
•
•
•
•
•
•
Chapter 1
14
•
•
•
•
•
Chapter 1
15
Table 1.3 The risk of cross-reaction to foods in patients allergic to non-food.
•
•
•
•
•
Chapter 1
16
•
•
•
•
Chapter 1
17
Table 1.4 Identified and characterised allergens of shellfish [47].
Chapter 1
18
Table 1.5 Sequence identify of shellfish tropomyosins (TMs). Amino acid sequence of TM from each species is obtained from National Center
for Biotechnology Information (NCBI) database and sequence alignment is performed using Clustal Omega.
Chapter 1
19
1.4 Mouse models for food allergies
Mice have some unique characteristics that contribute to its much wider use to study
human biology than any other organisms. Importantly, the mouse has many physiological,
genetic and immunological similarities to humans. The overall structure of the immune
system of mice and humans are very similar [91], in spite of the necessary consideration
of discrepancies between mouse and human innate and adaptive immune system [92].
Mouse strains, which are well characterised provide an abundance of genetic resource
due to its nature and a string of unique technological strengths. It allows intensive genetic
manipulations, such as forward genetics, reverse genetics, transgenesis, targeted
mutations and knock-ins/outs [93]. With the application of these genetic engineering
approaches on mice, a great number of humanised mouse strains with targeted
modifications become available; hence, more hypotheses on human diseases can be
tested. Moreover, as selective breeding is necessary in the production of disease models,
the mouse, which has a short generation cycle, is an appropriate option.
The evaluation criteria of successfully establishing a mouse model for food allergy is the
extent to which mice mimic human allergic reactions, including clinical symptoms as
well as humoral and cellular responses to food allergens. To date, a large diversity of
protocols to establish mouse models for food allergy have been published as illustrated
in Table 1.6.
The comprehensive analysis of 26 established protocols highlight several important
elements, including the mouse genders, genetic background of mouse strains, routes of
sensitisation, nature of food allergens and usage of adjuvants that could impact the
performance of a mouse model for food allergy.
In the following sections the detailed influence of each key impact factor is discussed on
Chapter 1
20
the levels and patterns of the induced allergy-like immune disorders in mice as well as
the most important scientific highlighted.
Chapter 1
21
Table 1.6 A summary of 26 different mouse models for food allergy established
within the past two decades, categorised by sensitisation and challenge routes.
Mouse strain,
gender and age
Sensitisation Challenge
Evaluation Ref. Route Time points (Day)
Food dose Adjuvant or solvent
Route Time points (Day)
Dose
BALB/c 8-12 week Female
IP
0
16
10µg OVA 20µg OVA
Alum PBS
IG
26 50mg OVA Anaphylaxis score (see Table 1.7) IgE, IgG2a Histamine Proliferation Cytokine Histology of jejunum In vivo IFN-γ neutralisation
[94]
BALB/c 8-12 week Female
0
14
2µg OVA 1µg OVA
AH PBS
18 1mg OVA IgE Histamine (whole gut tissue) Anti-cytokine treatment
[95]
BALB/c 6-10 week Female
0, 14 50µg OVA x2 1mg alum 21, 22, 23, 24, 25, 26
CEW x6 (dose was not mentioned)
Anaphylaxis score (fur, feces) IgE, IgG2a, IgG1 Cytokine (MLN) Histology of jejunum Weight change BAA
[96]
BALB/c Male
0, 14
50µg OVA x2 4mg alum 28-(43)
50mg OVA in saline x6, every 3 days
Anaphylaxis score Diarrhea score IgE, IgG2a, IgG1 Cytokine (MLN) mMCP-1 BT Histology of intestine
[97]
BALB/c (H-2b) 2 month Female
1, 14 60µg OVA OR heated OVA x2
1mg AH 28-49 15mg OVA x10 at 2–3 days intervals
IgE, IgG2a, IgG1, IgA (serum) Cytokine Histology of jejunum Histamine (fecal) Diarrhea mMCP-1 FACs (Treg in spleen & MLN) Activities of EBBE in jejunum
[98]
BALB/c 6 week Female BALB/c 3 week Female BALB/c 3 week Female
IP 1,25 IG 1, 6, 12, 18, 24, 30 IG 1, 6, 12, 18, 24, 30
100µg WPE x2 5mg homogenised WPE x6 5mg CMP x6
Alum 0.6µg CT 0.6µg CT
- - IgE, IgG2a, IgG1 Cytokine Histology of intestine Histamine (fecal)
[99]
Chapter 1
22
BALB/c 8 week Female
I.P. 0, 56 IG 0, 56
50μL caviar extract (40mg/mL) 150μL caviar extracts (20mg/mL)
100μL aluminium hydroxide 2 mg sucralfate
125μL caviar extract (40mg/mL) 125μL caviar extract (40mg/mL)
Skin test IgE, IgG2a, IgG1 Proliferation Electron microscop (antrum mucosa)
[100]
BALB/c 8-10 week Female IL-4–/– and IL-4Rα–/–
Week 0 and Week 8
2 larvae x2
-
Week 11 5mg Anisakis protein extract
Anaphylaxis score IgE, IgG2a, IgG2b, IgG1 (serum) Cytokine Histology of lung mMCP-1 (lung)
[101]
C3H/HeJ 6 week Male IP
2, 3, 4 weekly injections
100µg A.s
PT (300ng) + Alum (1mg)
IV
Week6 IV 200µg OR IG 2mg
Anaphylaxis score IgE, IgG2a, IgG1 Histamine Cytokine
[102]
BALB/c 5-6 week Female
IP
0, 7, 14 50μg raw or cooked PC
1.5% alum
IN
21, 22, 23 100μg raw PC, cooked PC, purified PC parvalbumin, or rCyp c1.01
IgG1, IgG2b, IgE eosinophil peroxidase (lung) Cytokine Histology of lung BAL
[103]
BALB/c 6-8 week Female Wide type and IL-4Rα–/–
0, 21
2 larvae x2
-
42, 43, 44 0.1mg Anisakis protein extract
IgE, IgG2a, IgG2b, IgG1 (serum) Cytokine Histology of lung BAL Airway hyperresponsiveness
[104]
BALB/c 6-8 week Male
IG
Once a week for 5 weeks
OVA 0.2mg in 0.3ml saline x5
20µg CT
IG
Week6 OVA (No dose mentioned)
Diarrhea BT IgE Cytokine mMCP-1 Histology of jejunum
[105]
C3H/HeJ 3 week Female
Once a week for 5 weeks
1.0 mg/g BW homogenised CM
0.3μg / BW (g) CT
Week6 1x CM (No dose mentioned)
Anaphylaxis score
[106]
C3H/HeOuJ 4-5 week Female
0, 7, 14, 21 200mg BLG x4
10µg CT 0.2mol/L NaHCO3
28 100mg BLG Anaphylaxis score Vascular leakage IgE, IgG1, IgG2a, and/or IgA BT(ear) Cytokine (IL-10) Proliferation
[107]
C3H/HeJ 3 week Female
Once a week for 6 weeks
0.01mg, 0.1mg, 1.0mg, or 2 mg/ BW (g) CM
0.3μg / BW (g) CT
Week7
2 doses of CM (30mg/mouse) given 30 minutes apart
Anaphylaxis score Vascular leakage IgE Histamine PAC Cytokine Histology of intestine & lung & ear Skin test
[108]
Chapter 1
23
C3H/HeJ 3 week Female and BALB/c
Once a week for 5 weeks
Homoge--nised CM 1mg/g BW x5
0.3μg / BW (g) CT
Week6
33mg
Cytokine Anaphylaxis score IgE Histamine
[109]
C3H/HeJ 5 week Female and BALB/c
Once a week for 5 weeks + Two boosts at 2-week intervals
10mg PNx5 + 50mg of protein-CT x2
20µg CT 1.5% NaHCO3
Week14 50mg Cytokine Anaphylaxis score IgE Histamine
[109]
C3H/HeJ 5 week Female
0, 7, 21 5mgx3 PE
10µg x3 CT
Week11 (Week4-week11, herbal formula or water)
10mg CPE Anaphylaxis score IgE, IgG, IgA Histamine Proliferation Cytokine BT Histology of ear
[110]
BALB/c 4- to 8-week Female Or C57Bl/6 mice
Once a week for 8 weeks
100 μgx8 OVA OR 100μgx8 WPE
10µg CT or various SEB (better in eosinophil and score) 10µg SEB
Week9 5mg Blood eosinophil quantification Cytokine Anaphylaxis score IgE, IgG2a, IgG1 Histamine Real time PCR Histology of jejunum BT
[111] However, [112]
C3H/HeJ 5 week Female
Weekly for 5 weeks; boosted at week6 and week8
Ground peanut (10 mg x5; 50 mg x2)
20μg CT Week14, week18 (after IG treatment of sham)
200mg Anaphylaxis score FACs (blood basophil numbers and peritoneal mast cell numbers and FceRI expression) BT
[113]
C3H/HeJ 5 week Female
0, 7 5mgx2 (higher score& IgE) or 25mgx2 GWP
10µg x2 CT
21 (week3) Week 5
10 mg CPE divided into two doses at 30- to 40-minute intervals; Mice surviving – re-challenged
Anaphylaxis score Vascular leakage IgE Histamine PCA Proliferation Histology of ear
[114]
C3H/HeJ 8 week Female
Once a week for 4 weeks
100µg pST x4
10µg CT Week5 600µg pST IgE, IgA (fecal) Real Time (cytokine and TF expression of intestinal tissue) Anaphylaxis score Histamine (fecal) IgE, IgG2a, IgG1 FACs (T cell subpopulations)
[115]
BALB/c mice 6–8 week Female
IG
Twice per week for 4 weeks
1mg of Ovm x2x4
10 µg CT
IP
Week11 (After 4wk-PBS oral treatment)
20mg Ovm Serum histamine Cytokine Anaphylaxis score IgE, IgG2a, IgG1 IgA (fecal) FACs (Treg cells in blood)
[116]
C57BL/6 6–8 week Female
Once a week for 1, 2, 3, or 4 weeks
1mg PN (from PN butter)
10µg CT 2 weeks after the last sensitisation
5mg CPN Anaphylaxis score Vascular leakage IgE, IgG2a, IgG1 Histamine and leukotriene levels BT
[117]
Chapter 1
24
Late-phase peritoneal &cutaneous responses to CPE Cytokine
C3H/HeJ, C57BL/6 genetic modification
Once a week for 7 weeks
200µgx7 BSA
10µg x7 CT
56 1mg BSA Anaphylaxis score Vascular leakage IgE, IgG2a, IgG1 Histamine Spleen cell transfer FACs Cytokine
[118]
BALB/c mice 6–8 week Female
Other
IP 0, 7, 21, 28, 35
50µg DIII x5 2.0 mg AH
IP
42 1mg DIII +alum Cytokine Anaphylaxis score IgE, IgG2a, IgG1 Histamine
[13]
BALB/c 6–8 week Female
IG 0, 7, 14, 21, 28, 35, 42 and 49,
0.2mg OVA x8
SUC Or Alum
-
- - skin test IgE, IgG2a Histamine Cytokine
[119]
BALB/c 6–8 week Female
Cutaneous exposure to allergen with a 4- day interval for 4 weeks
0.05, 0.5 or 1mg CNP
-
IG
Day6 following the 4th exposure
15mg Cytokine Anaphylaxis score IgE, IgG2a, IgG1 Histamine Histology of intestinal tissues BT
[120]
AKR/J 4–5 week Male
0, 8, 16-IG 1, 9, 17-IP
1mg x3 0.5µgx3 CPE
CT AH
IP
24 200µg of r-Arah2 protein
Anaphylaxis score Vascular leakage IgE, IgG2a Histamine
[121]
BALB/c 8 week
SC 4-wk intervals
10μg parvalbumin mutant X3
AH
- - IgG1 and IgE
[122]
Chapter 1
25
Table 1.7 The most common anaphylaxis scoring system used in published studies
of food allergy mouse models [113, 116, 121]
Score Anaphylactic symptoms
0 No symptoms
1 Scratching and rubbing around the nose and head
2 Puffiness around the eyes and mouth, pilar erecti, reduced activity and/or decreased activity with increased respiratory rate
3 Wheezing, labored respiration, and cyanosis around the mouth and tail
4 Slight or no activity after prodding, or tremor and convulsion 5 Death
1.4.1 Mouse strain
Genetic susceptibility seems to have a close association with the development of allergic
diseases, however no particular genes have been identified predisposing humans to food
allergy [123]. Considering the unfeasibility of studying allergy risk factors directly on
human subjects, mouse strains with defined genetic background become very useful in
this field. Under the control of genetic variations and living environment, mice are
essential for a better understanding of multi-mediator involved mechanisms underlying
the allergic responses.
BALB/c mice are generally believed to be a Th2-baised strain, however reported to be
resistant to the induction of hypersensitivity to cow’s milk or peanut, in contrast to the
C3H/HeJ strain [109]. In this study conducted by Morafo et al., three-week-old mice of
both strains were sensitised orally using a mixture of peanut or cow’s milk with cholera
toxin (CT) as a mucosal adjuvant. After one oral challenge, C3H/HeJ mice presented mild
clinical reactions and a significantly increase of serum antigen-specific IgE and plasma
histamine, while BALB/c mice only generated a high level of IgE antibody to peanut, but
not cow’s milk. No anaphylactic symptoms could be observed in BALB/c mice.
Chapter 1
26
Therefore, BALB/c mice, often used in modeling allergic diseases induced by systemic
allergen sensitisation, might be not sensitive enough to mimic human allergic responses
when orally sensitised. In addition, Morafo etc. found the higher expression level of IL-
4 and IL-10 in C3H/HeJ only, but significantly increased Th1 cytokines in BALB/c,
which suggests that C3H/HeJ and BALB/c mice may develop different immunologic
response patterns to food allergens.
C3H/HeJ mice are very often used to develop models for peanut-allergy, because
C3H/HeJ mice are anaphylaxis-susceptible. This characteristic is probably due to a Toll-
like receptor (TLR)-4 mutation in C3H/HeJ mice that blocked intestinal LPS
(lipolysaccharide) signaling [124]. Both C3H/HeJ and C57BL/10ScNHsd strain with
TLR4-deficiency showed more Th2-biased reactivity to peanuts by means of oral
sensitisation with peanuts and CT as adjuvant. In contrast, the same administration of
peanuts in MHC-matched or congenic controls (C3HeB/FeJ, C3H/HeOuJ, CBA/J,
C57BL/10SnJ and C57BL/6J) were not able to induce the increased level of antigen-
specific IgE and histamine, or any anaphylactic symptoms [125]. In addition, TLR-4
deficiency was not sufficient to confer BALB/c mice with proper clinical reactions to
peanut [126]. Accordingly, more differences than only the TLR-4 genetic mutation
between C3H/HeJ and BALB/c mice contribute to the different susceptibility to food
allergies.
AKR/J mice were successfully used in a peanut allergen-induced murine anaphylactic
model to monitor the new immunoprophylactic strategy [121]. However, following the
same protocol of the well-established anaphylaxis model for milk allergy using C3H/HeJ
by Li et al.[108], this research group failed to generate an appropriate allergic phenotype
using AKR/J or CBA/J mice. The different results in AKR/J mice indicate the great
diversity of genetic susceptibility to different food allergies in mice, similar to the fact
Chapter 1
27
that only some human individuals getting sensitised to food allergens [109]. The same
conclusion was reached when comparing C3H/HeOuJ mice and C3H/HeJ mice.
C3H/HeOuJ mice were a negative control strain when induced with peanut [125],
however were good allergy responders as demonstrated for the establishment of a β-
lactoglobulin-induced anaphylaxis model [107]. Peanut-treated C3H/HeJ mice were
observed to have more severe clinical symptoms than β-lactoglobulin-treated C3H/HeJ
mice [126]. It is worth noting that in the studies of comparing murine susceptibilities to
different foods, mice should be sensitised and/or challenged with the same amount of
respective food allergens. Thus crude extracts of foods containing multiple allergenic
proteins with various allergic efficacies are not well suited for these studies.
C57BL/6 mice are generally regarded as a less Th2-prone strain than BALB/c due to a
relatively weak allergic response to allergens. However, with an advantage of the
enormous genetic variants available, C57BL/6 mice could become a more convenient
platform targeting essential elements of the immune system involved in the pathogenic
mechanisms. Moreover, a recently established asthma model might provide a more
facetted comparison between C57BL/6 and BALB/c mice [127]. In this study, BALB/c
mice showed a greater level of inflammation in lung tissue, including the increased
number of mast cells and concentration of IL-4, IL-5 and IL-13, which validate the bias
of BALB/c to Th2. While, surprisingly, C57BL/6 exhibited much more pro-inflammatory
cytokines and eosinophilic inflammation in bronchoalveolar lavage fluid (BALF) than
BALB/c mice, which may reflect a mixed pattern of Th1/Th2.
In conclusion, the genetic background of the chosen mouse strain can affect
hyperresponsiveness and allergic inflammation in the murine model. The selection of
experimental mouse strains is very important for the characterisation of allergic diseases,
and greatly dependent on the allergen types and the target phase or features of particular
Chapter 1
28
allergic diseases.
1.4.2 Mouse gender
Gender has been widely believed as one of the potential risk factors in the development
of food allergy. Gender preference in food allergy could also possibly be affected by age.
A typical pattern is found in some investigations on the basis of a large number of subjects
in peanut allergy or tree nut allergy. In a telephone survey of 13, 493 participates in the
United States [128], generally no significant difference of peanut or tree nut allergy
sensitisation rates were found among different age groups. However, among children’s,
the prevalence of peanut or tree nut allergy was much higher among males than females,
while the female/male ratio of adult patients with peanut or tree nut allergy reached almost
2. The same trend was also observed in asthmatic patients [24]. Overall, the male
predominance of allergic diseases occurred in children but the situation was reversed in
female predominance among adults. Accordingly, the gender effect on allergy prevalence
is possibility associated with some of the physiological and immunological changes
during different growth stages. In contrast the Multiple Logistic Regression Models
constructed on the basis of 38,480 children in the United State could not identify gender
as a significantly related characteristic with food allergy [129]. Furthermore very similar
prevalence rates of peanut allergy or cashew allergy were reported among males and
females in 141 English children [130].
Some studies on animal models have also compared the influence of different mouse
genders on allergic responses. In a model of Brown Norway rats [131], repeated oral
dosing with OVA provoked a significantly higher level of OVA-specific IgE and IgG
antibodies and a much higher incidence rate among female rats compared to males. Two
studies on BALB/c mouse models of airway hyperreactivity supporting this gender
Chapter 1
29
preference [132, 133]. In these studies, a more severe lung inflammation in female or
castrated males as compared to uncastrated males was detected, which included a higher
level of antigen-specific IgE antibody and IL-4 cytokines, the upregulation of CD4+ cells
and a remarkable lung peribronchial infiltration of lymphocytes and eosinophil.
Compared to males, less regulatory T cells were detected in female lungs, which
suggested a relatively weak protection in female lungs against allergen challenges, hence
worsening the inflammatory responses. In addition to the deficient regulatory T cells, a
lower level of testosterone in females and castrated males were speculated to contribute
to a stronger airway inflammation. Moreover, estrogen is another sex hormone that has
been well studied for its effects on gender difference in allergic diseases [134]. Recent
experimental evidence was derived from a passive systemic anaphylaxis mouse model.
This study revealed the regulatory function of estrogen in the production of endothelial
nitric oxide synthase and nitric oxide without impacting mast cells, contributing to an
increased anaphylaxis severity in female mice [135].
Although the majority of mouse models of food allergy have been conducted on female
mice, so far, some male mouse models have also succeeded in providing novel insights
into food allergy, particularly the development of more specific remedies for a better
immunological regulation of allergic diseases. For example, in a CT-dependent ingestion
model using male adult BALB/c mice [105], a unique subpopulation of tolerogenic B
cells in intestine tissues was characterised. More importantly, in the effector phase of food
allergy, this cell strain was found to be able to control the activation of murine effector
T-cells through the expression of transforming growth factor (TGF)-β and to inhibit Th2
inflammation of murine intestine tissues greatly after adoptive transfer. Another recent
male mouse model highlighted rapamycin as a potential preventive and therapeutic drug
in food allergy [97]. In the preventive part of this study, male mice with the administration
Chapter 1
30
of rapamycin prior to oral challenge of OVA showed that mast cell responses were locally
(intestine) and systemically (serum mouse mast cell protease-1) reduced and
consequently less severe allergy-related symptoms were observed. In addition the
therapeutic treatment with, rapamycin dramatically decreased the levels of antigen-
specific IgE antibody as well as several cytokines including IFN-γ, IL-4, IL-13, IL-9, IL-
10, and IL-17.
To summarise, regardless of possible gender preference in human food allergy, female
mice may be a better choice for the model establishment of severe airway allergic
conditions, while male mice can be well employed in studies of food allergy prevention
and therapies. The few published investigations did not explain the reasons of mouse
gender preference, and male mice should not automatically be excluded to develop a
mouse model for food allergy. Further research to link the physiological and
immunological characteristics of the two genders with different applications in food
allergy will be necessary.
Chapter 1
31
1.4.3 Route of sensitisation
The first phase of the IgE-mediated allergy cascade responses is sensitisation, which is
represented by the development of antigen-specific IgE antibodies after exposure to an
allergen. People with food allergy actually have often difficulty recognising their routes
of sensitisation because no symptoms are experienced at this early stage. Tree-nut specific
IgE antibody was detected in more than 50% of the children patients with tree nut allergy
who did not realise their history of exposure [136]. In the same study, a similar situation
was seen among patients with peanut allergy. The first acute reactions to peanut occurred
at a median age of 24 months, which suggested one or multiple exposure(s) that sensitised
most individuals at an earlier stage. However, 72% of young patients thought the event
that led to initial allergic reactions was their first exposure to peanuts. In fact, allergens
potentially obtain access to lymphoid organs via three main routes: ingestion, inhalation
and skin contact. Subsequent allergen exposure is boosting the production of antigen-
specific IgE antibody. Different sensitisation routes have been established in animal
models of food allergy, including intragastric (IG), intraperitoneal (IP), epicutaneous
(EC), intranasal (IN) and subcutaneous (SC) administration. Because the clinical
allergenic potency of proteins and immunological responses can vary greatly depending
on the exposure route and the fate of the allergen, selecting a reasonable sensitisation
route is very critical in developing the best possible mouse model for food allergy.
The gastrointestinal tract is believed to be the most common exposure sites to food
allergens. As a result, oral delivery of allergens into the gastrointestinal tract of animals
is the most widely used route of sensitisation in food allergy models. However, similar as
humans, animal models have an innate tendency to develop oral tolerance to a myriad of
food proteins [137]. Consequently, some adjuvants are often required to overcome oral
tolerance, as for example CT which is a well-known mucosal adjuvant. However, the
Chapter 1
32
involvement of CT does not reflect usual human pathogenic mechanism of food allergy.
CT is an endotoxin produced by Vibrio cholera. The non-toxic subunit B of CT links to
the allergen of interests and may have the capacity to bind to the receptor on intestinal
epithelial cells, which increases allergen uptake [138, 139]. It has been reported that CT
is able to enhance Th2-biased responses and suppress Th1-mediated responses in some
autoimmune diseases [140] and delayed-type hypersensitivity [141]. In addition to the
modification of T-cell responses, the imbalance of intestinal fluid balance has been
suggested to contribute to CT actions as well [142]. However, to date, the exact
mechanisms through which CT strengthens the murine Th2 immune response still
remains unclear. Staphylococcal enterotoxin B (SEB) is another utilised adjuvant that
could bypass the state of tolerance by oral administration together with food allergens in
mice. SEB is known as causing food poisoning, but could act as a super-antigen to
virtually stimulate Th2 lymphocyte activities in food allergy models. In particular, unlike
CT/allergen-sensitised BALB/c mice, intense eosinophilia is presented in the blood and
intestinal tissues of SEB/allergen sensitised BALB/c mice, which is also a hallmark of
pathological characteristics seen in patients with food allergy [111]. Furthermore, some
studies suggested an association of SEB with the induction of other allergic diseases, such
as atopic dermatitis and chronic rhino sinusitis. Therefore, SEB might be a better option
of adjuvants to enhance the effectiveness of murine sensitisation with food allergens.
However, there is still no evidence to show the necessary involvement of SEB as an
environmental risk factor in the development of human food allergy.
Instead of breaking the oral tolerance, Bowman evaluated the allergenic potency of
different foods by the failure to induce tolerance in adult C3H/HeJ mice [143]. In this
study, mice orally exposed to food extracts without adjuvants received subsequently IP
treatment of food extracts. The tolerance indicator was the decreased production of
Chapter 1
33
antigen-specific serum IgE in “tolerant” mice compared to those without feeding of
extracts. The experiment results showed that foods containing non-allergens (turkey,
spinach) were more tolerising than foods containing strong allergens (peanut, Brazil nut),
while foods containing resolving allergy (egg white) were most likely tolerant. From this
perspective, murine immunologic tolerance to foods can mimic human oral tolerance in
many ways.
In addition, an adjuvant-free mouse model study of rice allergy demonstrated the
effectiveness of repeated IG gavage to elicit hypersensitivity in BALB/c mice [144]. The
typical allergic responses of food allergy include mild clinical symptoms, antigen-specific
IgE antibody response and small intestine inflammation were all detectable in this mouse
model of rice allergy, which placed this model the first successful gastrointestinal mouse
model in the absence of adjuvants.
The intraperineal route (IP) of sensitisation has a relatively high efficiency to
systemically trigger the production of mouse circulating IgE and IgG antibody. Alum is
frequently used to increase the sensitivity to allergens through establishing allergen sites
of high concentration to stimulate macrophages. The clinical utility of alum in human has
been approved [145]. However, the usage of alum in food allergy model is still in doubt
because of its non-physiological nature. Therefore, in the absent of alum, systemic (IP)
administration of proteins in mice has been applied, but only for the purpose of screening
novel allergens [146-148]. Different inherent allergenic potentials of proteins could be
identified by the measurement of IgE antibody responses in the high IgE responder, the
BALB/c mouse.
The epicutanous route (EC) of sensitisation has been applied to establish adjuvant-free
BALB/c models. Allergens were applied to an area of the mouse back or belly skin with
Chapter 1
34
hair removed, and then this area was covered with a non-latex, non-occlusive bandage for
a short period, followed by a longer resting period. The sensitisation was conferred by
repeated transdermal exposure. Mouse models of hazelnut [149], cashew nut [120],
Anisakis [150] and milk whey protein allergy [151] have been established using this
approach. These studies published the successful induction of antigen-specific IgE
antibody, Th2-biased cytokines and clinical responses in dose-dependent manners. In
another example of an adjuvant-free mouse model for hazelnut allergy, similar to
persistent human hazelnut allergy, BALB/c mice could respond to transdermal challenges
of hazelnuts after a longer resting period after transdermal sensitisation. This study
discovered mechanisms underlying the long-term hypersensitivity with long-lasting
memory response of murine antigen-specific IgE antibody and splenocyte IL-4 responses
[152].
The intranasal route (IN) of sensitisation is often applied for aerosolised allergens to
elicit food allergy. An investigation in 2007 showed 1/4 of all allergic reactions were due
to hidden allergens, with 35% of fish-allergic patients and 22% of egg-allergic reactions
caused by allergens hidden in other foods or food vapours [153]. Subsequently it was
demonstrated by Kirstein et al [104] that also food borne parasite allergens can generate
allergic sensitisation through allergen inhalation. Acute allergic airway hyperreactivity
was also reported in peanut-allergic patients who inhaled airborne peanut at school or on
commercial airlines. Moreover, IgE reactivity to multiple spice allergens was found in
spice mill workers exposed to high concentration (>10 mg/m3) of inhalable spice dust
[154]. Therefore, the immune reaction to aerosolised food allergens has been an essential
aspect of food allergies in both domestic and working environments [155]. Another
related issue for attention is the immunological cross-reactive allergens between food and
inhalants increase the complexity of food allergy mechanisms. The muscle protein
Chapter 1
35
tropomyosin (TM) is an example of a highly cross-reactive pan-allergen. TM is the most
allergenic protein known, and has been identified in over 150 species, derived from a few
distinct animal groups [40], including ingested shellfish, inhaled insect debris (e.g.
cockroaches) and the most abundant allergen source, house dust-mites. TM exhibits a
high degree of immunological cross-reactivity and consequently is responsible for
sensitising over 30% of the world-population. Therefore inhalation of environmental
allergens can play a considerable role in either sensitisation or effector phases to
contribute to food allergies.
However, airway exposures to allergens are usually overlooked in the establishment of
food allergy models. Only a few intranasally food-challenged mouse models have been
published and even less models with airway sensitisation. In a recent study of fish allergy,
a mouse model was established for a better understanding of work related inhalant allergy
during food-processing [103]. After IP sensitisation, pilchard-sensitised mice received
intranasal challenges of the same allergens. Increased levels of antigen-specific IgE
antibody, Th2 biased cytokines of IL-4, IL-5 and IL-13, as well as the lung inflammation
and cells infiltration, but no allergy-related clinical symptoms were reported in this
model. A comparative study of respiratory sensitisation and oral sensitisation in peanut
allergy provided one of the very few published nasally sensitised model using C57BL/6
mice [156]. However this study used CT conjunct with peanut extracts to orally initiate
the immune responses. In Table 1.8 the main differences of two models are highlighted,
that were sensitised by two mucosal routes and nasally challenged. Additionally, many
mouse models of allergic diseases, such as allergic rhinitis [157] and asthma [158], are
often developed with aerosolised OVA as allergen using a similar protocol, which could
be good references for the establishment and analysis of novel inhalant models of food
allergy.
Chapter 1
36
Table 1.8 Comparison of the immune responses of mouse models for peanut
sensitisation via the oral or nasal route [156].
Chapter 1
37
In the effector phase of food allergy, the airway exposure to food allergen seems less
common than via the IG route. Also, the airway sensitisation has been much less studied.
Therefore, a mouse model that receives nasal sensitisation but oral challenges might align
better with some of the diagnosed food allergy patients with no clear exposure histology.
The subcutaneous route (SC) of allergens has been also applied in the establishment of
some animal model, which are not discussed in this review due to causing skin
inflammation and are unlikely to be acceptable for human applications [159].
1.4.4 The food allergen
In food allergy, there are eight groups of foods people are more commonly allergic to,
which are egg, milk, peanut, tree nut, soy, wheat, fish and shellfish. Figure 1.2 is based
on a national survey of self-reported food allergy in 20, 686 individuals in the United States
between 2007-2010 [160]. There seem to be three leading causes for food allergy, namely
milk, peanut and shellfish in both children and adults. In contrast to mouse studies of food
allergy, the most intensively investigated food allergen sources are egg (mainly due to the
wide usage of OVA as allergen), milk and peanut. As we are advancing the identification
and characterisation of more allergens, mapping the IgE binding epitopes and the
generation of recombinant proteins, more food allergy complications could be explored
based on more specific investigations. An increasing number of mouse models have been
developed with the introduction of different specific allergenic proteins, see Table 1.9. In
addition, the allergenicity of processed foods has been discussed in some mouse model
studies. Here, the most recent findings for milk, shellfish and peanut allergies are
summarised.
Chapter 1
38
Figure 1.2 The proportional prevalence of self-reported food allergen sources of
children and adults in the United States [160].
Children
Total prevalence of child food allergy: 6.53%
Adults
Total prevalence of adult food allergy : 9.72%
milk eggpeanutfishtree nutshellfishsoywheatothers
Chapter 1
39
Table 1.9 Characteristics of the major identified allergenic proteins derived from
milk, peanut and shellfish, and their usage in the establishment of food allergy
mouse models (http://allergenonline.com, http://www.ncbi.nlm.nih.gov/) [40, 161-
165].
Food source
Allergen name and nature Molecular
weight (kDa)
Representative mouse models
implicated
Milk
Milk NA [166], [167] and see more in Table 1.6
Processed milk NA
Major allergenic proteins
α -Lactalbumin 14.2 ND
β -Lactoglobulin 18.3 [168]
Bovine serum albumin 66.3 [169]
Immunoglobulin 160 ND
Lactoferrin 80 [170]
αs1-casein 23.6 [171]
αs2-casein 25.2 ND
β -casein 24 ND
κ -casein 19 ND
Peanut
Peanut extracts NA [156], [126] and see more in Table 1.6
Processed peanut extracts NA [172], [99]
Major allergenic proteins
Lipid transfer protein
Ara h 9 9.8 ND
Oleosin Ara h 10 Ara h 11
16 14
ND
Profiling Ara h 5 15 ND
α-amylase NA 16 ND
Chapter 1
40
Conglutin (2S albumin)
Ara h 2
Ara h 6
Ara h 7
16.6
18.0
15
[114], [173], [174]
Reference for Ara h 7 is ND.
PR-10, Bet v 1 family
member Ara h 8 16.9 ND
Agglutinin NA 31 ND
Cupin (vicilin-type, 7S globulin)
Ara h 1
63.5 [173], [114], [125]
Cupin (11S globulin, glycinin)
Ara h 3
Ara h 4
60
61
[173] Reference for Ara h 4 is
ND.
Phospholipase D
NA 91 ND
Conarachin I NA 142-295 ND
α-arachin NA 120-600 ND
Shellfish
Shellfish extracts NA ND
Processed shellfish extracts NA
ND
Major allergenic proteins
Tropomyosin 34-39 Sand shrimp
(Metapenaeus ensis): [175]
Arginine kinase 40 Mud crab
(Scylla paramamosain): [176]
Myosin light chain 20 ND
Sarcoplasmic calcium-binding protein
20 ND
Troponin C 16.8 ND
Myosin heavy chain 208-400 ND
α-actine 41 ND
Triosphosphate isomerase 28 ND
SERCA/Ca2+ATPase 122.2 ND
Abbreviations: NA = Not applicable, ND = Not determined.
Chapter 1
41
1.4.4.1 Milk allergens in mouse studies
Milk allergy is the most common food allergy in human’s early life. 2%-3% of children
younger than two years of age are suffering from cow’s milk allergy and 60% of them
showed IgE mediated (type I) allergic responses. A recent study from Australia reported
up to 10% of infants with IgE confirmed allergy to milk [177] Although up to 87% of
infants could outgrow IgE-mediated milk allergy at three years of age [178], some
individuals could not outgrow their allergy, probably due to the deficient development of
CD4+CD25+ Treg cells in their childhood [179]. Moreover, IgE- and IgG-binding
epitopes on αs1-, β- and κ-casein have been mapped with a recognition difference
between patients with a persistent and transient histories of cow’s milk allergy [180].
There are a variety of allergenic proteins contained in milk with varying structural and
functional differences. However, the majority of mouse models of milk allergy have been
developed with the use of whole milk or β-lactoglobulin, and the involvement of other
milk proteins in the induction of allergic responses have been poorly studied.
Cow’s milk consists of more than 25 different proteins, which can be divided into two
major categories, whey and whole casein, accounting for approximately 18% and 82% of
milk proteins respectively. BALB/c mice sensitised with modified milk of a casein/whey
protein ratio of 40:60 showed a significantly lower diarrhea incidence and plasma
histamine levels [181]. Therefore the casein fraction might be more allergenic than the
whey fraction of milk. The whole casein fraction is comprised of four proteins, αs1-, αs2-
, β-, and κ-casein with little primary structure homology. The αs1-casein is the most
abundant milk proteins and its allergenicity is frequently observed, whereas not a single
protein could be identified as the dominant allergen in milk. Different binding specificity
and intensity of sera IgE antibodies to multiple milk proteins, regardless of the amount of
Chapter 1
42
these proteins in milk, were recognised in 20 documented paediatric patients with milk
allergy [182].
Although some mouse models have been successfully established using whole milk [99,
106, 108], very limited published models were established using single milk casein
protein. There is one systematically induced BALB/c model with αs1-casein from goat’s
or sheep's milk (GSM), which is highly homologous to cow’s milk. The severity of
murine allergic reactions, including clinical symptoms and plasma levels of IgE antibody
and mouse mast cell protease-I, was greatly dependent on the dose of αs1-casein [171].
This dose-dependent manner suggests the important responsibility of αs1-casein in milk
allergy.
In the whey fraction of milk, the two main allergenic proteins are β-lactoglobulin and α-
lactalbumin. β-lactoglobulin has been recently studied using several different mouse
models and some interesting studies may contribute to our knowledge of milk allergy
therapeutics and mechanisms. By contrast, α-lactalbumin has been rarely studied in vivo.
In 2011, Morin successfully established an adjuvant free mouse model of milk allergy by
IP sensitisation of β-lactoglobulin in germ-free BALB/c mice [168]. In contrast, IP
administration of whole casein or heated β-lactoglobulin could not induce antigen-
specific IgE antibody responses in either germ-free mice or conventional mice, which
indicates a lower allergenicity of whole casein or heated β-lactoglobulin compared to
untreated β-lactoglobulin. Regarding to the heat effects on the allergenicity of β-
lactoglobulin, an in vitro evaluation by indirect competitive ELISA reported that heat
treatment could increase the allergenicity of β-lactoglobulin and also α-lactalbumin, with
a peak at 90°C, but dramatically decreased binding reaction at higher temperature (up to
120°C) [183]. Another important conclusion from Morin’s adjuvant free mouse model of
β-lactoglobulin allergy was that germ-free mice might have advantages over conventional
Chapter 1
43
mice when used in experimental models for food allergy. Because mice raised and
maintained under axenic (germ-free) conditions lack normal intestinal microbiota,
commensal organisms in particular, leading to a defective immune system [184]. The
complete development of commensal organisms in gastrointestinal tract after birth may
reduce the susceptibility of individuals to milk allergy. This theory is supported by
another mouse model. The pretreatment of transfected Lactococcus lactis with the
capacity of producing IL-10 was demonstrated to have a protective effect on C3H/HeOuJ
mice before oral sensitisation with a mixture of β-lactoglobulin and CT [107]. Other milk
proteins such as serum albumin and lactoferrin are also known milk allergens, however
require more animal models for a better comparison of their allergenic potentials and
further understanding the mechanisms of milk allergy.
1.4.4.2 Peanut allergens in mouse studies
In recent decades there has been an increasing number of reported life-threatening
anaphylactic shock caused through exposure to peanuts and most patients don’t outgrow
peanut allergy [185]. As a result, peanut allergy is regarded as one of the most dangerous
food allergy. So far, eleven Ara h-type allergenic proteins have been identified with the
capacity to bind specific IgE antibody from sera of peanut allergy patients, and a majority
of them are peanut storage proteins [163]. Ara h 1, Ara h 2 and Ara h 3 have been widely
considered as the main peanut allergens with strong allergenic potency with more than
50% of patients reacting to these three allergens. Ara h 5 and Ara h 8 might be the main
allergens cross-reacting with a variety of pollen derived allergens [165, 186, 187].
However, the results from in vivo assessments of the allergenicity of peanut allergens
seems to be conflicting. Orally or systematically induced peanut-sensitised C3H/HeJ
mice developed a stronger IgE, IgG1 and IgG2a antibodies response to purified Ara h 1
Chapter 1
44
and Ara h 3 as compared to Ara h 2 and Ara h 6 [173]. Nevertheless, another orally
sensitised C3H/HeJ model indicated the predominant allergenicity of Ara h 2 and Ara h
6 from roasted peanuts[174]. Ara h 2 and Ara h 6 are 2S albumin and seem to have more
digestion-resistant properties than other proteins in peanuts. In this study, the depletion
of Ara h 2 and Ara h 6 in peanut remarkably reduced the severity of murine allergy-like
anaphylactic reactions after IP challenges. Moreover, Ara h 2 and Ara h 6 had similar
desensitisation effects as the whole peanut extracts in an immunotherapy evaluated in
mice. In addition, the presence of Ara h 1 and Ara h 2 specific IgE antibodies was also
observed in an orally induced C3H/HeJ model using crude peanut extracts [114].
Moreover, both Ara h 1 and Ara h 2 were able to stimulate proliferations of spleen cells
from sensitised mice, although not as effective as whole peanut extracts. Unfortunately,
other possible peanut allergens were not assessed in the same study as comparisons.
Non-allergenic components in foods may contribute to the phenomenon that whole
peanut extracts could be used to sensitise mice most effectively, in contrast to any of the
individual peanut allergens. Fats, carbohydrate and non -allergenic proteins are very
common ingredients of foods. The role of these components in the development peanut
allergy has been rarely studied using murine immune system. The influence of peanut fat
on the murine immune activation has been recently highlighted [188]. Peanut extracts or
purified peanut proteins were SC injected into the hind footpad of BALB/c mice, and one
week later popliteral lymph nodes (PLN) collected for analysis. Peanut extracts, but not
purified proteins including Ara h 1, 2 and 6 were able to induce PLN cell proliferation,
cytokine production (IL-4, IL-10 and IFN-γ) in restimulation of PLN cell culture and
activation of APCs. Compared with the peanut extracts containing 0.2% fat, the peanut-
oil emulsion with 3.5% fat appeared to induce even stronger immune responses, which
suggested peanut fat had a capacity to modify the allergenicity of peanut. In spite of the
Chapter 1
45
limited pathogenic relevance of PLN assay to food allergy, this study highlights that the
factors affecting food allergenicity are not confined to antigenic proteins. The potential
influence of different non-allergen food components or food-processing methods on food
allergenicity can be analysed in detail using mouse models.
Novel immunotherapies, mainly through the desensitisation effects of engineered peanut
allergens, have been also analysed using murine immunity models. With the modification
of the main IgE binding sites, recombinant peanut allergens rAra h 1, 2 and 3 had the
potential to generate a much lower IgE antibody production than wild-type Ara h 1, 2 and
3. Thus, a frequent administration of rAra h 1-3 mixture in peanut/CT-sensitised mice
could reduce the level of anaphylactic responses to oral challenges. Interestingly, the SC
co-administration of heat-killed Listeria monocytogenes (HKLM) [189] or the rectal co-
administration of Escherichia coli [172] with rAra h 1-3 could dramatically enhances the
effectiveness of desensitisation in the C3H/HeJ mouse model. Antigen-specificTh2
responses appeared to be shifted to a more Th1 responses. Unfortunately, the immune
mechanisms in which HKLM and Escherichia coli itself may play as potential bacterial
adjuvants are largely unknown.
1.4.4.3 Shellfish allergens in mouse studies
With the increasing consumption of shellfish, over recent years the prevalence of shellfish
allergies has been increasing in many industrialised as well as developing countries [40,
190, 191]. Similar to peanut allergy, shellfish allergy often persists throughout adulthood
and seems to be the most common food allergy in adults. A number of proteins have been
identified as shellfish allergens (see Table 1.4 and 1.9). They are species-specific with
different degrees of sequence homology considering the large number of shellfish species.
Consequently, although various techniques have been used to characterise and quantify
Chapter 1
46
shellfish allergens [27, 192], many of the shellfish allergens are still poorly studied at the
molecular and immunological level [38]. Mouse models have not been frequently applied
in the clinical evaluation of allergenic shellfish components and the development of
therapeutic interventions for shellfish allergy.
In the few model systems published, the major allergen tropomyosin (TM) has been
considered as a good representative for sensitisation to shellfish, because the muscle
protein tropomyosin is the most prominent pan-allergen responsible for allergic reactions
to shellfish. For example, TM of the Brown shrimp (Penaeus aztecus) Pen a 1 is
responsible for more than 75% of the shrimp-specific IgE antibody reactions [193] and
TM has been the main allergenic protein identified in a variety of mollusks species [53,
194, 195]. Thus, TM becomes a key allergen to better understand the cross-reactivity
between a wider range of invertebrate species and also a suitable candidate allergen to be
used in the induction of in vivo models for shellfish allergy. Particularly, shrimp
tropomyosin accounts for approximately 20% of all shrimp proteins and the amino acid
sequence identity among various edible shrimp species is 95%-100% [192, 196]. In 2008,
shrimp tropomyosin was initially used in oral sensitisation with CT as mucosal adjuvant
in C3H/HeJ mice and elicited significantly increased titers of serum TM-specific IgE and
IgG1 antibody [175]. Oral challenge with high doses of purified TM triggered an
appropriate level of anaphylactic reactions. The TM re-stimulated splenocytes from
sensitised donor mice released significantly higher levels of IL-4, IL-13 and IFN-γ than
control mice, which confirmed the Th1/Th2 pattern of immune reactions in shrimp
allergy. In the same year, oral sensitisation with the recombinant TM rMet e 1 plus CT
also successfully induced hypersensitivity in BALB/c mice [197]. Unfortunately, no cell-
mediated immune responses and local inflammations were assessed in these two studies.
Recently, Shi et al. established a mouse model of mud crab (Scylla paramamosain) TM
Chapter 1
47
allergy in BALB/c mice by systematic sensitisation [176]. Oedema and lymphocytic
infiltration of the jejunum was observed in TM/alum treated mice. On the basis of this
mud crab TM model, the potential immunoregulatory effect of isolate sulfated
polysaccharide from Porphyra haitanensis (PHPS) was investigated. Repeated
systematic treatments of PHPS either before or after tropomyosin sensitisation could
skew a mixed Th1/Th2 immune pattern to more Th1 responses to TM, suggesting a
potential medical application of PHPS in crustacean allergy.
Different processing methods may impact on shellfish allergenicity [53], however few
mouse model studies have explained this topic. A very recent study of a IG mouse model
revealed that high hydrostatic pressure, in combination with thermal treatment could
significantly reduce the allergenicity of shrimp TM [55]. Such studies provide more
perspectives for food processing and storage technology targeting people allergic to
shellfish.
However, except for these animal models using TM, there are no animal models
developed for the other shellfish allergens. Despite the importance of TM, particularly as
a highly cross-reactive protein in IG and inhalant allergies, there are no published in vivo
studies, warranting a detailed analysis of the mechanisms underlying cross-reactivity to
TM derived from various allergen sources. The development of mouse models for
shellfish allergy and cross-reactivity could greatly improve the specificity and accuracy
of clinical diagnosis and medical advises on allergen avoidance.
1.4.5 Advances of food allergy mechanisms in mouse studies
The detailed immunological analysis of a mouse model not only plays a very necessary
role to evaluate the level of murine responses to allergens, but also reveals more
knowledge of the molecular mechanism underlying allergic reactions to food. For
Chapter 1
48
example, a recent study found that insulin-like growth factor (IGF) 2 could stimulate Treg
cell proliferation and improve Treg cell function in vivo. The IP administration of IGF2
and/or the adoptive transferring of Antigen (OVA)–specific Treg cells in an oral
OVA/CT-sensitised mouse model significantly reduced the serum IgE responses and the
inflammation in intestine [198]. More molecular components that may play a regulatory
role in the allergic pathway can be discovered using mice with target gene modified. The
genetic depletion of sphingosine-kinase (SphK) 1 and 2 in mice could alter the production
of Sphingosine-1-phosphate (S1P), thus suppressing the murine antibody responses to
OVA in oral sensitisation with acid-suppression and subsequently the accumulation of
CD4+ effector cells [199]. However, the OVA specific IgE and IgG1 level through IP
sensitisation of OVA mixed with Al(OH)3 was not affected by the absence of SphK 1 and
2. Therefore, SphK1 and 2 seems to play an important role in the regulation of CD4+ T
cells leading to intestinal allergies.
Furthermore, in a study of mouse model for peanut allergy, the provirus integration site
for Moloney murine leukemia virus (Pim) 1 kinase and downregulated expression of
Runt-related transcription factor (Runx) were found to contribute to the development of
intestine allergic responses via promoting Th2 and Th17 cell differentiation and
expansion [200]. The same research team also reported that the activation of Cyp11a1
may lead to peanut induced intestine anaphylaxis [201].
Chapter 1
49
1.4.6 Conclusion
The availability of different mouse models greatly improves our knowledge on food
allergies. The selection of different establishment parameters can contribute to the
sensitisation and effector mechanisms of murine immunity. The majority of published
mouse studies could reflect some of the essential features of human food allergy, such as
boosted levels of antigen-specific IgE antibody in serum and Th2 cytokines in tissue and
re-stimulated spleenocytes. However, the variability of mouse models increases the
difficulty to compare the different in vivo studies on food allergens and food allergy. Such
mouse studies might more easily conclude controversial views. Moreover, the
consistency of mouse models between laboratories has to be validated.
There are still many food allergens and hypotheses of therapeutic or preventive strategy
to be analysed using in vivo platforms. Further research on the role of non-allergen
components of food and environmental factors in the induction of allergic responses will
help to develop a more comprehensive understanding of food allergy.
Chapter 1
50
1.5 Summary and research synopsis of the thesis
In this chapter, a detailed review is provided on the current advances of food allergens,
cross-reactive allergens of shellfish in particular, as well as the establishment and
applications of murine models for food allergy. This introduction compares the
differential approaches in developing appropriate murine models for food allergy and
details specific findings for three major food allergen sources, peanut, milk and shellfish.
The work undertaken in this PhD thesis describes in-depth investigations on the
development of a good shellfish allergy mouse model, and subsequent evaluations of
immunological cross-reactivity between crustacean and molluscs species. Immunological
cross-reactivity to the pan-allergen tropomyosin has been particularly studied in murine
models.
The chapters of the thesis have the following specific aims and are outlined as follows:
The aim of Chapter 2 was to develop a novel shellfish allergy model. A series of
optimisation experiments using different mouse strains, sensitisation doses and mouse
sacrifice time-points were performed to elicit appropriate allergy-like humoral and
cellular responses in experimental animals. The mouse model was established with
predominant Th2 responses to Black tiger prawn (Penaeus mondon) using BALB/c mice.
The aims of Chapter 3 were to assess the immunological cross-reactivity between prawns
and abalone, but also to recognise the specific allergens responsible for cross-reactivity.
The heated allergen extracts of two commonly consumed shellfish species in the Asia-
Pacific region, Black tiger prawn (Penaeus mondon) and Jade tiger abalone (Haliotis
laevigata x Haliotis rubra) were generated and subsequently the immunological cross-
reactivity between these extracts at both humoral and cellular levels comprehensively
analysed using the established mouse model. Cross-reactive allergens between Black
Chapter 1
51
tiger prawn and Jade tiger abalone were identified on molecular level through IgE
immunoblotting and mass spectrometry.
The aims of Chapter 4 were to prepare recombinant tropomyosins from Black tiger
prawn and Jade tiger abalone and retained allergenicity as compared to natural
tropomyosin. This chapter details the identification and characterisation of tropomyosins
from Black tiger prawn and Jade tiger abalone. A detailed amino acid sequence analysis
was conducted to reveal the molecular basis of IgE cross-reactivity. Recombinant
tropomyosins of prawn and abalone were expressed and furthermore, their allergenicity
was confirmed by inducing allergy-like inflammatory responses in mice.
The aim of Chapter 5 was to investigate the potential immunological cross-reactivity
between prawn and abalone tropomyosins in detail using the mouse model. The roles of
antibodies, cytokines and effector cells in this immunological cross-reactivity was
thoroughly demonstrated.
The final Chapter 6 summarises the major findings of this thesis, but also elucidates the
essential contribution of these findings towards a better understanding of the detailed
cross-reactivity mechanisms in food allergy and improved diet managements for
susceptible populations to shellfish allergy.
Chapter 1
52
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CHAPTER
ESTABLISHMENT OF A MOUSE MODEL
FOR PRAWN ALLERGY
Chapter 2
80
2.1 Introduction
Shellfish are good sources of protein and have become a very popular option in human
diets. Shellfish are a very large and diverse group of invertebrates including more than
50,000 crustacean species and 100,000 mollusk species. The most widely consumed
shellfish species are prawn, lobster, crab, abalone, oyster, squid, clam, cockle, snail and
mussel [1]. With the worldwide increasing consumption of shellfish, reports of people
with allergies to shellfish have increased significantly in recent decades. Shellfish allergy
has been reported as the most common food allergy in adults in the United States [2, 3].
However, there is still no cure for shellfish allergy available, and prevention of allergic
reaction relies currently on avoidance. Furthermore, the sensitisation phase and effector
mechanisms of shellfish allergy have not been fully understood.
Mouse models are very useful tools for studying several key aspects of allergic diseases,
including the understanding of the humoral and cellular mechanisms, the development of
preventive and therapeutic strategies and the in vivo evaluation of the allergenic potential
of proteins [4-6]. In food allergies, many mouse models have been developed, especially
for sensitisation to ovalbumin and peanut-induced allergies. However, mouse models
characterising allergic responses against shellfish components are still very limited.
Current models of food allergy have been developed using a high variety of protocols [6].
These models usually consist of sensitisation phase and subsequent challenge phase,
while the corresponding exposure route and allergen dose at each phase differs greatly in
the different induction protocols. Also, mouse strains, allergen sources and sensitisation
adjuvants are very essential parameters to be considered carefully because of their
potential influence on the phenotype of murine allergic responses.
Chapter 2
81
Many allergy studies have utilised the BALB/c mouse strain, which is believed to have a
mainly Th2 focused immune response. In contrast, C57BL/6 mice are less used in food
allergy research, probably due to the relatively weak allergic responses to a few allergens
[7]. However, the exact association of the genetic background with the susceptibility to
food allergy remains unclear and the comparison between BALB/c and C57BL/6 mice
seems to be similar in their mechanisms of asthma inflammation [8]. Taking in
consideration the enormous genetic variants available in C57BL/6 mice, I investigated
and compared in this study both mouse strains with their response to prawn extracts.
Black tiger prawn (Penaeus monodon) is one of the most essential commercial products
of the seafood industry in Southeast Asia and is widely distributed in the Indo-West-
Pacific region. The major allergens of Black tiger prawn (BTP) have been well-studied
using immunochemical approaches and advanced mass spectroscopy [9, 10]. Therefore,
BTP is a good representative shellfish species used to develop a mouse model for food
allergy to shellfish.
In patients, the identification of the sensitisation route and specific dose of allergen in the
sensitisation phase is often very difficult to establish. The possible routes of sensitisation
with food allergens are the gastrointestinal tract, skin contact or via airways [11].
Although there is no evidence to show the predominant sensitisation site in patients with
allergies to shellfish, the majority of reported mouse models for food allergies utilise the
oral route, using cholera toxin (CT) as a super antigen to break the murine oral tolerance.
However, the interference of CT does not reflect the usual pathogenesis of human food
allergies and the mechanisms through which CT enhances murine Th2-biased responses
remains to be described [12]. Unlike the oral sensitised models, some allergy models use
the systemic sensitised route. The immune response is improved by using alum through
better absorption of the allergens. Alum can help by delivering higher concentrations of
Chapter 2
82
allergens, where the allergenic proteins are slowly released to antigen stimulation cells
and enhance the allergen presentation to Th2 cells [13]. Alum is also one of the most
common adjuvants used for human immunisations [14]. In the current project, to establish
the shellfish-allergy model, I chose to administrate the allergens initially via
intraperitoneal (IP) sensitisation with shellfish whole protein extract mixed with alum.
Furthermore, to establish the best dose of sensitisation, different amounts of protein
extracts (10-500 μg) were compared in their sensitisation potential.
This chapter was aimed to establish a novel shellfish allergy model to mimic the allergic
sensitisation of patients to shellfish. The mouse model was optimised after comparing
different allergen concentration during IP sensitisation and subsequent oral challenge. In
particular, two different mouse strains were compared for their humoral and cellular
responses to heated Black tiger prawn protein extracts to establish the best protocol for a
novel murine model for shellfish allergy.
Chapter 2
83
2.2 Aims
The aims of Chapter 2 were:
(1) To design the best induction protocol of a mouse model for prawn allergy.
(2) To characterise the mouse model of prawn allergy in detail by assessing the
immunological responses including serum antibodies, splenic cytokines and
granulocyte, circulating granulocytes, as well as the pathology of the jejunum.
Chapter 2
84
2.3 Animals, materials, and methods
2.3.1 Animals
C57BL/6 mice and BALB/c mice (7 or 8-week-old females) were housed at the Cairns
campus, building E4 Animal Facility under specific pathogen-free conditions, and
maintained on a commercial diet purchased from Specialty Feeds. The experiments were
approved by the animal ethics committee from James Cook University (Animal ethics
approval number A2108).
2.3.2 Preparation of shellfish extracts
2.3.2.1 Preparation of heated Black tiger prawn extracts
Black tiger prawns (Penaeus monodon) were purchased from local seafood shops. To
mimic the most common cooking methods for human consumption, the whole prawns
were washed with Milli-Q water and subsequently heated in 1 x PBS (phosphate buffered
saline) at 100 °C for 20 min. Then the outer shell was removed and the abdominal muscles
shredded into small pieces and homogenised in 200 ml PBS using gentleMACS Octo
Dissociator (Miltenyi Biotec). The protein slurry was mixed overnight at 4 °C.
Supernatant was collected into new Falcon tubes after centrifugation at 13,000 RPM for
30 min using Beckman Coulter Avanti J-26 XP. The heated Black tiger prawn extracts
(hBTP) were filtered through 0.22 μm membrane filter (Millipore) before used for
intraperitoneal (IP) injections. The concentration of proteins was estimated using Pierce
BCA Protein Assay Kit (Thermo Fisher Scientific) and adjusted with PBS. Heated
shellfish extracts could be added into Amicon Ultra-15 centrifugal filters (REF
UFC900396) and concentrated by centrifugation. The aliquots of prawn extracts were
named “hBTP" and stored at -80 °C until further use.
Chapter 2
85
2.3.2.2 Protein concentration estimate
Following the manufacturer’s instruction, Pierce BCA Protein Assay Kit (Thermo Fisher
Scientific) was used for the estimation of proteins. Briefly, 10 μl of Albumin (BSA)
Standards were 1:2 serially diluted in microcentrifuge tubes with PBS buffer. The
concentration of the highest standard was 2 mg/ml and the blank standard is PBS buffer
only. 10 μl of neat or diluted samples were prepared as well. Solution A and B were mixed
well at 50:1. 200μl of the mixture of Solution A and B were added into each tube of BSA
standards or samples, following by incubation at 55-60 °C for 15 min in a water bath.
After a quick spinning down of all the tubes, 100 μl of reaction from each tube was
transferred into 96 well plates. When the reaction cooled to room temperature, the
microplate was read at 562 nm in a spectrophotometer (POLARstar Omega microplate
reader). The standard curve was generated by plotting the average for each BAS standard,
corrected with the reading for the Blank and calculated in mg/ml. The protein
concentration of each unknown sample was determined using the standard curve.
2.3.3 Establishment and evaluation of mouse models in shellfish allergies
2.3.3.1 Mice sensitisation and challenge with allergens
2 mg of Imject™ Alum Adjuvant (Thermo Fisher Scientific) was added to the hBTP in
150 μl PBS and mixed on a suspension mixer (Ratek) for 30 min, so alum could
effectively absorb the allergen proteins.
Mice received three intraperitoneal (IP) injections of the allergen and alum mixture on a
weekly basis. Mice were fasted overnight but had unlimited access to water before the
intragastric (IG) challenge. On the challenge dates, all allergen-sensitised mice were
orally fed on the allergens in PBS, while the control mice received PBS only. After each
oral challenge, mice were visually monitored for 60 min. 24 hours after the last oral
Chapter 2
86
challenge, mice were sacrificed and for further analysis samples isolated from blood,
spleen, stool, and jejunum.
Every experimental design is shown in the first figure under each experimental section of
Chapter 2; Figure 2.1 in Experiment #1, Figure 2.6 in Experiment #2, and Figure 2.11 in
Experiment #3.
2.3.3.2 Measurement of antibodies and mast cell protease-1 in serum
Isolation of mouse serum
Mice were euthanised by CO2 asphyxiation and cardiac puncture was conducted to
harvest blood. Mouse blood was collected in clean microcentrifuge tubes and cooled at 4
°C for 1 hour. The blood was then centrifuged at 13,000 RPM for 20 min to separate
serum from blood clot. Serum was transferred into new tubes and stored at -20 °C for
future analysis.
Serum immunoglobulin levels
hBTP specific IgE, IgG1 and IgG2a antibody were measured in serum by sandwich
enzyme-linked immunosorbent assay (ELISA). Briefly, BD Falcon 96-well Flat-bottom
ELISA Plates (Becton Dickinson) were coated with 100 μl of 20 μg/ml hBTP, wrapped
with an adhesive plastic and incubated overnight at 4 °C. Coated plates were flicked over
a sink to remove the liquid. The remaining drops were discarded by patting the plate on
clean paper towels. Next, coated plates were blocked with 200 μl of 10% fetal bovine
serum (FBS) in PBS. The plates were wrapped with an adhesive plastic and incubated at
room temperature for one hour or 4 °C overnight. The liquid was removed and 50 μl of
individual serum samples, standards and blank (PBS only) were added to the plates. In
IgE and IgG2a plates, neat or 1:2 diluted serum was loaded. For IgG1 specific plates,
serum was diluted 1:10 with PBS. The plates were incubated at room temperature for two
Chapter 2
87
hours or preferably 4 °C overnight for maximal sensitivity. The serum was discarded or
recovered into clean microplates to be reused for other purposes. Plates were washed three
times by filling the wells with PBS/0.05% Tween20. 50 μl of 1:500 diluted detection
antibody (Biotin Rat anti-mouse IgE, Biotin Rat anti-mouse IgG1 or Biotin Rat anti-
mouse IgG2a respectively, Becton Dickinson) with PBS-2% FBS was added to each well.
The plates were covered with an adhesive plastic and incubated for 1.5 hours at room
temperature. Plates were washed five times with PBS-0.05% Tween 20. 50 μl of
streptavidin-HRP was added into each well, following with incubation in dark at room
temperature for 30 min. The plates were washed five times with PBS-0.05 % Tween 20.
Liquid was discarded and made sure no air bubbles were remaining in the wells. TMB
substrate (Becton Dickinson) was warmed up to room temperature before use. Equal
volumes of Substrate Reagent A and Substrate Reagent B were freshly mixed before each
experiment. 50 μl of the mixed substrate was loaded into each well to develop the desired
colour reaction. Normally this step would take 1 to 2 minutes but longer for the detection
of specific IgE. The last reagent added is 50 μl of 1 M HCl per well to stop the reaction.
As a result, the colour changed from blue to yellow. The plates were read at 450 nm using
a POLARstar Omega microplate reader (BMG LABTECH). The average 450 nm
absorbance measurement of the Blank standard replicates was subtracted from the 562
nm measurements of all other individual standards and unknown samples.
Total IgE antibody was measured in serum by sandwich ELISA. The basic protocol was
the same as the measurement of specific IgE, except that the coating solution was purified
rat anti-mouse IgE antibody (Becton Dickinson) diluted 1: 500 and serum diluted at1:10.
Chapter 2
88
Serum mouse mast cell protease-1 level
Serum mouse mast cell protease (mMCP)-1 level was detected using Mouse MCPT-1
(mMCP-1) ELISA Ready-SET-Go reagent set (eBioscience) according to the
manufacturer protocol. Briefly, BD Falcon 96-well Flat-bottom ELISA Plates (Becton
Dickinson Pty Ltd) were coated with 100 μl of 1 x MCP-1 capture antibodies which was
diluted with 1 x coating buffer. The plates were sealed and incubated overnight at 4 °C.
Coated plates were washed three times. During every wash, the wells were filled with
wash buffer, incubated for 1 min before discarding liquid. Next, coated plates were
blocked with 200 μl of 1 x Assay Diluent for 1 hour at room temperature. The top standard
concentration (15,000 pg/ml) was prepared by adding 15 μl of Standard to 1 ml of
ELISA/ELISPOT Diluent. 2-fold serial dilutions of the top standards with 1 x Assay
Diluent were performed. Eight points in total were needed to produce the standard curve.
50 μl of samples and standards were added to the wells following by two-hour incubation
at room temperature or overnight at 4 °C. After five washes with wash buffer, the 50 μl
of 1 x detection antibody was loaded into each well and the plates were incubated for one
hour at room temperature. After that, the plates were washed five times before 30 min
incubation with 50 μl of 1 x streptavidin-HRP at room temperature. The ELISA plates
were washed seven times and then 50 μl of substrate solution was added for another 15-
min incubation at room temperature. 50 μl of 1 M HCl was used to stop the reaction. Then
the plates were read at 450 nm and the values of samples were calculated on the basis of
the standard curve.
Chapter 2
89
2.3.3.3 Cell stimulation with allergens
Preparation of single cell suspension
Sing cell suspension of spleens and mesenteric lymph nodes (MLNs) was prepared for
flow cytometry analysis or cell culture. For a sterile cell suspension preparation, all the
instruments were soaked in ethanol or autoclaved.
Firstly, 2 ml of the cell wash buffer was added into a culture plate on ice for the organ
collection. Organs with wash buffer were then transferred into gentleMACS tubes
(Miltenyi Biotec). The tubes were placed onto the gentleMACS Octo Dissociator
(Miltenyi Biotec Australia) and a program of 55 sec mincing was applied. To prepare
cells for culture use, the subsequent organ processing was conducted in Class II Biosafety
Cabinet (ESCO). The minced organs flowed through 70 μm cell strainers (Biologix
Group Limited) and the un-minced pieces were scratched against a mesh using a clean 2
ml syringe plunger. About 13 ml of cell wash buffer was used to rinse the cell strainer,
and the suspended cells from each mouse were collected individually into a clean 15 ml-
size conical tube. After centrifugation at 1300 RPM for 10 min at room temperature, the
supernatant was removed. Cell pallets from spleens were resuspended with 1 ml of Red
Blood Lysis Buffer (Sigma). Following with 1-min incubation, 13 ml of wash buffer was
added and cell suspension was centrifuged at 1300 RPM again for 7 min. The splenocyte
pallet was resuspended with 8 ml complete culture medium and ready for cell counting.
In contrast, MLN did not undergo red blood lysis and MLN cell pallet was resuspended
with 2 ml of complete culture medium. All the single cell suspension was kept on ice.
Chapter 2
90
Cell counting
10 μl of suspended cells from each spleen or MLN was loaded individually into the well
of a 96-well plate. 10 μl of 0.4% trypan blue solution (Sigma) was mixed up with each
sample. 10 μl of each strained cell sample was loaded into a chamber of the counting slice
(BIO-RAD). The number of live cells was read and recorded using the TC20 Automated
Cell Counter (BIO-RAD). The cell concentration was accordingly adjusted with the
complete culture medium, and ready for cell stimulation and flow cytometric analysis.
In vitro cell stimulation with allergens
In Chapter 2, Experiment #1 and #2, one million cells (from spleen or MLN) in 100 μl of
the complete culture medium were seeded into each well of a 96-well U-bottom cell
culture plate (FALCON). 100 μl of 80 μg/ml allergen solution (hBTP) was added into
cells to stimulate the cytokine production. The unstimulated cells were only incubated
with 100 μl of the culture medium. All the cell culture plates were placed in 5% CO2 at
37°C using SANYO CO2 Incubator Model MCO-18AIC (UV) Dual Stack. 72 hours later,
the culture plates were centrifuged at 1500 RPM for 15 min, and the supernatant was
collected and stored at -80 °C for cytokine analysis.
A few modifications of the protocol were made in Experiment #3. 0.5 million cells were
stimulated with 40 μg/ml hBTP. Moreover, the positive control was obtained by
incubating 0.5 million cells with 100 μl of 1 μg/ml anti-CD3/anti-CD28.
Chapter 2
91
2.3.3.4 Flow cytometry
Preparation of single cell suspension of spleens and MLNs has been described
above in Section 2.3.3.3 above.
Isolation of peripheral blood mononuclear cell (PBMC) from the whole blood
Blood was harvested from mouse heart. Two to three drops of mouse blood were collected
into a microcentrifuge tube and immediately mixed well with 20 μl of 1,000 unit/ml
heparin as the anticoagulant. The cells were incubated with 1 ml of Red Blood Lysis
Buffer (Sigma) for 5 min, and subsequently centrifuged at 1300 RPM at 4 °C for 10 min.
The cell pallets were re-suspended with 200 μl of Fluorescence-activated cell sorting
(FACS) buffer. Cell suspension was transferred into a 96-well plate, ready for cell surface
immunofluorescence staining.
Cell surface immunofluorescence staining
The populations of eosinophils and basophils in PBMC (Experiment #2), spleen and
MLN (Experiment #3) were analysed by means of flow cytometry. The stain panel
included 7 fluorescence-conjugated antibodies (Jomar Life Research), including Anti-
Mouse CD170 (Siglec F) PerCP-eFluor 710, Anti-Mouse CD3 APC-eFluor 780, Anti-
Mouse IgE FITC, Anti-Mouse CD11b PE, Anti-Mouse CD49b (Integrin alpha 2) APC,
Anti-Mouse CD19 APC-eFluor 780, Anti-Mouse Fc epsilon Receptor I alpha (FcεR1)
eFluor 450. These antibodies were 1:300 diluted with FACS buffer and mixed together.
All the volume of PBMC or 0.5 x 106 cells from each spleen or MLN were prepared in
the 96-well plates, and centrifuged at 1500 RPM for 3 min at 4 °C. The plates were flicked
to remove the liquid and gently patted on paper tissues. 200 μl of FACS buffer was added
to wash the cells. Subsequently, 20 μl of Fc block was added to resuspend cells, following
with incubation for 5 min at room temperature. Next, the cells were incubated with 50 μl
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of the antibody mix in dark for 30 min on ice. 150 μl of FACS buffer was added to wash
away the redundant antibodies. After centrifugation at 1500 RPM for 3 min, the cell
pallets were resuspended with 200 μl of Fixation buffer (Jomar Life Research), and
incubated on ice for 20 min in dark. Cells were centrifuged and finally resuspended in
200 μl of FACS buffer. The cell plates were kept in dark and stored at 4 °C, ready to be
analysed using BD FACS Canto II.
2.3.3.5 Preparation of jejunum protein extracts
Mouse duodenum is about 4-5 cm in 8-week-old mice, starting from the connection point
with the lateral stomach. Mouse jejunum locates next to duodenum. In this study two 1-
2 cm segments of jejunums were harvested. The first segment was used for protein
extraction following the protocol below. The second segment for producing
histopathological slides, which was described in Section 2.3.3.7.
Firstly, mouse jejunum was briefly washed with PBS buffer in a clean petri dish. The
washed jejunum was placed in a round-bottom microcentrifuge tubes with a metal bead
and 500 μl PBS on ice. Jejunums were homogenised at 4 °C under the frequency of 25/sec
for 5 min using TissueLyser II (QIAGEN 08-08569), following with centrifugation at 13,
000 RPM for 5 min at 4 °C. The supernatant was then transferred in a new tube and stored
at -80 °C for the analysis of cytokines or the measurement of allergen-specific IgA
antibody.
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2.3.3.6 Measurement of cytokines
Cytometric Bead Array (CBA)
Both the samples from cell re-stimulation experiments and protein extracts of jejunums
were briefly centrifuged to make sure only the supernatant was pipetted for CBA assays.
Firstly, the panel of beads was calculated and prepared. 0.5 μl of each BD CBA Flex Set
capture or detection bead was taken for each sample. Every vial of beads needs to be
vortexed thoroughly before opening. Ten different beads targeting cytokines IL-4, IL-5,
IL-6, IL-9, IL-10, IL-13, IL-17, IL-23, IFN-gamma and MCP-1, were included in the
panel. CBA wash buffer, assay diluent and capture diluent were filtered through sterile
0.22 μm membranes before use. The diluent volume was calculated based on using 50 μl
of diluted mixed beads per sample (well). Ten types of beads were mixed well together
with diluent by vortex. A serial 1:2 dilution was performed in microcentrifuge tubes
starting from the pre-mixed top standard. A total of 9 standard tubes (60 μl per tube) were
prepared with filtered assay diluent.
Next came the plate protocol. 96-well plates were wet with 100 μl of filtered wash buffer.
The liquid was discarded by hard flick and patting on clean paper towels. 50 μl of diluted
capture beads was added into each well. 50 μl of the standards and samples were added
into each well for one-hour incubation at room temperature. Subsequently, 50 μl of
diluted detection beads was added into each well and the plates were incubated in dark
for one hour. The supernatant of each well was removed by gentle flick following with
centrifugation at 2,000 RPM for 2 min. 150 μl of filtered wash buffer was added into each
well and the plates of samples were acquired immediately using BD FACS Canto II. The
minimum detection levels for each cytokine were: IL-6, 1.4 pg/ml; IL-9, 10.7 pg/ml;
MCP-1, 2.7 pg/ml; IL-23, 1.04 pg/ml; IL-17, 0.95 pg/ml; IL-4, 0.3 pg/ml; IL-5, 0.9 pg/ml;
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IL-10, 9.6 pg/ml; IL-13, 2.4 pg/ml; and IFN-gamma, 0.5 pg/ml. When the calculated
cytokine concentration was below the given sensitivity, it was treated as undetectable.
Enzyme-linked immunosorbent assay (ELISA)
Levels of mouse cytokines including IL-5, IL-13 and IFN-gamma were measured using
Mouse ELISA Ready-SET-Go reagent sets (eBioscience) and following the protocols
from the manufacturer. Briefly, 96-well Flat-bottom ELISA Plates (Becton Dickinson)
were coated with 100 μl of 1 x corresponding cytokine (IL-5, IL-13 or IFN-gamma)
capture antibody which was diluted with 1 x coating buffer. The plates were sealed and
incubated overnight at 4 °C. Coated plates were washed three times with PBS/0.05%
Tween 20. Next, coated plates were blocked with 200 μl of 1 x Assay Diluent for 1 hour
at room temperature. The top standard concentration was 500 pg/ml for IL-5 and IL-13,
and 2000 pg/ml for IFN-gamma, which was prepared by adding corresponding cytokine
Standard to ELISA/ELISPOT Diluent. 2-fold serial dilutions of the top standards with 1
x Assay Diluent were performed. Eight points in total were needed to produce standard
curve. 50 μl of samples and standards were added into wells following by two-hour
incubation at room temperature or overnight at 4 °C. After five washes with wash buffer,
the 50 μl of 1 x detection antibody was loaded into each well and the plates were incubated
for one hour at room temperature. After that, the plates were washed five times before 30
min incubation with 50 μl of 1 x Avidin-HRP at room temperature. The ELISA plates
were washed seven times and then 50μl of TMB was added for another 15 min incubation
at room temperature. 50 μl of 1 M HCl was used to stop the reaction. Then the plates were
read at 450 nm and the values of samples were calculated on the basis of standard curve.
The detection limit was: IL-5 and IL-13, 4pg/ml; and IFN-gamma, 15 pg/ml. When the
calculated cytokine concentration was below the given sensitivity, it was treated as
undetectable.
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2.3.3.7 Histology
After mice were sacrificed, lungs and jejunums were collected for histopathological
examination. See “Preparation of jejunum protein extracts” for the method of harvesting
jejunums. The second 1-2 cm segment of jejunum was carefully cut open and washed
with PBS in a petri dish. The washed jejunum was preserved in 10% formalin at 4 °C for
24 hours and then transferred into 70% ethanol for long-time storage. The lung and
oesophagus samples were processed the same way after isolation. Then, the preserved
samples were shipped to QIMR Berghofer (Brisbane, Australia) to produce haematoxylin
and eosin (H&E) stained histopathological slides.
2.3.3.8 Measurement of allergen-specific IgA antibody
The protocol to detect the level of IgA antibody was similar with the measurement of IgE
antibody and mMCP-1. Briefly, 100 μl of 20 μg/ml hBTP was seeded into each well of
96-well ELISA plates (Becton Dickinson) and incubated at 4 °C overnight. The hBTP-
coated ELISA plates were flicked, washed with PBS/0.05% Tween 20 and patted on clean
paper towels. Subsequently the ELISA plates were blocked for one hour at room
temperature. The ELISA plates were washed once and then 50 μl of neat jejunum extracts
and PBS as blank were added into plates to incubate overnight at 4 °C. After that, plates
were washed three times with PBS/0.05% Tween 20. 50 μl of 1:500 diluted biotin anti-
mouse IgA antibody (Biolegend) was added to each well and plates were incubated for
1.5 hours at room temperature. Next, plates were washed five times with PBS/0.05%
Tween 20. 50 μl of 1 x streptavidin-HRP was added into wells, following with incubation
in dark at room temperature for 30 min. the plates were washed five times with
PBS/0.05% Tween 20. 50 μl of substrate was loaded into each well. Once the desired
colour reaction was developed, 50 μl of 1 M HCl was added on top of each well. The
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plates were read at 450 nm using POLARstar Omega microplate reader (BMG
LABTECH).
2.3.3.9 Statistical analysis
To compare the difference between every two groups of mice, the two-tailed Mann-
Whitney U test was performed using Prism 6.0. Data are presented as mean values with
the standard error of the mean (SEM). p values of less than 0.05 were considered
statistically significant.
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2.4 Results
2.4.1 Experiment #1:
Different sensitisation doses and time-points in C57BL/6 mice
2.4.1.1 Experimental design
Animals: C57BL/6 mice (8-week-old females) were obtained from the Animal Resource
Centre, Australia. Mice were housed at the Cairns campus, building E4 Animal Facility
under specific pathogen-free conditions, and maintained on a commercial meat free diet
purchased from Specialty Feeds. The experiments were approved by the animal ethics
committee from James Cook University (Animal ethics approval number A2108).
Mice sensitisation and challenge with allergens: Mice received three intraperitoneal (IP)
injections of 10 μg of hBTP mixed with 2 mg of alum in Group A, 20 μg of hBTP mixed
with alum in Group B, or PBS with alum in Group D. Injection proceeded on Days 0, 7
and 14. Group C received only one injection with 50 μg of hBTP on Day 0. Mice were
fasted overnight but had access to water before oral challenge. On Day 21 and Day 24,
all hBTP-sensitised mice were fed with 100 μg of hBTP in PBS, while Control mice PBS
only. The experimental design is shown in Figure 2.1. 24 hours after the last oral challenge,
mice were sacrificed, and mouse blood, spleen, jejunum were isolated.
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Figure 2.1 Protocol of inducing shellfish allergy in a mouse model. The schedules for
IP sensitisation and oral challenge are shown. Each group comprised of six mice.
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2.4.1.2 Induction of antibody and mast cell protease-1 in sera
Figure 2.2 Levels of serum antibodies including hBTP-specific IgE (A), IgG1 (B) and
IgG2a (C), and mMCP-1 (D). Sera were obtained on the sacrifice day from C57BL/6
mice immunised with different doses of hBTP or with PBS only. mMCP-1 and hBTP-
specific IgE, IgG1 and IgG2a levels were determined by sandwich ELISA. Sera were neat
for the measurement of IgE antibody and mMCP-1; 1: 10,000 for IgG1 antibody and
1:100 for IgG2a antibody. Data are reported as mean ± SEM (n = 6) for each group. p
< 0.05, and p < 0.01. Each dot represents an individual mouse.
*
**
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To determine the induction of allergy-like responses, I investigated the generation of
allergen-specific immunoglobulins (Ig) after weekly IP administration of hBTP with alum.
As shown in Figure 2.2.A, the levels of circulating hBTP-specific IgE were low in all
hBTP-treated mice, indicating that the C57BL/6 mice were insufficiently sensitised. IgG1
and IgG2a antibody are also indicative parameters of immune responses. Figure 2.2.B
and C demonstrate that all hBTP-treated mice were able to provoke significantly
increased levels of allergen-specific IgG1 and IgG2a antibodies in comparison with PBS
control mice. No allergen-specific IgE antibody and IgG1 antibody were induced in
control mice injected with PBS mixed with alum.
Mast cells are one of the essential effector cells leading to allergic inflammation. The
level of mMCP-1 enzyme is therefore regarded in this study as the marker of mast cells
activation and degranulation. mMCP-1, classified as a β-chymase, is believed to be
predominantly expressed in intestinal mucosal mast cells. mMCP-1 can therefore be used
as an indicator of IgE-mediated intestinal allergic responses and might be related with a
variety of inflammatory events including permeability changes and leucocyte infiltration.
In this case, Figure 2.2.D demonstrates the increased level of circulating mMCP-1 in all
hBTP-sensitised mice. Comparing with one IP injection with 50 μg of hBTP, the
administration of three IP injections of 20 μg or 10 μg of hBTP could induce significantly
higher levels of serum mMCP-1 in mice.
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2.4.1.3 Production of cytokines by splenocytes in vitro
Figure 2.3 Production of cytokines by unstimulated splenocytes: IL-4 (A), IL-5 (B),
IL-6 (C), IL-9 (D), IL-10 (E), IL-13 (F), IL-17A (G), IL-23 (H), mMCP-1 (I) and
IFN-gamma (J). The splenocytes were cultured in the absence of hBTP for three days.
The levels of cytokines were determined by CBA. Data are reported as mean ± SEM (n
= 6) for each group. p < 0.05, and p < 0.01. Each dot represents an individual mouse.* **
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To determine if the local cellular activation could drive an allergen-specific Th2-cellular
immune response, secreted cytokines were measured in supernatants of splenocytes re-
stimulated in vitro. Single cell isolated from spleens were incubated for 72 h with culture
medium only or 100 μl, 80 μg/ml of hBTP. IL-4, IL-5, IL-6, IL-9, IL-10, IL-13, IL-17A,
IL-23, mMCP-1 and IFN-gamma contained in the supernatant of cell culture were
measured by CBA.
Comparing with hBTP-re-stimulated splenocytes, unstimulated splenocytes that were
incubated with completed cell culture medium only produced lower levels of cytokines,
except for mMCP-1 and IFN-gamma, shown in Figure 2.3. In unstimulated cultures,
levels of Th2 cytokines in hBTP-treated mice were not significantly different from those
in control mice, except for IL-17A from the mouse group of 10 μg x 3. IL-17A is believed
to be involved in inflammation, but the contribution of IL-17A to allergic diseases
remains controversial [15, 16]
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Figure 2.4 Production of cytokines by hBTP-stimulated splenocytes: IL-4 (A), IL-5
(B), IL-6 (C), IL-9 (D), IL-10 (E), IL-13 (F), IL-17A (G), IL-23 (H), mMCP-1 (I) and
IFN-gamma (J). The splenocytes were cultured with hBTP for three days. The levels of
cytokines were determined by CBA. Data are reported as mean ± SEM (n = 6) for each
group. p < 0.05, and p < 0.01. Each dot represents an individual mouse.* **
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As demonstrated in Figure 2.4, in the supernatant of hBTP-restimulated splenocytes,
multiple cytokines including IL5, IL-6, IL-10, IL-17A and IL-13 presented statistically
higher levels than the PBS control group, although the production of IL-4 and IL-9 was
still very low. IL-4, IL-5, IL-10, IL-6, IL-9 and IL-13 are classic Th2-associated cytokines.
IL-23 seemed to be a non-relevant cytokine to prawn allergy as its production was low
by either unstimulated or hBTP-re-stimulated splenocytes (Figure 2.3.H and Figure
2.4.H).
Comparing the different treatment groups, the mice that received one IP administration
of 50 μg of hBTP on Day 0 had stronger responses against hBTP as demonstrated through
higher expression levels of IL-5, IL-6, IL-9, IL-13 and IL-17A. Moreover, only
splenocytes from mice that received 50 μg of allergens released a significantly higher
level of IFN-gamma than control mice after re-stimulation with hBTP (Figure 2.4.J).
2.4.1.4 Production of cytokines in jejunums
To explore the immune responses of the intestine of allergen challenged mice, the levels
of the cytokines in the total extracts of mouse jejunums were also investigated. As shown
in Figure 2.5, the levels of all cytokines and mMCP-1 were very low and IL-6, IL-9 and
IL-13 were not detectable in any jejunum extracts. The levels of IL-17A and IL-10 in the
jejunums from mice treated with 50 μg of allergens were marginally higher than other
mouse groups. However, Figure 2.5 demonstrates that none of these detectable cytokines
displayed a significantly higher level in hBTP-sensitised mice as compared to PBS
control mice. In contrast to cytokines, the levels of jejunum-based MCP-1 in the 10 μg x
3 group and 20 μg x 3 group were significantly higher than the control group.
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Figure 2.5 Production of cytokines in homogenised jejunum: IL-4 (A), IL-5 (B), IL-
10 (C), IL-17A (D), IL-23 (E), mMCP-1 (F) and IFN-gamma (G). The total protein
extracts of jejunums in PBS were prepared to measure the levels of mMCP-1 and
cytokines by CBA. Data are reported as mean ± SEM (n = 6) for each group. p < 0.05,
and p < 0.01. Each dot represents an individual mouse.
*
**
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The aim of this study is to generate a mouse model that can exhibit key characteristics of
IgE-mediated adverse immune responses to shellfish allergens. In this study, increased
levels of serum IgG1 and mMCP-1 were detected, as well as elevated levels of multiple
Th2 cytokines in hBTP-treated mice as compared to PBS control mice. IgE antibodies
play a pivotal role in allergic conditions in humans as well as in mice. However, in this
study only low levels of elevated allergen-specific IgE antibody were detected in the sera
of hBTP-sensitised C57BL/6 mice. Furthermore, no significant Th2 cytokine responses
were observed in jejunum extracts.
To summarise, the results of this study indicate that the current protocol of sensitisation
and challenge with prawn extracts cannot effectively prime sufficient Th2 responses,
which are required for an appropriate in vivo research tool. C57BL/6 may not be a good
mouse strain responding to prawn allergens. Three doses of 10 μg or 20 μg of hBTP can
trigger a higher level of circulating IgG antibodies and mMCP-1, while one dose of 50
μg of hBTP confers a stronger production of cytokines and mMCP-1 as demonstrated by
re-stimulated splenocytes.
Based on the results in Experiment #1, in the next experiment (Experiment #2) two
modifications on the experimental protocol were made to achieve higher Th2 responses.
Firstly, the mouse strain was changed to BALB/c mice that have been previously used for
studying egg and milk allergy [17, 18]. Secondly, to induce sufficient allergic responses,
different doses of IP sensitisation were compared and the doses of oral exposure were
increased in BALB/c mice.
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2.4.2 Experiment #2:
Increased sensitisation doses and oral challenges in BALB/c mice
2.4.2.1 Experimental design
Animals: BALB/c (8-week-old females) were obtained from the Animal Resource
Center, Australia. Mice were housed at the Cairns campus, building E4 Animal Facility
under specific pathogen-free conditions, and maintained on a fish meal free diet
purchased from Specialty Feeds. The animal ethics committee from James Cook
University approved the experiment.
Mice sensitisation and challenge with allergens: Every group consisted of six BALB/c
mice. Mice received three IP injections of different doses of hBTP mixed with 2 mg of
alum in Group A, B and C. Each sensitisation dose of hBTP on each injection day (Day
0, 7 and 14) consisted of 50 μg in Group A, 200 μg in Group B, and 500 μg in Group C.
All hBTP-sensitised mice were orally challenged with 1 mg of hBTP starting from Day
21. A two-day interval was introduced between oral challenges and a total of five
challenges were performed. Group D consisted of control mice injected with 200 μl of
PBS mixed with 2 mg of alum on Day 0, 7 and 14, and subsequently orally challenged
with 200 μl of PBS for five times on the same challenge dates as hBTP-sensitised mice
in Group A, B and C. Mice were fasted overnight but had unlimited access to water before
every oral challenge.
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The experimental design is shown in Figure 2.6. 24 hours after the last oral challenge,
mice were sacrificed. Blood was isolated one day after the 2nd challenge (Day 25), one
day after the 4th oral challenge (Day 31) and also on the sacrifice day (Day 34).
Figure 2.6 Optimised sensitisation and oral challenge protocol, on the basis of
Experiment #1, to establish the mouse model for shellfish allergy. The schedules of
IP sensitisation, oral challenge and the sample collection are shown. Each group
comprised of six mice.
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2.4.2.2 Induction of serum antibody responses
To track down the dynamic changes of serum IgE antibody, mouse serum was isolated at
different time-points. Figure. 2.7.A, B and C demonstrate that the ranks of the levels of
total IgE serum antibody among different mouse groups remained the same on Day 25,
31 and 34. Mice that received the IP sensitisation with 50 μg of hBTP had the highest
levels of IgE antibody in their sera. There is no significant difference between the other
two hBTP-treated mouse groups, whilst the mean value of IgE antibody levels in sera
from the lower-dose sensitised group (200 μg x 3 of hBTP) seems slightly higher than
that in sera from mice sensitised with 500 μg x 3 of hBTP. This trend of lower
sensitisation dose of hBTP provoking higher polyclonal IgE antibody responses was
consistent with the data of hBTP-specific IgE antibody (Figure 2.7.D).
After mice were orally challenged twice in Figure.2.7.A, the 50 μg x 3 group had
significantly higher levels of total IgE antibody than all the other mouse groups, while
there was no statistical difference between higher-dose-sensitised mice (200 μg x 3 or
500 μg x 3) and control mice in the generation of total IgE antibody.
With the increase of oral exposure to hBTP, the levels of total IgE antibody in sera from
mice sensitised with 200 μg x 3 and 500 μg x 3 was significantly elevated compared to
the PBS control (Figure 2.7.B, C and D), but still less than the level of serum total IgE
antibody in the 500 μg x 3 group. The tendency that the lower IP dose elicited a higher
serum antibody response was confirmed through the results of allergen-specific IgE
antibody (Figure 2.7.D).
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Figure 2.7 Levels of total serum IgE on Day 25 (A), 31 (B) and 34 (C), and hBTP-
specific IgE on Day 34 (D). The levels of total IgE at three different time-points and the
hBTP-specific IgE levels in the sacrificed mice were determined by sandwich ELISA.
Sera were diluted 1:10 for the measurement of total IgE and neat for the measurement of
hBTP-specific IgE. Data are reported as mean ± SEM (n = 6) for each group. p < 0.05,
and p < 0.01. Each dot represents an individual mouse.
*
**
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Next, as shown in Figure 2.8, the levels of hBTP-specific IgG1 and IgG2a in sera
harvested on mouse sacrifice day were measured. IgG1 antibody in PBS control mice was
undetectable, while hBTP treatment induced significantly increased levels of specific
IgG1 antibody. The levels of hBTP-specific IgG1 in mice receiving sensitisation with 50
μg x 3 of hBTP and 200 μg x 3 of hBTP were significantly higher than mice sensitised
with 500 μg x 3 of hBTP. The pattern of hBTP-specific IgG2a antibody level among the
four mouse groups were consistent with the IgE antibody responses in sera.
Figure 2.8 Levels of serum hBTP-specific IgG1 (A) and IgG2a (B) on Day 34.
Levels of hBTP-specific IgG1 and IgG2a were determined by sandwich ELISA. Sera
were diluted 1:1000 for measuring hBTP-specific IgG1 and neat for measuring hBTP-
specific IgG2a. Data are reported as mean ± SEM (n = 6) for each group. p < 0.05, and
p< 0.01. Each dot represents an individual mouse.
*
**
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2.4.2.3 Eosinophil and basophil responses in blood
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Figure 2.9 A: Representative contour plots showing the gating strategy of viable
eosinophils, FcεRI-basophils and IgE-binding basophils. B: The representative
contour plots of control and treatment groups, showing circulating eosinophils,
FcεRI-basophils and IgE-binding basophils. C, D and E: The levels of eosinophils,
FcεRI-binding basophils, and mean fluorescence intensity (MFI) of IgE antibody
binding on blood basophils from three mouse groups sensitised with different doses
of hBTP as well as the PBS/alum control mice. The populations of eosinophils,
basophils and MFI of basophil-binding IgE in blood were determined by flow cytometry
and the cell populations in plots were analysed by FlowJo software. Data in the scatter
plots are reported as mean ± SEM (n = 6). p < 0.05, and p < 0.01. In panel C, D and
E, each dot represents an individual mouse.
Abbreviations: SSC-A, H or W=side scatter-area, height or width, FSC-A, H or W
=forward scatter-area, height or width, Siglec F=sialic acid-binding immunoglobulin-like
lectin F, CD=cluster of differentiation, and FcεRI=the high-affinity IgE receptor.
* **
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Basophils and eosinophils are central effector cells in allergic inflammation, as well as in
innate and adaptive immunity. Therefore, in this study, the percentage of eosinophils,
basophils and the amount of IgE that bind on basophils in blood was investigated. As
shown in Figure 2.9.C, the eosinophil frequency (%) in mice sensitised with 50 μg x 3 of
hBTP (3.667 ± 0.5027) and 200 μg x 3 of hBTP (3.232 ± 0.4556) was marginally higher
than that in PBS/alum treated mice (2.942 ± 0.4816). FcεRI is the high-affinity IgE
binding receptor, expressed on mast cells and basophils. The expression level of human
basophil FcεRI expression usually correlates directly with the serum IgE antibody level,
and binding of IgE antibody stabilises the receptor at the cell surface [19]. In this study,
Figure 2.9.E shows the proportions of FcεRI-basophils in mice receiving IP
administration of 50 μg x 3 of hBTP (3.437 ± 0.1384) and 200 μg x 3 of hBTP (3.435 ±
0.1767) were much higher than those in mice sensitised with 500 μg x 3 of hBTP (2.228
± 0.2544), while not significantly different from those in control mice (2.7 ± 0.5628).
Figure 2.9.E also illustrates that MFI of the IgE antibody bound to basophils in hBTP-
treated mice increased dramatically as compared to the control mice, indicating the
recruitment and activation of basophils in this shellfish allergy model.
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2.4.2.4 Secretion of allergen-specific IgA in jejunum
Figure 2.10 The level of hBTP-specific IgA in the jejunum. hBTP-specific IgA was
determined by sandwich ELISA using neat protein extracts. Data are reported as mean ±
SEM for each group. p < 0.05, and p < 0.01. Each dot represents an individual mouse.
Next, to evaluate the mucosal inflammation in intestine caused by allergen extracts, we
measured the hBTP-specific IgA antibody in homogenised jejunum. Figure 2.10 shows
that mice sensitised with the lower dose of hBTP (50 μg x 3 and 200 μg x 3) had
significantly high levels of hBTP-specific IgA antibody in their jejunums, comparing with
control mice. Nevertheless, while there was no big difference between 500 μg x 3 treated
mice and PBS control mice. The highest level of IgA antibody against hBTP was found
in the lowest dose group of mice (50 μg x 3). This noticeable trend of IgA antibody levels
among mice sensitised with different doses of hBTP was correlated with the levels of
serum IgE antibody.
* **
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Taken together, the level of serum IgE and IgG antibody responses against hBTP in four
groups of mice were correlated with the results of blood eosinophils and IgA antibody
production in jejunum tissue. The lowest dose of hBTP (50 μg x 3) seems to be capable
to elicit stronger IgE antibody mediated allergic responses as compared to higher
concentrations. Based on this negative correlation between the increased IP sensitisation
dose and the level of Th2 responses, in the next experiments the sensitisation capacity of
lower IP doses in BALB/c mice was investigated to further optimise the induction
protocol of this shellfish allergy model.
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2.4.3 Experiment #3:
Lower sensitisation doses in BALB/c mice
2.4.3.1 Experimental design
Animals: BALB/c (8-week-old females) were obtained from the Australian Phenomics
Facility, Australian National University, Australia. Mice were housed at the Cairns
campus, building E4 Animal Facility under specific pathogen-free conditions, and
maintained on a fishmeal free diet purchased from Specialty Feeds. The usage of mice
was approved by James Cook University animal ethics committee (Animal ethics
approval number A2108).
Mice sensitisation and challenge with allergens: Every group consisted of six female
BALB/c mice. Mice received three IP injections of different doses of hBTP mixed with
2 mg of alum in Group A, B, C and D (Figure 2.11). Each sensitisation dose of hBTP on
each injection day (Day 0, 7 and 14) was 10 μg in Group A, 20 μg in Group B, 50 μg in
Group C, and 200 μg in Group D.
All hBTP-sensitised mice were orally challenged with 1 mg of hBTP starting from Day
21. Two-day time interval was set up between oral challenges and a total of five
challenges were performed. The control mice in Group E were injected with 200 μl of
PBS mixed with 2 mg of alum on Day 0, 7 and 14, and subsequently challenged with 200
μl of PBS for five times on the same challenge dates as hBTP-sensitised mice in Group
A, B, C and D.
Blood was collected on Day 20, 25, 31 and 34. One day after the 5th oral challenge, Day
34, mice were sacrificed. Spleens, mesenteric lymph nodes (MLNs), jejunums and stools
were isolated.
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Figure 2.11 Optimised sensitisation and oral challenge protocol, based on previous
Experiments #1 and 2, to establish the mouse model for prawn allergy. The schedules
of IP sensitisation and oral challenge are shown. Every hBTP-sensitised group comprised
of six mice, and the control group of five mice.
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2.4.3.2 Serum antibodies and mast cell protease-1
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Figure 2.12 Levels of serum total IgE antibody in each mouse group at four time-
points (A), serum hBTP-specific IgE antibody (B), IgG2a antibody (F) and mMCP-
1 on Day 34 (C), as well as serum hBTP-specific IgG1 antibody on Day 31 (D) and
Day 34 (E). The time-points involved in this experiment were one day before the 1st oral
challenge (Day 20), one day after two oral challenges (Day 25), one day after four oral
challenges (Day 31) and mouse sacrifice day (Day 34). Antibody and mMCP-1 levels
were determined by ELISA. Sera were diluted for each measurement: 1:10 for total IgE,
1: 100,000 for allergen-specific IgG1, and neat for allergen-specific IgE, IgG2a as well
as mMCP-1. Data are reported as mean ± SEM of each group (n = 6 in hBTP-sensitised
groups, and n = 5 in PBS control group). p < .05, and p < 0.01. Each dot represents
an individual mouse.
The fluctuation of total IgE antibody levels is shown in Figure 2.12 A. During the first
four oral challenges with hBTP, there was a steep upward trend in the level of total IgE
antibody in the sera from 10 μg x 3 and 20 μg x 3 groups. Subsequently, the serum total
IgE antibody level dropped on Day 34. From the start of the oral exposure with hBTP,
the mean levels of circulating total IgE antibody remained to be the highest in the 10μg x
* **
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3 group. For example the IgE antibody response on Day 31 (one day after four
challenges), significantly increased levels of serum total IgE antibody were observed in
all the groups of hBTP-treated mice, as compared with control mice. The 10 μg x 3 mouse
group presented a significantly higher level of serum total IgE antibody than the 50 μg x
3 mouse group and the 200 μg x 3 mouse group. Consistently, the relatively high level of
IgG1 antibody (Figure 2.12.D and E) and MCP-1 (Figure 2.12.C) were also detected in
sera from the 10 μg x 3 mouse group. Some of BALB/c mice from the 10 μg x 3, 50 μg
x 3 and 200 μg x 3 mouse groups seemed to be able to produce high levels of IgG2a
antibody against hBTP, whereas individual variation in these groups was observed
(Figure 2.12.F).
2.4.3.3 Production of cytokines by spleens and mesenteric lymph nodes
As shown in Figure 2.13, the cytokines IL-5, IL-13 and IFN-gamma in both re-stimulated
spleens and mesenteric lymph nodes (MLNs) were very low or undetectable in the control
mice. MLNs and spleens isolated from mice that received the highest sensitisation dose
of 200 μg x 3 produced much lower concentration of IL-5, IL-13 and IFN-gamma as
compared to mice sensitised with lower doses of hBTP. The expression of Th2-associated
IL-5 and IL-13 was the highest in the 10 μg x 3 hBTP-sensitised mice, although in this
group the level of IL-5 in spleen was similar in the 20 μg x 3 group, and IL-13 in MLNs
similar in the 50 μg x 3 group. In contrast IFN-gamma responses to hBTP stimulation in
MLNs and spleens was not higher in the 10 μg x 3 as compared to the 20 μg x 3 and 50
μg x 3 groups. These data suggest that IP sensitisation of hBTP/alum promotes a
predominantly Th2-biased systemic cytokine response, especially the lower IP doses of
10 μg x 3 hBTP.
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Figure 2.13 Cytokine IL-5, IL-13 and IFN-gamma released by hBTP-stimulated
spleens (A, B and C) and MLNs (A’, B’ and C’). Single cells from spleen and were
cultured with hBTP for three days and subsequently the supernatant collected for the
cytokine measurements. Levels of cytokines were determined by ELISA. The supernatant
was diluted 1:10 for IL-13, and 1:2 for IFN-gamma and IL-5. Data are reported as mean
± SEM (n = 6 in hBTP-sensitised groups, and n = 5 in PBS control group). p < 0.05,
and p < 0.01. Each dot represents an individual mouse.
*
**
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2.4.3.4 Induction of eosinophilia in spleens
Figure 2.14 The number of eosinophil in spleens. The population of eosinophils in
spleens was determined by flow cytometry. Data are reported as mean ± SEM ((n = 6 in
hBTP-sensitised groups, and n = 5 in PBS control group). p < 0.05, and p < 0.01.
Each dot represents an individual mouse.
We found increased eosinophils in spleens from all the hBTP-treated animals (Figure
2.14). The total number of eosinophils in mice with 10μg x 3 IP sensitisation (2.996 x 106
± 945913) was the highest, comparing with those in the 20 μg x 3 group (1.182 x 106 ±
333057), 50 μg x 3 group (1.401 x 106 ± 353893) and 200 μg x 3 group (1.001 x 106 ±
245632).
×
×
×
×
* **
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2.4.3.5 Jejunum histology
Considerable vasodilation and capillary congestion (Figure 2.15.B) was demonstrated in
intestinal tissue as compared to the intestinal tissues from PBS control mice (Figure
2.15.A). Figure 2.15.D demonstrates that the jejunum of hBTP/alum-sensitised animals
had inflammatory cell infiltrate that contained a number of eosinophils that were not
observed in control animals (Figure 2.15.C). Eosinophils were predominately located in
the lamina propria. Infiltration of eosinophilic was only examined in the 10 μg x 3 IP
sensitisation group.
Figure 2.15 Representative histology of tissue stained with hematoxylin and eosin
demonstrating vasodilation and eosinophilic infiltration into the jejunum tissues.
White arrows indicate the vasodilation and capillary congestion (panel B) and eosinophils
(panel D) in 10μg x 3 hBTP treated mice, as well as the similar locations in control
jejunum for comparison. (panel A and C).
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To summarise, IP sensitisation of hBTP/alum and subsequent oral challenges of hBTP
succeeded in promoting a dominant IgE and IgG1 antibody responses against allergen,
mast cell activation, spleen Th2 cytokine production and eosinophilia, as well as intestinal
eosinophilic infiltration. Sensitising BALB/c mice with 10 μg x 3 of hBTP three times on
a weekly basis and subsequently four oral administrations of 1mg of hBTP can be an
appropriate procedure to establish a novel mouse model of prawn allergy.
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2.5 Discussion
So far, a number of experimental models of food allergy have been developed targeting
total extracts or single allergen of peanut, milk or egg. In contrast, mouse models studying
shellfish allergy are very much lacking [6]. Therefore, the aim of this chapter was to
design a suitable mouse model for shellfish allergy to investigate the immunological
mechanisms underlying and to create a superior immunisation protocol.
For this purpose, I have chosen hBTP as the model allergen. The Black tiger prawn (BTP)
(Penaeus monodon) is one of the most widely consumed prawn species. TM is the most
abundant allergen in BTP and has over 95% amino acid sequence identity with TMs from
other prawn species [9, 20]. Moreover, BTP allergens have been well characterised using
biochemical and immunological technology [9, 10]. Therefore, BTP is a very good
representative of edible crustacean species source for the establishment of an animal
model. The heating process used in this study does mimic the human dietary habits. In
addition, this process seems also to concentrates allergenic proteins [10]. Consequently,
immunisation mice with hBTP should be the most natural but also very effective method
when imitating the development of shellfish allergy in human. In this chapter, my results
with BALB/c mice have confirmed that hBTP have the capacity to systematically induce
prominent Th2 antibody responses, charactersied by significantly increased serum titers
of hBTP-specific IgE and IgG1 antibodies.
To achieve a better production of IgE and IgG1 antibodies in sensitised mice, I started to
use BALB/c mice that are believed to be more Th2-biased than C57BL/6, and optimised
a few important parameters of the induction protocol. I found that firstly a relatively low
allergen dose in IP sensitisation administrated repeated (10 μg x 3) in BALB/c mice could
induce a striking serum elevation of polyclonal IgE antibody (Experiment #2 and #3). It
was reported previously in BALB/c mice that only low dosage of OVA feeding triggered
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IgE-mediated food allergy [21]. High doses of allergens induced rather tolerance than
sensitisation [22, 23]. Nevertheless, rather low dose of allergens could not help further
more production of IgE in oral sensitisation [24]. This is consistent with my finding that
10 μg x 3 and 20 μg x 3 of hBTP as the sensitisation induced a similar level of IgE
antibody in Experiment #3.
It is worth noting that the dose-dependent manner of sensitisation or tolerance can be
affected by the nature of selected allergenic protein sources [23] but also probably the
mouse strain utilised [6, 25]. It is apparent that the exact dose-associated mechanism of
murine sensitisation cannot be completely revealed by any single study, and its relevance
with human studies needs to be very carefully investigated before interpretation.
The duration of the induction phase is another essential condition to modulate in the
model establishment because of the antibody fluctuation over time. I discovered a
appropriate frequency of oral challenges with hBTP in Experiment #3. The production of
polyclonal IgE in sera increased during the first four challenges with hBTP and on Day
32 reached the peak as compared with Day 15, Day 25 and Day 34. Therefore, Day 32
was chosen as the best date of mouse sacrifice and organ harvest to show sufficient
humoral responses against the prawn allergens. Interestingly, the changing amount of
serum IgE antibody with challenge duration time has previously been reported in patients
with egg allergy [26]. Therefore, together with the inbred mouse strain, allergen and
allergen dose mentioned above, the key time-points of administrations can also help to
determine the immune responsiveness in a mouse models. Thus, to study different food
allergies, the combination of all these parameters involved in the development of a mouse
model may often require adjustment after optimisation.
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Apart from measuring serum antibodies, activities of related murine immune cells were
also comprehensively evaluated in this chapter. The release of IgE antibody by B cells is
a T cell dependent phenomenon, requiring the expression of Th2 cytokines. In this study,
hBTP successfully stimulated monocytes from spleen and MLN to produce remarkable
increased levels of IL-5 and IL-13 in vitro. Functionally, IL-5 and IL-13 attract and
activate eosinophils and basophils to react to allergens leading to tissue eosinophilia and
mast cell activation [19]. Evidences of the participation of eosinophils in inflammatory
process have been observed in Experiment #3. The number of splenic eosinophils
increased greatly and an increased number of eosinophils in the jejunum was also
observed. Basophils can be activated once circulating IgE antibody binds on surface
FcεRI. Basophils share several features and functions with mast cells, contributing to
allergic inflammation, such as the expression of Th2 cytokines and histamine by IgE-
binding basophils [19]. In Experiment #2, all hBTP-treated mice displayed significantly
higher IgE binding to basophils in blood, which suggested the recruitment of basophil in
prawn allergy. Mast cells are central to proinflammatory functions in allergic diseases. In
this chapter, elevated levels of mMCP-1 were identified in circulating blood and
homogenised jejunum, which indicates the activation of mast cells and their trafficking
to inflammation sites.
Because the intestine is the major allergen exposure site in hBTP challenges, and any
food allergy via ingestion, the detailed inflammatory conditions in the intestine is also
very important in prawn allergy. In the mouse model I developed in this chapter, the
intestine inflammation induced in hBTP-sensitised and challenged mice was
characterised by the increased allergen-specific IgA antibody, mMCP-1, and the presence
of vasodilation and a small number of eosinophil aggregation in jejunum. Activated
intestinal mast cells release histamine to lead to vasodilation, thus permitting eosinophils
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to transfer from the blood and localised in the jejunum. Eosinophilia in intestinal tissue
and blood was reported previously in a mouse model on egg allergy [12]. Accumulation
of eosinophils demonstrated in the intestine of my mouse model was moderate and there
was not severely damaged area of jejunum. This could also be one of reasons why no
diarrhea was observed after oral challenges with hBTP. IgA antibody is usually secreted
locally after foreign proteins enter the intestine including allergens. The exact role of IgA
in food allergy is however still unclear. IgA may be able to prevent allergen from
connecting with epithelial cells to further eliminate the allergens, or IgA may help the
uptake of the allergen by dendritic cells, thereby reducing the proinflammatory response
[27].
In summary, I have shown a good induction protocol to develop a mouse model to study
prawn allergy. Mice IP sensitised and IG challenged with hBTP display an allergic
inflammation characterised by enhanced levels of circulating IgE and IgG1 antibodies,
local production of predominant Th2 cytokines, increased eosinophil circulation and IgE
bound basophils, as well as the activation of mast cells. This model should be an
interesting tool to detect the immunological cross-reactivity among shellfish allergy, and
to further investigate the major allergens responsible for shellfish cross-reactivity.
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CHAPTER
EVALUATION OF THE POTENTIAL IMMUNOLOGICAL
CROSS-REACTIVITY BETWEEN THE WHOLE HEATED
EXTRACTS OF BLACK TIGER PRAWN
(Penaeus monodon) AND JADE TIGER ABALONE
(Haliotis laevigata × Haliotis rubra)
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3.1 Introduction
Crustaceans are well known allergen sources in susceptible individuals. The
hypersensitivity usually presents as wheezing dyspnoea, erythema, gastrointestinal
distress, urticaria, angioedema and anaphylaxis. Similar symptoms have been also
described in patients consuming mollusks such as abalone [1], limpet [1, 2] and squid [3].
As compared to crustacean allergy, mollusc allergy has been less studied and recently
been of particular interest. The general impression to the public is that the cross-reactivity
among different shellfish species is very frequent. Consequently, people who react to one
of shellfish species will have to avoid all the seafood, which greatly restrict their nutrition
sources [4, 5].
The immunological cross-reactivity between prawns and abalone has been reported in
human studies. For example, in a cohort study performed in Hong Kong, among 70
positive shellfish skin tests, 27 (38.6%) patients were sensitive to both crustaceans and
mollusks. A strong association between sensitivity to prawns and to abalone was
predicted: the subjects with a positive skin test to prawns had a probability of 0.39 to react
to abalone, and the subjects with a positive skin test to abalone had a probability of 0.45
to react to prawns [6]. Also, in a study of 81 Korean patients with a positive skin test
against abalone extracts, ELISA inhibition tests on the serum IgE antibody from these
patients showed significant dose-dependent inhibitions by prawn extracts [7]. However,
the reactions of neither the skin nor the in vitro serum IgE equal to the real pathological
process of allergy, and the accuracy of these tests in predicting the clinical significance is
in debate [8, 9].
Within recent three decades, there has been a growing interest in the design and
establishment of appropriate mouse models and their potential integration into safety
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137
assessment paradigms [10-16]. In the 2001 report from the joint Food and Agricultural
Organisation of the United Nations and the World Health Organization (FAO/WHO)
Expert Consultative Committee, an essential conclusion was that the accumulated
evidence has suggested some animal models may provide very useful information for the
determination of allergenic potential of foods (http://www.who.int/foodsafety/en/).
Researchers can control the exposure conditions of experimental animals and collect
samples from multiple allergy-related organs and tissues. These unique advantages of
mouse models allow a thorough investigation on the mechanisms underlying the prawn-
abalone cross-reactivity.
In the current chapter, two popular shellfish species were employed for the study of
prawn-abalone cross-reactivity: Black tiger prawn (Penaeus monodon) (BTP) and Jade
tiger abalone (Haliotis laevigata × Haliotis rubra) (Abal). BTP is one of the crustacean
species that are widely consumed in the Asian-Pacific region [17]. In Chapter 2, the
heated extracts of BTP were demonstrated to induce Th2 predominant immune responses.
Abal is one of the three main types of abalone farmed in Australia, and is based on
hybridisation between Australia’s Blacklip (Haliotis rubra) and Greenlip abalone
(Haliotis laevigata). The aquaculture facility of Jade tiger abalone is now expanding and
the interests of investment and research are growing due to the rapidly increasing
demands from the global market, especially in China and Southeast Asia [18].
Nevertheless, the current research only focuses on improvements of the aquaculture
breeding, while the allergenicity of Abal has not been investigated yet. In this chapter,
mice were treated with the heated extracts of these two species separately for the
induction of allergy-like reactions. The immunological cross-reactivity between BTP and
Abal was comprehensively evaluated at both humoral and cellular levels.
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3.2 Aims
The aims of Chapter 3 were:
(1) To evaluate the degree of the potential immunological cross-reactivity between
heated Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis
laevigata × Haliotis rubra) in vivo.
(2) To identify the potential cross-reactive allergens between Black tiger prawn and
Jade tiger abalone.
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3.3 Animals, materials, and methods
3.3.1 Animals
BALB/c mice (8-week-old females) were housed at the Cairns campus, building E4
Animal Facility under specific pathogen-free conditions, and maintained on a commercial
vegetarian diet purchased from Specialty Feeds. The animal ethics committee from James
Cook University approved the experiments project (Animal ethics approval number
A2108).
3.3.2 Preparation of heated extracts of prawns, abalone and cow’s milk
Black tiger prawns (Penaeus monodon) and Jade tiger abalone (Haliotis laevigata ×
Haliotis rubra) were purchased from the local seafood shops. The heated extracts of
Black tiger prawn (hBTP) and Jade tiger abalone (hAbal) were prepared and the
concentration of the total protein in the heated extracts was estimated using the same
methods that were previously described in 2.3.2. Likewise, the cow’s milk (Dairy
Farmers) was heated to boil for 20 min and the protein content was measured using Pierce
BCA Protein Assay Kit (Thermo Fisher Scientific). The protein concentration of the
heated milk was adjusted with PBS buffer before used in the mouse experiment.
3.3.3 Induction and evaluation of mouse models for shellfish allergies
3.3.3.1 Mice sensitisation and challenge
The basic procedure of the mouse intraperitoneal (IP) sensitisation and the oral challenge
was described in Chapter 2, Section 2.3.3.1. In the current chapter, two independent
mouse experiments were conducted (n = 5 or 6), and the allergen sources to treat mice
were modified as demonstrated in Figure 3.3.1. In Group 1, 2 and 3, BALB/c mice
received three IP injections of the hBTP and alum (Thermo Fisher Scientific) mixture on
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140
Day 0, 7 and 14, while BALB/c mice in Group 4, 5 and 6 were IP injected with hAbal
and alum at the same time-points. Mice were fasted overnight but had unlimited access
to water before gavage. On Day 21, 24, 27 and 30, the three groups of hBTP-sentisised
or hAbal-sensitised mice were orally challenged with 1 mg of the hBTP, hAbal or hMilk
(the nonrelated proteins). The control mice were IP injected with PBS and alum mixture
and subsequently orally challenged with PBS only. 24 hours after the last oral challenge,
all the mice were sacrificed and the samples collected from blood, spleen and jejunum for
further analysis.
In this chapter, each mouse group was named as follows: “hBTP/hMilk group” was the
group of hBTP-sensitised, hMilk-gavaged mice, “hBTP/hBTP group” was the group of
hBTP-sensitised, hBTP-gavaged mice, “hBTP/hAbal group” was the group of hBTP-
sensitised, hAbal-gavaged mice, “hAbal/hMilk group” was the group of hAbal -sensitised,
hMilk-gavaged mice, “hAbal/hAbal group” was the group of hAbal -sensitised, hAbal-
gavaged mice, and “hAbal/hBTP group” was the group of hAbal -sensitised, hBTP-
gavaged mice.
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Figure 3.1 Experimental design in the sensitisation and control groups. Each group
comprised of five to six BALB/c female mice.
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142
3.3.3.2 Measurement of antibodies and mast cell protease-1 in serum
The mouse serum was isolated and then the total IgE antibody, mMCP-1, as well as the
allergen-specific IgE, IgG1 and IgG2a antibodies were measured by means of sandwich
ELISA. The protocols were previously mentioned in Chapter 2, Section 2.3.3.2. In the
current chapter, the major modification of the ELISA protocol was that the coating protein
extracts involved not only hBTP but also hAbal (100 μl of 20 μg/ml extracts per well of
the 96-well ELISA plate). The coated plates were blocked with 10% FBS in PBS and then
incubated with mouse sera at 4°C overnight for the maximal binding. The serum was 1:2
diluted for the specific IgE plate, 1:10 diluted for the total IgE plate and the specific IgG2a
plate, and 1:106 diluted for the specific IgG1 plate. The plates were washed with
PBS/0.05% Tween 20 and subsequently, the corresponding detection antibody was added
and incubated in the ELISA plates for 1.5 h at room temperature. Next, the plates were
incubated with streptavidin-HRP in dark for 30 min following with the incubation with
TMB substrate. After the desired colour reaction was developed, 50μl of 1M HCl per well
was added to stop the reaction. The absorbance of the samples was detected at 450 nm.
3.3.3.3 In vitro stimulation of splenocytes with shellfish extracts
The preparation of the single cell suspension of mouse splenocytes was previously
demonstrated in Chapter 2, Section 2.3.3.3, and in this chapter, a few modifications were
made in the cell stimulation assay. Splenocytes (0.5 million cells/well) were cultured with
100 μl of 40 μg/ml hBTP or hAbal for 72 h in 5% CO2 at 37°C using the SANYO CO2
Incubator Model MCO-18AIC (UV) Dual Stack. With the absence of shellfish extracts,
the splenocytes incubated with the culture medium only were labelled as un-stimulated
splenocytes. The positive control was the splenocytes stimulated with 1 μg/ml anti-
CD3/anti-CD28 for 72 h.
Chapter 3
143
3.3.3.4 Flow cytometry
The protocol of cell surface immunofluorescence staining was previously described in
Chapter 2, Section 2.3.3.4. Peripheral blood mononuclear cells and splenocytes were
stained with a mixture of seven fluorescence-conjugated antibodies (Jomar Life
Research), including Anti-Mouse CD170 (Siglec F) PerCP-eFluor 710, Anti-Mouse CD3
APC-eFluor 780, Anti-Mouse IgE FITC, Anti-Mouse CD11b PE, Anti-Mouse CD49b
(Integrin alpha 2) APC, Anti-Mouse CD19 APC-eFluor 780, and Anti-Mouse Fc epsilon
Receptor I alpha (FcεR1) eFluor 450. BD FACS Canto II was used for analysing the
stained cell populations.
3.3.3.5 Measurement of cytokines
The supernatant was isolated after the three-day culture of splenocytes and ELISA was
performed for the measurement of the levels of mouse cytokines including interleukin
(IL)-4, IL-5, IL-13 and interferon (IFN)-gamma following the protocols described
previously in Chapter 2, Section 2.3.3.6.
3.3.3.6 Measurement of allergen-specific IgA antibody
Jejunums were homogenised at 4°C and subsequently sandwich ELISA was conducted
to measure the hAbal or hBTP-specific IgA antibody. The detailed protocol was
previously described in Chapter 2, Section 2.3.3.5 and 2.3.3.8.
3.3.3.7 Statistical analysis
Two-tailed Mann-Whitney U test was performed using Prism 6.0. The data shown in this
chapter are representative of two independent experiments, and presented as mean values
with the standard errors of the mean (SEM). p values of less than 0.05 were considered
statistically significant.
Chapter 3
144
3.3.3.8 Sodium dodecyl sulfate-polyacrylamide gel electrophoresis
Sodium dodecyl sulphate - polyacrylamide gel electrophoresis (SDS-PAGE) was
performed to visualise the protein repertoire in the prepared sample, which was described
previously [19]. Twenty μl of the protein sample was heated in Laemmli buffer with
dithiothreitol at 100°C for 5 min and then spined down briefly. The supernatant was
loaded onto a 12% bis-acrylamide gel. Precision Plus Protein™ Dual Colour Standards
(Bio-Rad) was used as a molecular weight marker. Protein bands were separated by
electrophoresis at 80V for 20 min and then 170V for 1 h (when the tracker dye reached
the gel base) using a Mini-Protean Tetra Cell electrophoresis system (Bio-Rad). The
separated proteins were visualised by staining the SDS-PAGE gel with Commassie
brilliant blue R250 (Bio-Rad).
3.3.3.9 Mouse immunoblotting
35 μg of hAbal and hBTP was heated and loaded onto a 12% SDS-PAGE gel, following
with the electrophoretic separation at 170 V until the tracker dye reached the bottom of
the gel. In the next step, resolved proteins were transferred from the gel to a nitrocellulose
membrane, and subsequently the membrane was blocked with 5% skim milk. The
membrane was incubated with the pooled mouse serum (1:100 diluted) using a slot blot
apparatus (Idea Scientific) for 1 h at room temperature, following with the incubation
with 1:15, 000 diluted IRDye 800CW Goat anti-Mouse IgG polyclonal antibody (LI-
COR) for 1 h at room temperature to visualise the IgE antibody reactivity.
Chapter 3
145
3.3.3.10 Mass spectrometric identification of mouse IgG reactive proteins
The selected protein bands were excised from the SDS-PAGE plate. The in-gel tryptic
digestion procedure was performed on gel slices using the protocol developed by Jason
Mulvenna. The gel slice was incubated 200 mM ammonium bicarbonate and 50%
acetonitrile) at 37°C for 45 min. Subsequently, the destained gel slice was dried, reduced
with 20 mM dithiothreitol and 25 mM ammonium bicarbonate at 65 °C for 1 h, alkylated
in dark with 50 mM iodoacetamide and 25 mM ammonium bicarbonate at 37 °C for 40
min, and then digested with 20 ng/μl trypsin enzyme overnight. After that, the supernatant
of digestion reaction was isolated. The protein pellet was incubated with 50 μl of 0.1%
trifluoroacetic acid (TFA) and subsequently washed twice. Finally, all the supernatant
was combined together and concentrated for mass spectrometric (MS) analysis.
MS analysis of the digested peptides was performed at the Bio21 Molecular Science &
Biotechnology Institute using the protocol described as follows. LC MS/MS was carried
out on a LTQ Orbitrap Elite (Thermo Scientific) with a nanoESI interface in conjunction
with an Ultimate 3000 RSLC nanoHPLC (Dionex Ultimate 3000). The LC system was
equipped with an Acclaim Pepmap nano-trap column (Dionex-C18, 100 Å, 75 μm x 2
cm) and an Acclaim Pepmap RSLC analytical column (Dionex-C18, 100 Å, 75 μm x 50
cm). The tryptic peptides were injected to the enrichment column at an isocratic flow of
5 μL/min of 3% v/v CH3CN containing 0.1% v/v formic acid for 5 min before the
enrichment column was switched in-line with the analytical column. The eluents were
0.1% v/v formic acid (solvent A) and 100% v/v CH3CN in 0.l% v/v formic acid (solvent
B). The flow gradient was (i) 0-5min at 3% B, (ii) 5-25 min, 3-25% B (iii) 25-27 min, 25-
40% B (iv) 27-29 min, 40-80% B (v) 29-31 min at 80% B (vii) 31-32 min, 80-3% B and
(viii) 32-38 min at 3% B. The LTQ Orbitrap Elite spectrometer was operated in the data-
dependent mode with nanoESI spray voltage of 1.8kV, capillary temperature of 250°C
Chapter 3
146
and S-lens RF value of 55%. All spectra were acquired in positive mode with full scan
MS spectra from m/z 300-1650 in the FT mode at 240,000 resolutions. Automated gain
control was set to a target value of 1.0e6. Lock mass of 445.120025 was used. The top 20
most intense precursors were subjected to rapid collision induced dissociation (rCID)
with normalised collision energy of 30 and activation q of 0.25. Dynamic exclusion with
of 30 seconds was applied for repeated precursors. MS data was analysed using the
Mascot search engine offered by Matrix Science. The non-redundant protein sequence
database, Swiss-Prot, was used for searching matching peptides to identify protein
samples.
Chapter 3
147
3.4 Results
3.4.1 Induction of serum antibodies
Total IgE
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0.0
0.2
0.4
0.6
OD
450n
m **
** **
E
Chapter 3
148
Figure 3.2 Levels of serum hBTP-specific IgE antibody in the hBTP-sensitised mice
(A), hAbal-specific IgE antibody in the hAbal-sensitised mice (B), and the allergen
recognition of IgE antibody in hBTP/hBTP group (C) and hAbal/hAbal group (D),
and the total IgE antibody (E). Levels of IgE antibody were determined by sandwich
ELISA. Data are reported as mean ± SEM (n = 5) and are representative of two
independent experiments. p< 0.05, and p< 0.01. Each dot represents an individual
mouse.
This mouse study was undertaken to investigate whether hBTP-sensitised mice can
develop allergic responses after oral challenges with hAbal, and vice versa. hBTP-
sensitised, hBTP-challenged mice (named “hBTP/hBTP”) and hAbal-sensitised, hAbal-
challenged mice (named “hAbal/hAbal”) were positive controls. hBTP-sensitised, hAbal-
challenged mice (named “hBTP/hAbal”) and hAbal-sensitised, hBTP-challenged mice
(named “hAbal/hBTP”) were examined thoroughly for the potential immunological
cross-reactivity.
To investigate the levels of antibody cross-reactivity, the production of the serum IgE
(Figure 3.2), IgG1 (Figure 3.3) and IgG2a (Figure 3.5) was assessed by ELISA. The mice
that received IP sensitisation with hBTP or hAbal and subsequent gavages with milk
produced a significantly increased level of polyclonal IgE antibody or specific IgE
antibody as compared to the control mice. Notably, the oral challenges of hAbal could
elicit the hBTP-sensitised mice to generate IgG1 antibody but not IgE antibody. In
contrast, Figure 3.2.B demonstrates that hAbal-sensitised mice had increased IgE
antibody after oral challenges with hBTP. Nevertheless, Figure 3.3.B shows no
significant difference of hAbal-specific IgG1 antibody between hAbal/hMilk group and
hAbal/hAbal group, which may indicate the less relevance of the IgG1 antibody
production to shellfish allergy as compared to IgE antibody production in this model, or
* **
Chapter 3
149
the production of IgG1 antibody at the current time-point of serum harvest was not
suitable for evaluating IgG1 cross-reactivity.
Figure 3.3 Levels of serum specific IgG1 antibody in the hBTP-sensitised mice (A)
and hAbal-sensitised mice (B), and the IgG1 reactivity to hBTP and hAbal in the
sera from hBTP/hBTP group (C) and hAbal/hAbal group (D). Levels of IgG1
antibody were measured by sandwich ELISA. Data are reported as mean ± SEM (n = 5)
and are representative of two independent experiments. p < 0.05, and p < 0.01.
Abbreviation: ns = Not significant. Each dot represents an individual mouse.
hBTP-specific IgG1
OD
450n
m
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal0.0
0.1
0.2
0.3
0.4
0.5
**
*
*
ns
Allergen recognition of IgG1
OD
450n
m
Anti-hAbal Anti-hAbal Anti-hBTP0.00
0.05
0.10
0.15
hBTP/hBTP serumControl serum
hAbal-specific IgG1
OD
450n
m
Control
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0.0
0.1
0.2
0.3
0.4
ns
ns
Allergen recognition of IgG1
Anti-hBTP Anti-hBTP Anti-hAbal0.0
0.1
0.2
0.3
OD
450n
m
**
hAbal/hAbal serumControl serum
ns
A B
C D
* **
Chapter 3
150
To further study the capacity of IgE and IgG1 antibody to react to the heterologous
shellfish extracts, the serum from hBTP/hBTP group was loaded into hAbal-coated solid
phase and the serum from hAbal/hAbal mice into hBTP-coated solid phase. It is apparent
that IgE antibody could bind to the heterologous extracts but at a significantly lower level
as compared to binding to the inducer extracts (Figure 3.2.C and D). In this ELISA assay,
the serum IgG1 antibody from hAbal/hAbal group and hBTP/hBTP group seemed very
specific to the corresponding sensitisation extracts of shellfish (Figure 3.3.C and D).
In addition, the production of serum IgE antibody in hAbal/hAbal group was markedly
higher than in hBTP/hBTP mouse group (Figure 3.2 A, B and E), the reasons for which
remains unclear. The hBTP and hAbal might differ in the aspects of the actual content of
allergens contained and the total allergenicity, which could probably affect the induction
of circulating IgE antibody.
Also, the increased levels of IgG2a antibody were demonstrated in the sera from hBTP
or hAbal-sensitised mice (Figure 3.4.A and B). IgG2a, as a Th1-associated isotype
antibody, was able to recognise the heterologous extracts at a relatively low level in
contrast to the IgG2a responses to the inducer extracts (Figure 3.4.C and D).
Chapter 3
151
Figure 3.4 Levels of serum hBTP-specific IgG2a antibody in the hBTP-sensitised
mice (A), hAbal-specific IgG2a antibody in the hAbal-sensitised mice (B), and the
allergen recognition of IgG2a antibody in hBTP/hBTP group (C) and hAbal/hAbal
group (D). Levels of IgG2a antibody were determined by sandwich ELISA. Data are
reported as mean ± SEM (n = 5) and are representative of two independent experiments.
p < 0.05, and p < 0.01. Abbreviation: ns = Not significant. Each dot represents an
individual mouse.
hBTP-specific IgG2a
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal0.0
0.5
1.0O
D45
0nm
** ***
Allergen recognition of IgG2a
Anti-hAbal Anti-hAbal Anti-hBTP0.00
0.25
0.50
0.75
1.00
OD
450n
m
hBTP/hBTP serumControl serum
ns
hAbal-specific igG2a
OD
450n
m
Control
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0.00
0.05
0.10
0.15
0.20
Allergen recognition of IgG2a
Anti-hBTP Anti-hBTP Anti-hAbal0.00
0.02
0.04
0.06
0.08
OD
450n
m
**
hAbal/hAbal serumControl serum
A B
C D
* **
Chapter 3
152
3.4.2 Protein separation and identification of antibody binding proteins
Figure 3.5 SDS-PAGE protein analysis (A) and immunoblot for analysing the cross-
reactivity of IgG in the sera from hBTP/hBTP group and hAbal/hAbal group to the
heated extracts of abalone and prawns (B). In panel A (left), the red stars label the
selected protein bands for mass spectrometric identification.
Chapter 3
153
Table 3.1 IgG antibody reactive proteins identified by SDS-PAGE using mass
spectrometry technique. The sequence coverage is denoted as percentage. IgG reactive
proteins have been matched to known allergens using Uniport entry names.
Chapter 3
154
SDS-PAGE analysis, immunoblot using anti-mouse IgG antibody and mass spectrometric
(MS) analysis were performed to identify the antibody reactive proteins in hAbal and
hBTP, and the antibody cross-reactivity (Figure 3.5).
In hAbal, four major bands were observed in a SDS-PAGE gel (Figure 3.5.A) and selected
for MS identification. The following proteins were detected: tropomyosin (TM) in the 36
kDa and 37.6 kDa regions, TM and troponin T at 41.5 kDa, and arginine kinase (AK) at
43 kDa (Table 3.1). Importantly, Figure 3.5.B shows that these four bands in hAbal were
IgG reactive. Notably, hBTP-specific IgG could bind to the protein at 37 kDa which was
identified as abalone TM.
In hBTP, two major protein bands were IgG reactive and identified as prawn TM and AK.
However, in hBTP immunoblot, there was no IgG binding visualised using the sera from
hAbal-treated mice, indicating the very limited antibody cross-reactivity between heated
prawns and abalone.
Chapter 3
155
3.4.3 Production of cytokines by stimulated splenocytes
Figure 3.6 Production of IL-5 (A and A’), IL-13 (B and B’), IFN-gamma (C and C’)
by hBTP or hAbal-stimulated splenocytes. The splenocytes were cultured with hBTP
or hAbal for three days. The levels of cytokines were determined by ELISA. Data are
reported as mean ± SEM (n = 5) and are representative of two independent experiments.
p < 0.05, and p < 0.01. Abbreviation: ns = Not significant. * **
Chapter 3
156
To illuminate if cellular cross-reactivity could be triggered by the local activation with
shellfish extracts, the cytokine secretion by stimulated splenocytes was analysed as well.
In the groups of hBTP or hAbal-sensitised mice, no matter subsequently gavaged with
the inducer extracts or hMilk, their splenocytes produced the similar levels of IL-5 and
IL-13 after stimulation with the inducer extracts in vitro (Figure 3.6.A, A’, B, and B’). In
contrast, the oral gavages with inducer extracts significantly reduced the expression of
IFN-gamma by re-stimulated splenocytes, as demonstrated in Figure 3.6.C and C’. There
was not statistical difference between the levels of IFN-gamma generated by control
splenocytes and those by shellfish-sensitised splenocytes, which confirmed the Th2-
associated reactivity predominated the allergy model.
Interestingly, at the cytokine (IL-5 or IL-13) level, the splenocytes from hBTP/hAbal and
hAbal/hBTP responded differently to the corresponding extracts that were used in oral
challenge. Figure 3.6.A and B show that after the splenocytes from hBTP/hAbal group
were stimulated with hAbal in vitro, IL-5 (5.293 ± 2.79 pg/ml) and IL-13 (23.12 ± 3.648
pg/ml) were detected but at a significantly lower level, as compared to the expression of
IL-5 (307 ± 74.02 pg/ml) and IL-13 (183.7 ± 43.37 pg/ml) by the hBTP-stimulated
splenocytes from hBTP/hBTP group. Nevertheless, the splenocytes from hAbal/hBTP
could respond to hBTP as stimulus through releasing the similar levels of IL-5 and IL-13
in vitro, as compared to the hAbal-stimulated splenocytes from hAbal/hAbal group
(Figure 3.6.A’and B’). Furthermore, the stronger cytokine responses of hAbal-sensitised
mice to heterologous extracts as compared to hBTP-sensitised mice were also evidenced
by the data from the hMilk-gavaged mice. Figure 3.6.A and B illustrates that when the
splenocytes from hBTP/hMilk mice was cultured with hAbal, which was the first time
for these cells exposed to hAbal, the levels of IL-5 or IL-13 were not upregulated. By
comparison, the level of IL-13 expressed by hBTP-stimulated splenocytes from
Chapter 3
157
hAbal/hMilk group was significantly higher as compared to the hBTP-stimulated control
(Figure 3.6.B’).
Chapter 3
158
3.4.4 Induction of eosinophil and basophil in spleen and blood
Figure 3.7 Proportions of eosinophil and IgE-binding basophil in blood (A and B)
and spleen (A’ and B’). The cell populations in blood and spleen were analysed by flow
cytometer. Data are reported as mean ± SEM (n = 5) and are representative of two
independent experiments. p < 0.05, and p < 0.01. Abbreviation: ns = Not significant.
Eosinophil
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0.0
0.7
1.4
2.1
2.8
Freq
uenc
y (%
)
** ** **
**ns
IgE-basophil
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0.0
0.7
1.4
2.1
2.8
Freq
uenc
y (%
) ***
**
Eosinophil
Freq
uenc
y (%
)
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0
2
4
6
8 ns
ns
*
** **
IgE-basophil
Freq
uenc
y (%
)
Control
hBTP/hMilk
hBTP/hBTP
hBTP/hAbal
hAbal/hMilk
hAbal/hAbal
hAbal/hBTP
0
1
2
3 **
**
**
ns
ns
Spleen
BloodA B
A' B'
* **
Chapter 3
159
As shown in Figure 3.7.A, in the blood from hBTP/hAbal group, eosinophil accounted
for 5.412 ± 1.924 % of live cells with the statistical significance of the difference (p =
0.0159) from the proportion of circulating eosinophil in hBTP/hMilk group. The
proportion of blood eosinophil in the group of hBTP/hBTP was significantly higher as
compared to hBTP/hMilk group (p = 0.0079) but not to hBTP/hAbal group (p = 0.5317).
This result indicates the capacity of hBTP-sensitised eosinophil to react to hAbal.
However, regarding to the proportion of splenic eosinophil, there was no statistical
difference between hBTP/hAbal group and hBTP/hMilk group (or control group) (Figure
3.7.A’). Among the three groups of hAbal-sensitised mice, hAbal-gavaged mice had a
significantly larger proportion of eosinophil in circulating blood (Figure 3.7.A) and
spleen (Figure 3.7.A’) as compared to hMilk-gavaged mice. In blood, hAbal/hBTP group
had 2.086 ± 0.2479 % of eosinophil, and as compared to the other two groups of hAbal-
sensitised mice the difference was not statistically significant (Figure 3.7.A). However,
in spleen, hAbal/hBTP group had 1.336 ± 0.06 % of eosinophil that was significantly
lower as compared to hAbal/hAbal group (Figure 3.7.A’). The immune effector cells may
prefer trafficking towards the inflammatory sites after oral exposure to shellfish extracts,
which leading to the less frequency of eosinophils in spleen as compared to blood as
demonstrated.
Figure 3.7.B and B’ show that in both spleen and circulating blood, the percentage of IgE-
basophils was considerably increased in every shellfish-sensitised group as compared to
the control. There was no significant difference in the frequency of IgE-basophil among
the three groups of hBTP-sensitised mice. This result may indicate that at the current
time-point of the sample harvest, the oral challenges performed in this study cannot
greatly promote the development or activation of IgE-basophils. Consistent with the
results of eosinophil, the percentage of IgE-basophils was the highest in hAbal/hAbal
Chapter 3
160
group among the three groups of hAbal-sensitised mice. In contrast to hAbal/hAbal group,
hAbal/hBTP group presented a similar level of circulating IgE-basophils (Figure 3.7.B)
but a notably lower level of splenic IgE-basophils (Figure 3.7.B’).
Chapter 3
161
3.4.5 Secretion of IgA antibody in jejunums
Figure 3.8 Levels of the intestinal hBTP-specific IgA antibody in hBTP-sensitised
mice (A), hAbal-specific IgA antibody in hAbal-sensitised mice (B), and the allergen
recognition of IgA antibody in the hBTP/hBTP group (C) and hAbal/hAbal group
(D). The level of IgA antibody was determined by sandwich ELISA using the neat protein
extracts of jejunums. Data are expressed as mean ± SEM (n = 5) and are representative
of two independent experiments. p < 0.05, and p < 0.01. Abbreviation: ns = Not
significant. Each dot represents an individual mouse.
* **
Chapter 3
162
To elucidate if cross-reactivity could be induced in the gastrointestinal mucosa, jejunums
were isolated and the secretion of specific IgA antibody was measured. As demonstrated
in Figure 3.8.A and B, the gavage of milk did not result in intestinal IgA responses. As
compared to hMilk-gavaged mice, the mean levels of the specific IgA antibody from the
positive control groups (hBTP/hBTP group or hAbal/hAbal group) were higher but the
difference was not statistically significant (p = 0.1508 between hBTP/hMilk group and
hBTP/hBTP group; p = 0.1508 between hAbal/hMilk group and hAbal/hAbal group). The
IgA response of hBTP-sensitised mice to hAbal (0.2434 ± 0.08373) seemed higher than
that to hMilk (0.115 ± 0.03446), but still in a statistically insignificant manner.
Next, hBTP/hBTP group and hAbal/hAbal group were selected for particularly analysing
the degree of IgA responses against the heterologous extracts on an immobilised surface.
The reactivity of the IgA antibody from hBTP/hBTP group to hAbal could not be
evidenced (Figure 3.8.C), while importantly, it seems that the IgA antibodies with high
affinity from hAbal/hAbal group could recognise hBTP. Nevertheless, it is worth noting
that the secretory IgA from hAbal/hAbal group could only bind to heterologous allergen
at a limited level in vitro. These results suggest the immunodominant peptides in hBTP
and hAbal have distinct IgA-binding regions.
Chapter 3
163
3.5 Discussion
Many patients with allergies to certain shellfish species are interested to learn if other
shellfish species needs to be strictly avoided. Unnecessary elimination diets can lead to
potentially hazardous health situations [20]. The immunological cross-reactivity between
different crustacean species seems more frequently reported than that between crustacean
and molluscs [21, 22]. Skin prick test and serum IgE detection have been employed to
predict the clinical significance of prawn-abalone cross-reactivity but the accuracy
remains unverified [8, 9]. Double blind placebo controlled food challenge (DBPCFC) is
considered as the gold standard to prove or rule out allergy to a specific food. To arrive
at a more definitive diagnosis, DBPCFC can sometimes be performed on patients by
allergists [23, 24]. However, during DBPCFC, patients who have been already diagnosed
with certain food allergies are fed with related foods that may cause severe reactions. To
this end, mouse models are very useful research tools to study the immunological cross-
reactivity without taking risk on human health. Substantial evidence can be collected from
this in vivo platform under designed experimental conditions to help to evaluate of the
allergenicity of shellfish species of interest but also to comprehensively reveal the multi-
organ involvement during immunological cross-reactivity [11]. Moreover, the cross-
reactivity studies using human samples have problems in determining the true
sensitisation. The use of animal models has overcome this problem, because the exposure
history of each experimental animal can be well designed and controlled. This is almost
impossible to achieve in human studies.
In Chapter 2, a suitable mouse model for prawn allergy was developed, and subsequently
in the current chapter, this model was used for examining the potential immunological
cross-reactivity between the heated extracts of Black tiger prawn (hBTP) and Jade tiger
abalone (hAbal) in detail. In this study of prawn-abalone cross-reactivity, BALB/c mice
Chapter 3
164
were IP sensitised with hBTP or hAbal and subsequently orally exposed to heterologous
extracts. Although clinical symptoms were not elicited during the development of this
model, the changes of essential immunological elements, such as serum antibodies,
splenic cytokines, intestinal IgA antibody, and eosinophils and basophils, were very
helpful to predict the potential clinical significance of the immunological cross-reactivity.
Firstly, in this work, I observed that the antibodies in sera or intestines had a very limited
capacity to bind to heterologous extracts (hBTP or hAbal). Moreover, the splenocytes
could express very low or little IL-5 and IL-13 at their first time of exposure to
heterologous extracts. This potentially indicates the immunological cross-reactivity
between the heated extracts of prawns and abalone is at a low level and thus the clinical
symptoms caused by prawn-abalone cross-reactivity are unlikely to occur or to be severe
in susceptible people. However, importantly, it is evidenced that more oral exposures of
the heterologous extracts may increase the Th2 responses (IL-5 and IL-13) in the
susceptible subjects. Therefore, even if no severe symptoms occur after eating abalone,
the patients with allergy to prawns may still need to avoid the very frequent exposure to
abalone, and vice versa.
In this study, another interesting finding is that as compared to hBTP-sensitised animals,
the hAbal-sensitised animals could react to homologous extracts at a higher level of IgE,
IgE-binding basophils and Th2-associated cytokines. Furthermore, the IgE and cellular
cross-reactivity also seems more significant in the hAbal-sensitised animals. This is the
first study that demonstrates the influence of sensitisation allergen sources (Black tiger
prawn or Jade tiger abalone) on the severity of the immunological responses to the
homologous or heterologous shellfish that are subsequently ingested.
Chapter 3
165
Here it must be recognised that this model has not been validated for a definitive
evaluation of the allergenicity of shellfish. Also, allergy is a complex disease, and the
susceptibility to allergenic foods can differ from individuals, depending on the genetic
predisposition, environmental factors and exposure history [14]. Therefore, it is unlikely
that a single mouse study could predict the exact degree of human allergic reactions to
different foods i.e. shellfish. Nevertheless, the prudent utility of well-designed animal
models, in tandem with the other scientific approaches to identify and characterise
allergenic molecules, would ultimately improve the assessment of food allergenicity and
related cross-reactivity.
In shellfish allergy, the most well studied pan-allergen is tropomyosin (TM). TMs from
crustacean species including prawns [19, 25-27], crabs [25], crayfishes [28], lobsters [28],
and krills [29] have been reported reactive to IgE antibody from patient sera. Also, the
evidence for the identification of TM as an essential allergen has been reported in
molluscs including cephalopods, gastropods and bivalves, such as octopus [30], disc
abalone, turban shell, whelk, bloody cockle, Japanese oyster, Japanese cockle, surf clam,
horse clam, razor clam, short-neck clam [31]. Moreover, importantly, TM is believed to
be responsible for shellfish cross-reactivity due to its highly conserved amino acid. The
accumulated data on the primary structures shows that crustacean tropomyosin shared
very high sequence identity (over 89%) with each other, 80-82% with mites, but only 55-
65% with molluscs (See Chapter 1). The data in the current chapter confirm that TM is
not only a major IgG reactive allergen in prawn allergy and abalone allergy, but also a
key suspect for the prawn-abalone cross-reactivity. Therefore, in the next chapter, TM
was investigated in particular using recombinant DNA technology for the in vivo
assessment of its allergenicity. In Chapter 5, its responsibility in the immunological cross-
Chapter 3
166
reactivity between Black tiger prawn and Jade tiger abalone was further evaluated in a
mouse model.
Chapter 3
167
3.6 References
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Chomiczewska-Skóra, C. Pałczyński, J. Walusiak-Skorupa, Occupational allergy to squid
(Loligo vulgaris), Occupational medicine, 63.4 (2013) 298-300.
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[5] B. Pereira, C. Venter, J. Grundy, C.B. Clayton, S.H. Arshad, T. Dean, Prevalence of
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[6] A.Y. Wu, G.A. Williams, Clinical characteristics and pattern of skin test reactivities
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Park, Measurement of specific IgE to abalone (Haliotis discus hannai) and identification
of IgE binding components, Journal of Asthma, Allergy and Clinical Immunology, 23
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[8] J.D. Kattan, J. Wang, Allergen component testing for food allergy: ready for prime
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[10] R.J. Dearman, I. Kimber, A mouse model for food allergy using intraperitoneal
sensitization, Methods, 41 (2007) 91-98.
[11] T. Liu, S. Navarro, A.L. Lopata, Current advances of murine models for food allergy,
Molecular immunology, 70 (2016) 104-117.
[12] R. Dearman, S. Stone, H. Caddick, D. Basketter, I. Kimber, Evaluation of protein
allergenic potential in mice: dose–response analyses, Clinical & Experimental Allergy,
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[13] A.K. Verma, S. Kumar, A. Tripathi, B.P. Chaudhari, M. Das, P.D. Dwivedi,
Chickpea (Cicer arietinum) proteins induce allergic responses in nasobronchial allergic
patients and BALB/c mice, Toxicology letters, 210 (2012) 24-33.
[14] I. Kimber, R.J. Dearman, Can animal models predict food allergenicity?, Nutrition
Bulletin, 26 (2001) 127-131.
[15] R. Dearman, R. Skinner, C. Herouet, K. Labay, E. Debruyne, I. Kimber, Induction
of IgE antibody responses by protein allergens: inter-laboratory comparisons, Food and
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[16] X.-M. Li, D. Serebrisky, S.-Y. Lee, C.-K. Huang, L. Bardina, B.H. Schofield, J.S.
Stanley, A.W. Burks, G.A. Bannon, H.A. Sampson, A murine model of peanut
anaphylaxis: T-and B-cell responses to a major peanut allergen mimic human responses,
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[17] J.B. Abramovitch, S. Kamath, N. Varese, C. Zubrinich, A.L. Lopata, R.E. O'hehir,
J.M. Rolland, IgE reactivity of blue swimmer crab (Portunus pelagicus) Tropomyosin,
Por p 1, and other allergens; cross-reactivity with black tiger prawn and effects of heating,
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[18] H. Mateos, P. Lewandowski, X. Su, Seasonal variations of total lipid and fatty acid
contents in muscle, gonad and digestive glands of farmed Jade Tiger hybrid abalone in
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[19] A.M.A. Rahman, S. Kamath, A.L. Lopata, R.J. Helleur, Analysis of the allergenic
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allergen tropomyosin using mass spectrometry, Rapid communications in mass
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[20] W.M. Dambacher, E.H. de Kort, W.M. Blom, G.F. Houben, E. de Vries, Double-
blind placebo-controlled food challenges in children with alleged cow’s milk allergy:
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shellfish allergy, Allergo Journal International, 25 (2016) 210-218.
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allergy: is cross-reactivity among fish species relevant? Double-blind placebo-controlled
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83 (1999) 517-523.
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Navarro, E. Perez, M. Gallego, T. Carrillo, Mustard allergy confirmed by double blind
placebo controlled food challenges: clinical features and cross reactivity with
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[25] K. Motoyama, Y. Suma, S. Ishizaki, Y. Nagashima, K. Shiomi, Molecular cloning
of tropomyosins identified as allergens in six species of crustaceans, Journal of
agricultural and food chemistry, 55 (2007) 985-991.
[26] S.D. Kamath, A.M.A. Rahman, T. Komoda, A.L. Lopata, Impact of heat processing
on the detection of the major shellfish allergen tropomyosin in crustaceans and molluscs
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[27] S. Sahabudin, R. Misnan, Z.H.M. Yadzir, J. Mohamad, N. Abdullah, F. Bakhtiar, S.
Murad, Identification of major and minor allergens of black tiger prawn (Penaeus
monodon) and king prawn (Penaeus latisulcatus), Malaysian Journal of Medical Sciences,
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[28] P.S. Leung, Y.C. Chen, D.L. Mykles, W.K. Chow, C.P. Li, K.H. Chu, Molecular
identification of the lobster muscle protein tropomyosin as a seafood allergen, Molecular
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[29] K. Motoyama, Y. Suma, S. Ishizaki, Y. Nagashima, Y. Lu, H. Ushio, K. Shiomi,
Identification of tropomyosins as major allergens in Antarctic krill and mantis shrimp and
their amino acid sequence characteristics, Marine biotechnology, 10 (2008) 709-718.
[30] M. Ishikawa, F. Suzuki, M. Ishida, Y. Nagashima, K. Shiomi, Identification of
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IgE binding epitopes, Fisheries science, 67 (2001) 934-942.
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(2009) 634-641.
CHAPTER
THE APPLICATION OF RECOMBINANT
TROPOMYOSINS FROM BLACK TIGER PRAWN
(Penaeus monodon) AND JADE TIGER ABALONE (Haliotis
laevigata × Haliotis rubra) IN THE DEVELOPMENT OF
MOUSE MODELS FOR SHELLFISH ALLERGY
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4.1 Introduction
According to the Australasian Society of Clinical Immunology and Allergy (ASCIA)
2016 report, 4-10% of children and approximately 2% adults have been affected by food
allergy and the rate of anaphylaxis based on hospital admissions has been increasing
dramatically over the last decade in Australia, USA and UK. Type I hypersensitivity is
the most frequent pattern of food allergy, the adverse reactions of which are caused by
forming the complex of specific IgE antibody and food allergens. Crude extracts of foods
are often applied in the conventional diagnosis and immunotherapy, thus only the food
sources that patients are allergic to can be identified [1, 2]. Within recent two decades,
the advances of molecular cloning techniques allow researchers to reveal the exact
composition of allergenic sources through generating and characterising recombinant
proteins [3]. To date, multiple food allergens have been identified, cloned and
characterised at a molecular and biochemical level, such as Gly m 1 and Gly m 3 in soy
allergy, Bos d 5 in milk allergy, Gal d 1, 2 and 3 in egg allergy [4], and Ara h 1, Ara h 2,
Ara h 3, Ara h 4, Ara h 5, Ara h 6 and Ara h 7 in peanut allergy [5].
Currently, the major applications of recombinant allergens include the studies of
component-resolved diagnostics, allergen-specific immunotherapies and
immunopathologic mechanisms [1, 6]. The recombinant protein that can be used for these
studies has to be validated for its immunological allergenicity. The conventional
approaches include the test of their reactivity with patient IgE antibody in vitro, and the
monitoring of specific cellular immune responses (i.e., T-cell responses and specific
basophil activation) against recombinant allergens in vitro [7]. However, neither IgE
antibody nor immune cells alone are equal to the whole immunological process of allergy.
Moreover, there is a lack of clinical relevance in in vitro research. Since recombinant
components cannot be easily applied in human research due to the potential risk on human
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health, to the end of this question, mouse models can be very useful tools to study
recombinant allergens. Substantial evidence for the humoral and cellular responses can
be provided by experimental animals for a comprehensive evaluation of the potential
allergenicity of any recombinant allergen of interests. To date, several recombinant food
allergens, such as carp parvalbumin Cyp c1.01 [8, 9], modified peanut allergens Ara h 1,
Ara h 2, and Ara h 3 [10] and hypoallergenic ovomucoid [11], have been used in mouse
studies, greatly contributing to the development of precise diagnosis or
immunomodulatory strategies.
In shellfish allergy, an increasing number of recombinant allergens have been produced
within the recent two decades, such as recombinant tropomyosin (rTM) from Greasyback
shrimp [12], Black tiger prawn [13], Brown shrimp [14], Blue swimmer crab [15], Coral
swimmer crab [16], Pacific oyster [17], Variously coloured abalone, Noble scallop and
Asian green mussel [18], sarcoplasmic calcium-binding protein from Pacific white
shrimp [19] and Whiteleg shrimp [20], arginine kinase derived from Mud crab [21], and
myosin light chain derived from Black tiger prawn [22]. However, these recombinant
allergens have been barely applied in mouse studies to examine their allergenic properties
but also their potentials to induce immunological cross-reactivity in shellfish allergy [23].
In Chapter 3, the immunological cross-reactivity between the heated protein extracts of
Jade tiger abalone (Haliotis laevigata × Haliotis rubra) and Black tiger prawn (Penaeus
monodon) has been thoroughly evaluated, and tropomyosin (TM) has been suspected as
the major cross-reactive allergen. To further investigate TM for its responsibility in the
prawn-abalone cross-reactivity, the allergenic properties of TM were to be investigated
and the availability of rTMs from Jade tiger abalone and Black tiger prawn would be very
important. Therefore, in the current chapter, TMs from Black tiger prawn and Jade tiger
abalone were expressed as His-tagged fusion recombinant proteins in Escherichia coli.
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Subsequently, their allergenicity was tested with serum of allergic patients and the
established mouse model, but also compared with the allergenicity of corresponding
heated extracts of shellfish in mice.
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4.2 Aims
The aims of Chapter 4 were:
(1) To clone, express and purify the recombinant tropomyosins from Jade tiger
abalone (Haliotis laevigata × Haliotis rubra) and Black tiger prawn (Penaeus
monodon).
(2) To evaluate the allergenic property of the recombinant tropomyosins from Jade
tiger abalone and Black tiger prawn using human sera and a mouse model.
(3) To investigate the antibody cross-reactivity to tropomyosin from Jade tiger
abalone and Black tiger prawn.
(4) To identify human IgE reactive proteins in heated extracts of Jade tiger abalone
and Black tiger prawn.
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4.3 Animals, materials and methods
4.3.1 Cloning and cDNA sequencing of tropomyosin from Jade tiger abalone
4.3.1.1 Total RNA isolation
Alive Jade tiger abalone (Haliotis laevigata × Haliotis rubra) (Abal) were purchased
from a local seafood shop (Townsville, Australia) and transported to the laboratory on
ice. All the equipment involved in RNA extraction was treated with RNaseZap™ (Life
Technologies) before start. Briefly, 100 mg of the fresh foot muscle from abalone was
collected and homogenised in 1 ml of TRIzol® reagent (Life Technologies). After the
incubations with 0.5 ml of chloroform and 100% isopropand and the centrifugation at 12,
000 x g, RNA was precipitated in an RNase-free tube, and subsequently washed with 1
ml of 75% ethanol. The washed RNA pallet was air dried by incubation at 60°C for 5-10
min and subsequently resuspended in 30 μl of RNase-free water. The resuspended RNA
was incubated at 60°C for 10-15 min before storage at -20°C or any downstream
applications. The concentration and purity of RNA was tested using a Nanodrop ND-
1000 spectrophotometer (New England Biolabs).
4.3.1.2 cDNA transcription and PCR amplification of tropomyosin
cDNA was produced from RNA by reverse transcription-polymerase chain reaction (RT-
PCR) using Tetro cDNA Synthesis kit (Bioline). Firstly, the extracted RNA was treated
with RQ1 RNase-Free DNase (Promega) to remove DNA residue. According to the
protocol of Tetro cDNA Synthesis kit, briefly, 20 μl of the priming premix was prepared
by mixing up total RNA (4 μg), Oligo (dT)18 (1 μl), 10 M dNTP mix (1 μl), RNase
inhibitor (1 μl) and Tetro reversetranscriptase (200 unit). The premix was incubated at
45°C for 30 min. Subsequently, the reaction was stopped by heating at 85°C for 5 min
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and then cooled down on ice. The cDNA was ready to be processed as the template to
PCR.
The coding region of tropomyosin (TM) from Jade tiger abalone was amplified in a 25 μl
PCR system. A pair of primers (TM-Abal-F and TM-Abal-R) were designed on the basis
of the published mRNA of TM from Haliotis discus discus (GenBank accession no.
AB444939.1), and used in PCR:
(Forward) TM-Abal-F
5’-GCCTGAATTCTGGATGCCATCAAGAAGAAGATG-3’
(Reverse) TM-Abal-R
5’-GCACAAGCTTTTAATAACCAGCCAACTCCGCGAA-3’
The PCR reaction contained 12.5 μl of GoTaq® DNA Polymerase (Promega, Australia),
0.6 μl of each primer, and 3 μl of synthesised cDNA. The PCR program included 94°C
for 2 min, followed by 35 cycles of 94°C for 30 s, 60°C for 1 min and 72°C for 45 s, and
subsequently a final extension at 72°C for 7 min. The PCR product was analysed on a 2%
agarose gel.
4.3.1.3 Cloning of the coding region of tropomyosin into pProEX HTb vector
The PCR product was purified using Wizard® DNA Clean-Up system (Promega).
Briefly, the PCR product was added to DNA clean-up resin and pushed into a Wizard®
Minicolumn. The DNA-binding Minicolumn was washed with 2 ml of 80% isopropanol
and centrifuged for 2 min. Subsequently, 50 μl of warm water was applied to the
Minicolumn. At last, the DNA was eluted by centrifugation for 20 s. The purified PCR
product is ready for the double digestion with restriction enzymes.
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pProEX HTb vector, which was kindly provided by Professor James Burnell at James
Cook University, were used for both DNA clone and protein expression. Both the pProEX
HTb vector (260 ng) and the purified PCR product (310 ng) were digested with two
restriction enzymes EcoR I ((New England Biolab, 24 unit) and Hind III (New England
Biolab, 10 unit). The mixture of digestion reaction (20 μl) was incubated at 37°C for 1 h
and then terminated by adding 10 μl of 6 x loading buffer. Subsequently, the digested
PCR product was purified using Wizard® DNA Clean-Up system, and here named “pure
digested TM-Abal”. The digested pProEX HTb vector was purified from a low-melting
agarose gel using Wizard® PCR Preps DNA kit (Promega). Briefly, the digested pProEX
HTb vector was loaded into a 1% low-melting agarose gel and 80-voltage electrophoresis
was conducted for 30 min. Subsequently, the desire band was excised and weighed (less
than 300 mg). The gel slice was melt after 70°C incubation and then thoroughly mixed
with 1 ml of the resin. The resin/DNA mix was pushed into the Minicolumn and washed
with 2 ml of 80% isopropanol. The resin was dried by centrifugation at 10, 000 x g for 2
min. 50 μl of pre-heated water (65-80°C) was added to the Minicolumn to elute DNA.
One min later, the Minicolumn was centrifuged for 20 s. Finally, the DNA fragment was
collected in a new tube and was named “pure digested pProEX HTb”.
Pure digested TM-Abal and pure digested pProEX HTb were ligated using T4 DNA
Ligase (Promega). The ligation reaction consisted of 45 ng of pure digested pProEX HTb,
15 ng of pure digested TM-Abal, 1 μl of 10 x ligase buffer and 0.3 μl of 3 unit/μl T4 DNA
Ligase. The reaction mixture was incubated at room temperature for 3 h and then used
immediately for the cell transformation.
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4.3.1.4 Transformation of DH12S competent cells and sequencing of the plasmid
DNA
The chemically competent E. coli cells named DH12S, kindly provided by Dr. Bernhard
Waltenspiel at James Cook University, were prepared and used to clone the recombinant
DNA of tropomyosin from Jade tiger abalone. Briefly, the reaction mix of ligation was
gently added into DH12S cells, and the cells were thawed on ice for 20 min.
Subsequently, this mixture received a heat shock at 42°C for 60 s, and then transferred on
ice for 2 min. The entire reaction mix was spread onto the surface of LB agar plate made
with 100 μg/ml ampicillin, following with overnight incubation at 37°C. Several colonies
were picked up separately and tested for the insertion of TM-Abalone into the vector by
means of colony PCR. The colonies with positive PCR results were inoculated into 4 ml
of LB broth with 100 μg/ml ampicillin and incubated on a shaking platform overnight at
37°C. Subsequently, the recombinant DNA was extracted out of DH12S cells using
AxyPrep Plasmid Miniprep Kit (Corning) and the instructions of manufactures were
followed. Finally, the purified recombinant DNA of TM-Abal-pProEX HTb was sent to
Macrogen Inc, South Korea for sequencing of the open reading frame of Abal-TM.
4.3.1.5 Transformation of BL21 competent cells
TM-Abal-pProEX HTb was transformed into another chemically competent cell strain
BL21 for auto-induction of the recombinant protein of Abal-TM following a similar
protocol of transformation of DH12S competent cells. After inoculation, the glycerol
stock of positive clones was prepared and stored at -80°C.
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4.3.2 Expression and purification of recombinant tropomyosins
4.3.2.1 Culturing of BL21 Escherichia coli cells and auto-induction of the
recombinant protein expression
The DNA of tropomyosin from Black tiger prawn (Penaeus monodon) (TM-BTP) that
was inserted into vector pProEX HTb was labeled as TM-BTP-pProEX HTb. The E. coli
cells (BL21) that carried the DNA of TM-BTP were kindly provided by Dr. Sandip
Kamath at James Cook University. The method of auto-induction was based on a previous
study performed by F.W. Studier [23] and some modifications developed by Dr. Martina
Koeberl [24]. 50 μl of freshly cultured E. coli that contained the plasmid DNA of TM-
BTP-pProEX HTb or TM-Abal-pProEX HTb was transferred into an autoclaved baffled
flask with 250 ml of ZYP-5052 medium, following with incubation at 37°C. To optimise
the harvest time-point, small aliquots were collected at different time-points for testing
the OD600nm. When OD600nm reached 2.0-2.3, the bacterial culture was centrifuged at 5, 000
RPM for 3 min at 4°C, and subsequently the supernatant was collected. Cell pallets from
every 50 ml of the cell culture were re-suspended with 2 ml of the extraction buffer,
following with four times of French pressure cell. Cell lysate was collected and
centrifuged at 25, 000 x g for 20 min. 10 ml of fresh extraction buffer was added to re-
suspend cell pallets and subsequently the second batch of supernatant was collected. The
procedure of re-suspension with new extraction buffer, centrifugation and collection of
the supernatant was performed in total of five times. Sodium dodecyl sulphate -
polyacrylamide gel electrophoresis (SDS-PAGE) analysis was conducted to determine
the supernatant for further purification.
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4.3.2.2 Purification of recombinant tropomyosins of Jade tiger abalone and Black
tiger prawn
To purify the generated recombinant TM (rTM) from the crude lysate, immobilised metal
ion affinity chromatography (IMAC) was conducted using HisPur Nickel (Ni)-
Nitrilotriacetic Acid (NTA) metal-chelate Resin. Firstly, 3 ml of the dispersed resin was
added into an empty Pierce spin column to prepare a HisPur Ni-NTA Spin Column.
Subsequently, 1 ml of the crude lysate extract was mixed with 1 ml of equilibration buffer,
and this mixture was filtered through a 0.22 μm membrane. In the next step, the filtered
extract was loaded onto an equilibrated HisPur Ni-NTA Spin Column with the bottom
plugged. The sample of cell lysate extract was mixed with a HisPur Ni-NTA beads on an
orbital shaker at 4°C for at least 30 min, following with centrifugation to remove the flow-
through. Then the resin was washed with 3 ml of wash buffer and the flow-through was
collected for analysing the presence of rTM by a SDS-PAGE gel. At last, rTM was eluted
with elution buffer and dialysed into fresh PBS buffer. The purified recombinant proteins
were concentrated using spin columns, analysed using SDS-PAGE gel and their
sequences confirmed by mass spectrometry. Pierce BCA Protein Assay was performed to
quantify the concentration of rTM.
4.3.3 Sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE)
SDS-PAGE was conducted to examine the protein repertoire in the prepared sample, the
protocol of which was previously described in Chapter 3. In the current chapter, the
analysed protein samples were heated Black tiger prawn (hBTP), heated Jade tiger
abalone (hAbal), rTM-BTP and rTM-Abal.
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4.3.4 Patient sera
Twelve subjects with a confirmed clinical history of shellfish allergy and one healthy
subject as a negative control were recruited by The Alfred Hospital, Allergy Clinic,
Melbourne, Victoria, Australia [25, 26]. Allergen specific IgE was quantified using the
ImmunoCAP system (Thermo Scientific) at The Alfred Hospital by Prof. Robyn
O’Hehir’s group.
Table 4.1 provides the demographic details of these patients. James Cook University’s
Ethics committee granted the ethics approval for this research (Project number H4313) in
collaboration with The Alfred Hospital (Project number 192/07) and Monash University’s
Ethics Committees (MUHREC CF08/0225).
4.3.5 Patient immunoblotting
35 μg of hAbal and hBTP, and 25 μg of rTM-Abal and rTM-BTP were heated at 95°C
for 5 min before loaded onto a 12% SDS-PAGE gel separately. Subsequently, the
electrophoretic separation was conducted at 170 V until the tracker dye reached the
bottom of the gel. In the next step, resolved proteins were transferred from the gel to an
activated PVDF or a nitrocellulose membrane, and subsequently the membrane was
blocked with 5% skim milk. The blocked membrane was incubated with the patient serum
(1:10 diluted) using a slot blot apparatus (Idea Scientific) overnight at 4°C, following
with the incubation with 1:10, 000 diluted rabbit anti-human IgE polyclonal antibody
(DAKO Corporation) for 1 h at room temperature. Subsequently, the membrane was
incubated with 1:10, 000 diluted goat-anti-rabbit IgG HRP conjugate (Promega) to
visualise the IgE antibody reactivity [24, 26].
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4.3.6 Mouse immunoblotting
The protocol of mouse immunoblot was described previously in Chapter 3, Section 3.3.5.
The serum that was examined in this chapter was pooled from the group of rTM-BTP
sensitised, hBTP gavaged mice (rTM-BTP/hBTP group) and the group of rTM-Abal
sensitised, hAbal gavaged mice (rTM-Abal/hAbal group), respectively.
4.3.7 Mass spectrometric identification
To identify the antibody reactive proteins in hBTP and hAbal, and to confirm the
expressed protein was TM, in-gel tryptic digestion of the selected bands in a SDS-PAGE
gel was performed for mass spectrometric (MS) analysis, following the protocols that
were described previously in Chapter 3, Section 3.3.6.
4.3.8 Amino acid sequence alignment of prawn and abalone tropomyosins
The amino acid sequences of TMs from Black tiger prawn (HM486525) and Jade tiger
abalone were compared using the MEGA ClustalW alignment. The amino acid sequence
of TM from Black tiger prawn was obtained from the database of National Centre for
Biotechnology Information (NCBI).
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Table 4.1 Demographics of 12 shellfish allergic patients and one non-atopic control donor.
Note: NT=Not tested.
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4.3.9 Animals
8-week-old female BALB/c mice were kept at the Cairns campus, building E4 Animal
Facility under specific pathogen-free conditions. Mice were fed with a commercial
vegetarian diet purchased from Specialty Feeds. The animal ethics committee from James
Cook University approved the experiments (Animal ethics approval number A2108).
4.3.10 Preparation of shellfish extracts and recombinant tropomyosins
Heated extracts of Black tiger prawn and Jade tiger abalone were prepared using the
method previously described in Chapter 2, Section 2.3.2. The concentration of heated
shellfish extracts and purified rTMs were estimated and adjusted for mouse studies.
4.3.11 Induction and evaluation of mouse models in shellfish allergies
4.3.11.1 Mouse sensitisation and challenge
As shown in Figure 4.1, from Day 0 to Day 14, mice were IP sensitised weekly with a
mixture of 10 μg of the allergen(s) and 2 mg of alum. Allergens were the heated shellfish
extracts (hBTP or hAbal) or the recombinant tropomyosin (rTM-BTP or rTM-Abal). On
Day 21, 24, 27 and 30, hBTP or rTM-BTP sensitised mice were orally gavaged with 1mg
of hBTP, while hAbal or rTM-Abal sensitised mice were orally gavaged with 1mg of
hAbal. Mice were fasted overnight but had unlimited access to water before every gavage.
In contrast, the control mice were treated with a mixture of PBS only with alum during
the sensitisation period, and subsequently gavaged with 200 μl of PBS on Day 21, 24, 27
and 30. One day after the forth gavage, all the animals were sacrificed and the samples
from blood, spleens and jejunums were isolated for further analysis.
During the gavage phase, the heated shellfish extracts were used rather than rTMs. The
reason was that the required amount of proteins for repeated gavages greatly exceeded
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the production capacity of the current expression system, although the auto-induction
method used in this work has been regarded as an optimised approach for high yield
production of recombinant proteins [25].
In this thesis, each mouse group was named as follows: “hBTP/hBTP group” was the
group of hBTP-sensitised, hBTP-gavaged mice, “hAbal/hAbal group” was the group of
hAbal -sensitised, hAbal -gavaged mice, “rTM-BTP/hBTP group” was the group of rTM-
BTP-sensitised, hBTP-gavaged mice, and “rTM-Abal/hAbal group” was the group of
rTM-Abal-sensitised, hAbal -gavaged mice.
Figure 4.1 The experimental design of the mouse model for shellfish allergy. Each
group comprised of six BALB/c female mice.
Chapter 4
188
4.3.11.2 Detection of serum antibodies and mast cell protease-1
The serum isolation and sandwich ELISA were performed following the protocols that
have been described in Chapter 2. The only modification made in the current ELISA was
that the serum samples from hBTP-gavaged mice were loaded to the hBTP-coated ELISA
plates, and the serum samples from hAbal-gavaged mice were loaded to the hAbal-coated
ELISA plates for the measurement of allergen-specific IgE, IgG1 and IgG2a.
4.3.11.3 In vitro stimulation of splenocytes and measurement of cytokines
Spleens were isolated and single cell suspension prepared as previously described in
Chapter 2. 0.5 million cells were cultured with hBTP (4 μg) or hAbal (4 μg) for 72 h in
5% CO2 at 37°C. The splenocytes cultured with 1 μg/ml anti-CD3 and anti-CD28 were
considered as the positive control for this assay.
4.3.11.4 Flow cytometry
The single cell suspension of blood and spleen was prepared as described in Chapter 2,
Section 2.3.3.4. The surface staining panel consisted of 7 fluorescence-conjugated
antibodies (Jomar Life Research), including Anti-Mouse CD170 (Siglec F) PerCP-eFluor
710, Anti-Mouse CD3 APC-eFluor 780, Anti-Mouse IgE FITC, Anti-Mouse CD11b PE,
Anti-Mouse CD49b (Integrin alpha 2) APC, Anti-Mouse CD19 APC-eFluor 780, Anti-
Mouse Fc Fc Epsilon Receptor I alpha (FcεR1) eFluor 450.
4.3.11.5 Statistical analysis
Two-tailed Mann-Whitney U test was performed using Prism 6.0. The data shown in this
chapter are presented as mean values with the standard error of the mean (SEM). p values
of less than 0.05 were considered statistically significant.
Chapter 4
189
4.4 Results
4.4.1 Jade tiger abalone and Black tiger prawn tropomyosin sequence comparison
Jade tiger abalone and Black tiger prawn TM were cloned and analysed by cDNA
sequencing to compare primary structures (Figure 4.2). The amino acid sequence of
abalone TM was deduced from the generated cDNA and published under the Genbank
accession number KX961689. The alignment of amino acid sequence shows 63.4%
amino acid sequence identity between prawn and abalone TM. The amino acids variations
between these two TMs distributed throughout the whole sequence. Eight IgE-binding
epitopes of prawn TM has been previously predicted and characterised by by Reese et al
2005 [28]. Figure 4.1 demonstrates only one potential IgE-binding epitope was identical
as compared to abalone TM.
Chapter 4
190
Figure 4.2 Amino acid sequence alignment of tropomyosins from Black tiger prawn (Penaeus monodon), Genbank protein ID
ADM34184.1, and Jade tiger abalone (Haliotis laevigata × Haliotis rubra), Genbank protein ID APG42675.1. The amino acids marked
with yellow boxes are variations in the two tropomyosin sequences; orange boxes indicate the eight IgE binding regions (I – VIII) previously
identified by Reese et al [28].
Black tiger prawn (Penaeus monodon) M D A I K K K M Q A M K L E K D N A M D R A D T L E Q Q N K E A N N R A E K S E E E V H N L Q K R M Q Q L E N D L D Q V 60
Jade tiger abalone (Haliotis laevigata x Haliotis rubra) M D A I K K K M L A M K M E K E N A V D R A E Q N E Q K L R D T E E Q K A K I E E D L N N L Q K K C A N L E N D F D N V 60
Black tiger prawn (Penaeus monodon) Q E S L L K A N I Q L V E K D K A L S N A E G E V A A L N R R I Q L L E E D L E R S E E R L N T A T T K L A E A S Q A A 120
Jade tiger abalone (Haliotis laevigata x Haliotis rubra) N E Q L Q E A M T K L E T S E K R V T E M E Q E V S G T T R K I T L L E E D L E R N E E R L Q T A T E R L E E A S K A A 120
Black tiger prawn (Penaeus monodon) D E S E R M R K V L E N R S L S D E E R M D A L E N Q L K E A R F L A E E A D R K Y D E V A R K L A M V E A D L E R A E 180
Jade tiger abalone (Haliotis laevigata x Haliotis rubra) D E S E R G R K V L E S R S L A D D E R I D Q L E A Q L K E A K Y I A E D A E R K Y D E A A R K L A I T E V D L E R A E 180
Black tiger prawn (Penaeus monodon) E R A E T G E S K I V E L E E E L R V V G N N L K S L E V S E E K A N Q R E E A Y K E Q I K T L T N K L K A A E A R A E 240
Jade tiger abalone (Haliotis laevigata x Haliotis rubra) A R L E A A E A K I L E L E E E L K V V G N N M K S L E I S E Q E A S Q R E D S Y E E T I R D L T Q R L K D A E N R A T 240
Black tiger prawn (Penaeus monodon) F A E R S V Q K L Q K E V D R L E D E L V N E K E K Y K S I T D E L D Q T F S E L S G Y 284
Jade tiger abalone (Haliotis laevigata x Haliotis rubra) E A E R T V S K L Q K E V D R L E D E L L A E K E K Y K A I S D E L D Q T F A E L A G Y 284
Chapter 4
191
4.4.2 Identification of human IgE reactivity to abalone and prawn tropomyosin
Figure 4.3 SDS-PAGE Coomassie stain (A1 and B1) and IgE immunoblot using sera
from 12 shellfish allergic patients of heated abalone extracts (A2), heated prawn
extracts (A3), recombinant abalone tropomyosin (B2) and recombinant prawn
tropomyosin (B3). Red stars indicate the selected protein bands for mass spectrometric
identification. Abbreviations: hAbal = heated abalone extracts, hBTP = heated prawn
extracts, rTM-Abal = recombinant abalone tropomyosin, rTM-BTP = recombinant prawn
tropomyosin, 1 – 12 = patient sera, and N = negative control (healthy individual).
Chapter 4
192
Table 4.2 IgE antibody reactive proteins identified by SDS-PAGE using mass
spectrometry technique. The sequence coverage is denoted as percentage. IgE reactive
proteins have been matched to known allergens using Uniport entry names.
Chapter 4
193
To study the allergenicity of TM and identify the IgE reactive proteins in hBTP and hAbal,
IgE immunoblot was performed using patient sera. In the immunoblots of hBTP and
hAbal (Figure 4.3.A), the strongest IgE binding appeared at about 37 kDa, and the
corresponding protein was previously identified as TM (Chapter 3, Table 3.1). 7 of 12
patients showed positive IgE binding to the identified abalone TM and 9 of 12 recognised
the identified prawn TM. Also, TMs from Jade tiger abalone and Black tiger prawn were
generated as recombinant proteins in E. coli to analyse the pattern of IgE recognising TM
in allergy patients. As illustrated in Table 4.2, the MS analysis has confirmed that the
expressed protein is TM, with the sequence coverage of 54% for rTM-BTP and 73% for
rTM-Abal, respectively. The serum IgE from 5 of 8 patients could bind to rTM-Abal and
9 of 12 recognised rTM-BTP. The patients with positive IgE binding to the rTM were all
able to recognise the identified natural TM, which confirms the allergenic property of
rTM and the MS identification of TM in the total protein extracts. Furthermore, the IgE
reactivity to abalone TM was only reported in the patient sera with IgE reactivity to prawn
TM (patient NO.1, 2, 5, 6, 7 and 8). This result indicates the IgE cross-reactivity between
prawn and abalone TM in these patients. The registration of TM from Jade tiger abalone
has been officially approved by World Health Organization and International Union of
Immunological Societies (WHO/IUIS) Allergen Nomenclature Sub-committee and the
allergen name is Hal l 1.
Figure 4.3.A shows that the pattern of human IgE reactivity in the sera from multiple
patients including subject 5, 6, 7 and 8 seemed very consistent with the results of mouse
IgG immunoblots performed in Chapter 3 (Figure 3.4 and Table 3.1). In addition to TM,
MS analysis demonstrates the other potential reactive proteins were arginine kinase and
troponin T (Chapter 3, Table 3.1). In addition, subject 5 displayed a unique pattern of IgE
binding to several proteins in hBTP and hAbal. MS identification shows that they were
Chapter 4
194
very likely to be myosin heavy chain and paramyosin located at the region between 120
kDa and 140 kDa. (Table 4.2).
Chapter 4
195
4.4.3 Serum antibodies and mast cell protease-1
Figure 4.4 Production of serum allergen-specific IgE (A and B), total IgE (C) and
mast cell protease-1 (mMCP-1) (D). Levels of mMCP-1 and IgE antibody were
determined by sandwich ELISA. Data are expressed as mean ± SEM (n = 6). p< 0.05,
and p< 0.01. Each dot represents an individual mouse. Abbreviation: ns = Not
significant.
Control
hBTP/hBTP
rTM-B
TP/hBTP0.0
0.2
0.4
0.6
OD
450n
m
**
**
hBTP-specific IgE
ns
OD
450n
m
Control
hAbal/hAbal
rTM-A
bal/hAbal
0.0
0.2
0.4
0.6**
***
hAbal-specific IgE
Total IgE
Control
hBTP/hBTP
rTM-B
TP/hBTP
hAbal/hAbal
rTM-A
bal/hAbal
0.0
0.2
0.4
0.6
OD
450n
m
**
** **
ns
A B
C D mMCP-1ng
/ml
Control
hBTP/hBTP
rTM-B
TP/hBTP
hAbal/hAbal
rTM-A
bal/hAbal
0
5000
10000
15000 ***
*
ns
**
*
**
Chapter 4
196
Figure 4.5 Production of serum allergen-specific IgG1 (A and B) and allergen-
specific IgG2a (C and D). Levels of IgG1 and IgG2a antibody were determined by
sandwich ELISA. Data are expressed as mean ± SEM (n = 6). p< 0.05, and p< 0.01.
Each dot represents an individual mouse.
* **
Chapter 4
197
To investigate whether recombinant tropomyosin could elicit Th2-associated humoral
responses, in this experiment, mice were sensitised with the recombinant tropomyosin
(rTM-BTP or rTM-Abal), and their serum antibodies and mMCP-1 were analysed. As
demonstrated in Figure 4.4 and Figure 4.5, specific IgE antibody and IgG1 antibody were
increased significantly in all the groups of sensitised mice. Figure 4.4.A and C show that
the IgE antibody in rTM-BTP-sensitised mice was at a very similar level as compared to
the mice that were sensitised with hBTP. In contrast, as demonstrated in Figure 4.4.B, the
sensitisation with rTM-Abal induced a remarkably lower level of IgE as compared to
hAbal. The data of serum total IgE antibody was consistent with the result of specific IgE,
except that there was no statistically significant difference between the control and rTM-
Abal/hAbal group. In contrast, comparing with heated extracts of shellfish, recombinant
tropomyosins induced significantly higher levels of serum specific IgG1 antibody.
Moreover, the results of serum mMCP-1 confirmed that rTM-BTP and hBTP might have
a similar level of allergenicity but hAbal could provoke stronger responses of mast cells
as compared to rTM-Abal (Figure 4.4.D). Specific IgG2a as a Th1-associated antibody
was only detectable in the sera from the mice that were sensitised with rTMs (Figure
4.5.C and D).
Chapter 4
198
4.4.4 Identification of mouse IgG binding proteins
Figure 4.6 Immunoblot analysis of the IgG reactivity to the heated extracts of
abalone (A) and prawns (B).
Chapter 4
199
To confirm the induction of allergen-specific antibody in this mouse model, IgG
immunoblot was performed using the sera from rTM-BTP/hBTP group and rTM-
Abal/hAbal group. The strong IgG binding to the protein at 37 kDa was observed in rTM-
sensitised mice, and this protein has been previously identified as TM by MS analysis in
Chapter 3, Table 3.1. Moreover, IgG antibody from rTM-Abal sensitised mice could
recognise TM-BTP, but the IgG reactivity was less strong as compared to binding to TM-
Abal, and vice versa. This result indicates the IP injection of the mixture of rTM and
adjuvant can successfully trigger the production of TM-specific antibody, and there is
antibody cross-reactivity between prawn and abalone TM.
Chapter 4
200
4.4.5 Production of cytokines by stimulated and unstimulated splenocytes
Figure 4.7 Production of cytokines by stimulated splenocytes. The splenocytes in
hBTP/hBTP group and rTM-BTP/hBTP group were cultured with hBTP, and the
splenocytes in hAbal/ hAbal group and rTM-Abal/hAbal group were cultured with hAbal
for three days in vitro. ELISA was preformed to determine the levels of IL-5 (A and A’),
IL-13 (B and B’) and IFN-gamma (C and C’). Data are expressed as mean ± SEM (n =
6). p< 0.05, and p< 0.01. Each dot represents an individual mouse. Abbreviation: ns
= Not significant.
pg/m
l
Control
hBTP/hBTP
rTM-B
TP/hBTP0
500
1000
1500
2000 ns
pg/m
l
Control
hBTP/hBTP
rTM-B
TP/hBTP0
500
1000
1500 **
**
ns
pg/m
l
Control
hBTP/hBTP
rTM-B
TP/hBTP0
500
1000
1500
pg/m
l
Control
hAbal/hAbal
rTM-A
bal/hAbal
0
200
400
600
800**
pg/m
l
Control
hAbal/hAbal
rTM-A
bal/hAbal
0
200
400
600
**** ns
pg/m
l
Control
hAbal/hAbal
rTM-A
bal/hAbal
0
200
400
600
800
IL-5
IL-13
IFN-gamma
A
B
C
A'
B'
C'
* **
Chapter 4
201
To study the pattern of cytokines systemically induced by sensitisation with rTMs,
splenocytes were collected and stimulated with hBTP or hAbal in vitro. The data in Figure
4.7 C and C’ show that the splenocytes from control mice, no matter stimulated with
allergens or not in vitro, expressed a considerable level of IFN-gamma (i.e. 169.8 ± 78.01
pg/ml in Figure 4.7.C’) but very low or undetectable levels of Th2-type cytokines. In
contrast, as illustrated in Figure 4.7. A, A’, B and B’, after the stimulation with hBTP or
hAbal, the splenocytes from all the allergen-treated mice could release greatly increased
levels of Th2-related cytokines including IL-5 and IL-13 but not Th1-type cytokine IFN-
gamma, as compared to the control. This result confirms that the increase of Th2-
associated cytokines can be an important hallmark of allergic responses. In this work,
both rTMs could elicited a significant production of IL-5 and IL-13. This finding indicates
the allergenic potent of rTMs and consequently supports the application of rTM in the
future mouse studies. Importantly, there was no statistically significant difference
between the amount of IL-5 and IL-13 produced by hBTP-sensitised splenocytes and
rTM-BTP-sensitised splenocytes (Figure 4.7.A and B). However, Figure 4.7.A’ and B’
show that as compared to the stimulated splenocytes from hAbal-sensitised mice, the
splenocytes from rTM-Abal-sensitised mice released lower levels of IL-13 (267.4 ± 52.56
pg/ml, p = 0.093) and IL-5 (169.5 ± 35.25 pg/ml, p = 0.0022).
Chapter 4
202
Figure 4.8 Production of cytokines by unstimulated splenocytes. The splenocytes
were cultured with the absence of allergens for three days in vitro. ELISA was preformed
to determine the levels of IL-5 (A), IL-13 (B) and IFN-gamma (C). Data are expressed as
mean ± SEM (n = 6). p< 0.05, and p< 0.01. Each dot represents an individual mouse.
Unstimulated splenocytes produced limited Th2-associated cytokines, although increased
IL-13 or IL-5 could still be detected in some of the sensitised splenocytes. For example,
as compared to the control group, IL-13 was increased in rTM-Abal/hAbal group (Figure
4.8. B), and IL-5 was increased in hAbal/hAbal group (Figure 4.8.A). These
upregulations of the cytokine concentration in unstimulated splenocytes might result from
the remaining cytokines within splenocytes that had not been totally secreted yet in vivo.
IL-5 pg
/ml
Control
hBTP/hBTP
rTM-B
TP/hBTP
hAbal/hAbal
rTM-A
bal/hAbal
0
10
20
30
40*
IFN-gamma
pg/m
l
Control
hBTP/hBTP
rTM-B
TP/hBTP
hAbal/hAbal
rTM-A
bal/hAbal
0
500
1000
1500
2000 *IL-13
pg/m
l
Control
hBTP/hBTP
rTM-B
TP/hBTP
hAbal/hAbal
rTM-A
bal/hAbal
0
50
100
150*
A B C
* **
Chapter 4
203
4.4.6 Secretion of IgA antibody in mouse jejunum
Figure 4.9 Secretion of intestinal hBTP-specific IgA (A) and hAbal-specific IgA (B).
Levels of IgA antibody in the protein extracts of jejunums were determined by sandwich
ELISA. Data are expressed as mean ± SEM (n = 6). p< 0.05, and p< 0.01. Each dot
represents an individual mouse. Abbreviation: ns = Not significant.
The intestinal IgA antibody against hBTP was not significantly increased in the groups
of hBTP/hBTP or rTM-BTP/hBTP, although a few good responders were observed.
Interestingly, by comparison, hAbal tended to be a more offending food, since the level
of secretary IgA antibody against hAbal in the jejunums from hAbal-sensitised mice was
significantly higher as compared to the control mice. The lower secretion of IgA in rTM-
Abal/hAbal group as compared to hAbal/ hAbal group was clearly consistent with the
results of serum IgE levels.
hBTP-specific IgA O
D45
0nm
Control
hBTP/hBTP
rTM-B
TP/hBTP0.0
0.5
1.0
1.5ns
nshAbal-specific IgA
OD
450n
m
Control
hAbal/hAbal
rTM-A
bal/hAbal
0.0
0.5
1.0
1.5
** *
A B
* **
Chapter 4
204
4.4.7 Induction of eosinophil and basophil in circulating blood and spleen
Figure 4.10 Proportions of eosinophil and IgE-binding basophil in blood (A and B)
and spleen (A’ and B’). The populations of eosinophil and basophil in blood and spleen
were determined by flow cytometer and the statistics were analysed by FlowJo software.
Data are expressed as mean ± SEM (n = 6). p< 0.05, and p< 0.01. Each dot
represents an individual mouse.
* **
Chapter 4
205
The healthy murine blood and spleen usually does not contain appreciable numbers of
eosinophil and basophil. As shown in Figure 4.10, the blood or spleen from control mice
contained a small number of eosinophils (accounting for less than 2% of living cells), and
limited IgE-binding basophils (accounting for less than 2% of non-T non-B cells). By
comparison, the proportions of eosinophils and basophils were increased in the blood and
spleen from all the four groups of sensitised mice. Except for the circulating eosinophils
in hBTP/hBTP group, the upregulation of eosinophils and basophils in the blood and
spleen from other sensitised mice was statistically significant. There was no statistically
significant difference in the frequency of these two cell populations between hBTP-
sensitised mice and rTM-BTP-sensitised mice, or between hAbal-sensitised mice and
rTM-Abal-sensitised mice.
Chapter 4
206
4.5 Discussion
Shellfish allergy is amongst the most common food allergies especially for adults. The
large number and high diversity of shellfish species including crustacean and molluscs
warrant massive investigations on the identification of allergens and the evaluation of
allergenicity for precise diagnosis and immunopathogenic research. The highly conserved
muscle protein tropomyosin (TM) has been the most frequently reported shellfish allergen
and is very likely to be cross-reactive among different invertebrates. Recombinant TMs
(rTMs) derived from multiple crustacean species and mites have been produced and their
allergenic potentials were confirmed by the reactivity of patient IgE in vitro. However,
rTMs from many commonly consumed mollusc species are still not available. Moreover,
the capacity of rTMs to provoke Th2-associated responses in vivo has not been previously
evaluated.
In the present study, TM from Jade tiger abalone (Haliots. laevigata × Haliots. rubra)
(TM-Abal) was for the first time completely sequenced, cloned and expressed as a His-
tagged recombinant protein with a strong IgE reactivity. rTM from Black tiger prawn
(Penaeus monodon) (rTM-BTP) was also generated and its allergenicity confirmed with
the serum of allergic patients. AllFam database of allergen families shows TMs from Disk
abalone (Haliotis discus) and Variously coloured abalone (Haliotis diversicolor) have
been reported as the major allergens (http://www.meduniwien.ac.at/allfam/search.php).
In this chapter, TM from Jade tiger abalone was for the first time evidenced as an essential
allergen using patient sera and officially registered as Hal l 1 by WHO/IUIS Allergen
Nomenclature Sub-committee. Also, very importantly, both prawn and abalone rTMs
could successfully elicit murine hypersensitivities. The strong reactivity of mouse rTM-
specific IgG to TM from heated extracts further confirmed the generated rTM had very
similar immunological characteristics as natural TM. As reported previously, the higher
Chapter 4
207
level of IgG1 that was elicited by rTMs as compared to heated protein extracts might be
resulted from the presence of non-Th2-associated type of IgG1 that could be functionally
similar as IgG2a [29]. The increased IgG2a in rTM-sensitised mice might be caused by
the remaining lipopolysaccharides (LPS) derived from the expression system of rTMs.
TM is the most abundant and heat-stable prawn allergen inducing allergic sensitisation
[13, 30-32]. TM-BTP has been previously identified as immunologically reactive proteins
using immunochemical techniques [26, 31] and characterised by means of mass
spectrometry (MS) [30]. In this chapter, TM has been evidenced again as a major allergen
in hBTP using both patient sera and a mouse model. Firstly, the mouse IgG reactivity and
human IgE reactivity to TM were the strongest among the total proteins of heated prawn
and abalone. Secondly, as compared to hBTP, rTM-BTP was able to induce similar levels
of the circulating allergen-specific IgE antibody, splenic IL-5 and IL-13, and eosinophils
and basophils in both blood and spleen. In contrast, the allergenicity of prawn TM seemed
much lower as compared to the allergenicity of hAbal. Among the different proteins in
hAbal, TM showed a relatively high content and strong antibody reactivity. In hAbal,
four major protein bands were reactive with patient IgE but also mouse IgG reactive, and
the identified proteins were TM, arginine kinase and troponin T in MS.
TM has been considered as the major cross-reactive allergen among different
invertebrates [33-36]. The sequence identity of TM from various crustacean species is
more than 89% [13]. Therefore, IgE cross-reactivity to crustacean TM is very frequently
reported. In this chapter, the similarity of amino acid sequence between prawn TM and
abalone TM is 63.4% as demonstrated. As compared to abalone TM, only one out of eight
potential IgE-binding regions of prawn TM is identical, which may indicate the limited
level of clinical cross-reactivity to TM from prawns and abalone. However, it may not be
accurate to predict the degree of cross-reactivity based on the primary structure only. The
Chapter 4
208
exact influence of amino acid variations on the structure of B cell and T cell epitopes still
needs to be investigated in the future. Here, in the mouse model, I found the IgG antibody
with high affinity could react to the heterologous TM, consistent with the fact that seven
patients with prawn allergy exhibited strong IgE reactivity to both prawn TM and abalone
TM in immunoblots. Due to the cross-reactive nature of abalone TM, monoclonal
antibody with specificity to abalone was able to recognise crustacean species including
shrimp, lobster and crab, as evidenced by Lu et al [37]. Interestingly, abalone TM, as
Suzuki et al. demonstrated by inhibition immunoblotting and inhibition ELISA, might
have cross-reactivity with another abalone allergen paramyosin [38]. After comparing the
identified IgE reactive proteins in these two species, I found that arginine kinase might
also contribute to the immunological cross-reactivity between Black tiger prawn and Jade
tiger abalone, and myosin heavy chain might be a minor allergen in abalone and prawns.
Taken together, in the current chapter, rTMs from prawn and abalone were successfully
generated and used for the immunisation of mice. With the availability of rTMs with
allergenic potentials, more scientific hypotheses can be tested for a better understanding
of immunological mechanisms, and the development of component resolved diagnosis
and allergen-specific immunotherapies in the future.
In this chapter, the antibody cross-reactivity to TM between Black tiger prawn and Jade
tiger abalone was revealed using human sera and mouse sera. In the next chapter, the
degree of immunological cross-reactivity between prawn and abalone TM was
comprehensively evaluated at both humoral and cellular levels using a mouse model.
Chapter 4
209
4.6 References
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[3] R. Valenta, B. Linhart, I. Swoboda, V. Niederberger, Recombinant allergens for
allergen specific immunotherapy: 10 years anniversary of immunotherapy with
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[4] P. Dhanapala, T. Doran, M.L. Tang, C. Suphioglu, Production and immunological
analysis of IgE reactive recombinant egg white allergens expressed in Escherichia coli,
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[6] R. Valenta, D. Kraft, Recombinant allergen molecules: tools to study effector cell
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recombinant parvalbumin for first-in-man subcutaneous immunotherapy of fish allergy,
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CHAPTER
EVALUATION OF THE POTENTIAL IMMUNOLOGICAL
CROSS-REACTIVITY BETWEEN TROPOMYOSIN
FROM BLACK TIGER PRAWN (Penaeus monodon) AND
JADE TIGER ABALONE (Haliotis laevigata × Haliotis rubra)
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5.1 Introduction
Shellfish is one of the common food sources eliciting allergic reactions. Prawn is the most
frequently studied animal group that belongs to the class crustacean. Many patients with
prawn allergy can also react to other crustacean mollusc species [1-3], which might result
from co-sensitisation or cross-reactivity. The co-existence of different antibodies (mainly
IgE antibody) reacting with different allergens is often termed co-sensitisation, which is
developed through exposure to multiple allergens, whereas antibody cross-reactivity
refers to the antibody induced by one allergen can also react to another allergen that shares
similar sequence/epitopes/structures [4]. Usually cross-reactivity is suspended when pan-
allergen is found in different sources. Tropomyosins have been considered as the
prominent animal-derived pan-allergen family [5]. Between the years 2003 to 2016, 16
different tropomyosins have been identified as food allergens and officially registered by
the World Health Organization and International Union of Immunological Societies
(WHO/IUIS) Allergen Nomenclature Sub-committee (www.allergen.org). The
allergenicity of tropomyosin derived from BTP and Jade tiger abalone has been
confirmed by patient IgE reactivity and the mouse model established in Chapter 4. Under
this circumstance, tropomyosin has been implicated to be responsible for the prawn-
abalone cross-reactivity.
As an evolutionally conserved protein, invertebrate tropomyosin has varying degrees of
homology, which indicates the potentially different levels of the clinical cross-reactivity
to TM derived from different allergen sources, while vertebrate tropomyosins are non-
allergenic. The major sources of allergenic tropomyosins are crustaceans (prawn, lobster,
crab, and crawfish), arachnids (house dust mites), insects (cockroaches), and molluscs
(abalone, oyster and squid) [6]. The high degree of sequence identity among crustacean
tropomyosin suggests that tropomyosin is the common major allergen in crustaceans.
Chapter 5
217
Unlike the high incidence of IgE cross-reactivity between crustacean tropomyosins [7, 8],
the immunological relationship between crustacean and molluscs is in debate, due to the
very low amino acid sequence identity of tropomyosins [9-11]. In Chapter 4, the sequence
alignment of tropomyosin from BTP and Jade tiger abalone showed only 63.4% of amino
acid sequence identity, but also the reported IgE-binding regions were distinct. Although
the molecular basis of tropomyosin can help to predict the level of immunological cross-
reactivity, its clinical relevance is still unknown. Allergic cross-reactivity is often defined,
but actually not restricted to, IgE cross-reactivity [12, 13]. Consequently, more
comprehensive investigation is in need to reveal the detailed immunological mechanisms
of true cross-reactivity to tropomyosin at both humoral and cellular levels.
The current chapter detailed the murine responses of serum antibody, circulating and
splenic eosinophil’s and basophil’s, intestinal antibody, as well as cytokines responses to
the heterologous tropomyosin allergens. In this chapter, a new mouse model was
developed by modifying the model described previously in Chapter 3. The potential
immunological cross-reactivity was evaluated using this new model whereby the major
suspect allergen tropomyosin was utilised instead of the crude protein extracts of prawn
or abalone containing a mixture of allergens and non-allergenic molecules.
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5.2 Aims
The aim of Chapter 5 was to investigate the degree of immunological and clinical cross-
reactivity between prawn tropomyosin and abalone tropomyosin through comparing the
humoral and cellular responses caused by homologous and heterologous allergens in a
mouse model.
Chapter 5
219
5.3 Animals, materials, and methods
5.3.1 Animals
BALB/c mice, 8-week-old females, were raised at the Cairns campus, building E4 Animal
Facility under specific pathogen-free conditions. Mice were fed with a commercial
vegetarian diet purchased from Specialty Feeds. James Cook University animal ethics
committee approved the usage of animals in this project (Animal ethics approval number
A2108).
5.3.2 Preparation of shellfish extracts and recombinant tropomyosins
Heated extracts of Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis
laevigata × Haliotis rubra) were prepared using the method described in Chapter 2,
Section 2.3.2. The generation and purification of rTMs were described in Chapter 4,
Section 4.3.1 and 4.3.2. Both rTMs were used during the sensitisation phase and heated
shellfish extracts for the oral challenges.
5.3.3 Induction and evaluation of mouse models in shellfish allergies
5.3.3.1 Mice sensitisation and challenge
Three groups of mice (n=5 or 6) were IP injected with 10 μg of rTM-BTP mixed with 2
mg of alum, and another three groups of mice IP injected with 10 μg of rTM-Abal mixed
with 2 mg of alum, on Day 0, 7 and 14 (see figure 5.1). From Day 21, mice started
receiving oral gavage with shellfish extracts or heated milk (hMilk) as nonrelated food.
The three groups of mice sensitised to the same allergen were orally challenged with
different allergenic foods; hMilk, hBTP, or hAbal. During a two-day interval mice were
gavaged in a total of four times and 24 h later mice were sacrificed. Before each gavage,
mice were fasted overnight but had unlimited access to water. The sham treated mice
Chapter 5
220
were only treated with PBS. Spleen, blood, jejunum and stool were harvested and
processed for further analysis.
Figure 5.1. Experimental procedures of sensitisation and oral challenge in seven
mouse groups. Each group comprised of five to six mice.
5.3.3.2 Detection of serum specific antibody and mast cell protease-1
Specific IgE, IgG1, IgG2a were measured in serum samples by means of ELISA as
described previously in Chapter 2. Briefly, high-binding ELISA solid phase plates were
coated with recombinant proteins rTM-BTP or rTM-Abal overnight at 4°C. ELISA plates
were blocked and then incubated with 50 μl of mouse sera overnight at 4°C. Next, the
wells were incubated with biotin rat anti-mouse IgE, IgG1 and IgG2a antibody at room
temperature for 1.5 h, washed with PBS/0.05% Tween 20 and subsequently incubated
with Streptavidin-HRP for 30 min at room temperature. After 7 washes with PBS/0.05%
Tween 20, TMB substrate was added as a visualising reagent. 50 μl of 1 M HCl was
added to stop the colour reaction. The absorbance was measured at 450 nm. As described
in Chapter 2, the procedure of detecting MCP-1 was similar as the protocol above but
Chapter 5
221
using a commercial Mouse MCPT-1 (mMCP-1) ELISA Ready-SET-Go reagent set
(eBioscience).
5.3.3.3 In vitro re-stimulation of splenocyte and quantification of cytokines
Mice were sacrificed one day after the last oral challenge and spleens were removed.
Single cell suspension was prepared and restimulated as described previously in Chapter
2 with the modification of stimulus allergens. In this assay, 0.5 million splenocytes in 100
μl of culture medium were cultured with 100 μl of 40 μg/ml recombinant allergens (rTM-
BTP or rTM-Abal), or culture medium only, or 1μg/ml a mix of anti-CD3 and anti-CD28,
for 72 hours in 5% CO2 at 37°C using SANYO CO2 Incubator Model MCO-18AIC (UV)
Dual Stack.
Culture supernatant was isolated after centrifugation and cytokines including IL-5, IL-13
and IFN-gamma contained in the supernatant were measured using Mouse ELISA Ready-
SET-Go reagent sets (eBioscience). The manufacturer’s protocol was followed and
described previously in Chapter 2. Briefly, the ELISA plates coated with the cytokine
capture antibody were blocked with 1 x Assay Diluent provided in the reagent set. The
plates were incubated with diluted samples and standards overnight at 4°C, following by
a two-hour incubation with the detection antibody at room temperature, and then
incubated for 30 minutes with Avidin-HRP at room temperature. Plates were washed
thoroughly prior to loading TMB. 1 M of HCl was added to stop the colour reaction.
Absorbance was determined at 450 nm and cytokines were quantified based on the
generated standard curve.
Chapter 5
222
5.3.3.4 Flow cytometry
Mononuclear cells from blood and spleen were prepared and analysed by flow cytometry
as described in Chapter 2. To stain eosinophil and IgE-basophil, seven fluorescence-
conjugated antibodies (Jomar Life Research), including Anti-Mouse CD170 (Siglec F)
PerCP-eFluor 710, Anti-Mouse CD3 APC-eFluor 780, Anti-Mouse IgE FITC, Anti-
Mouse CD11b PE, Anti-Mouse CD49b (Integrin alpha 2) APC, Anti-Mouse CD19 APC-
eFluor 780, Anti-Mouse Fc epsilon Receptor I alpha (FcεR1) eFluor 450, were mixed as
a panel and each antibody was 1:300 diluted with FACS buffer. At first, all the volume
of PBMC or 0.5 x 106 splenocytes were washed in a 96-well plate, and incubated with Fc
block buffer for 5 min, follows by incubation with the stain mix in the dark for 30 min on
ice. Unbound antibodies were removed by washing the plate containing cells with FACS
buffer, before cell fixation for 20 min on ice. Cells were resuspended into FACS buffer
before analysis using BD FACS Canto II.
5.3.3.5 Measurement of intestinal specific IgA antibody
Total proteins extracted from mouse jejunums were analysed for allergen-specific IgA
antibody by sandwich ELISA described previously in Chapter 2. The only revision of the
protocol was rTM-BTP or rTM-Abal used as the coating allergens in this experiment.
Briefly, coated plates were blocked with 10% FBS in PBS and incubated with 50 μl of
neat jejunum extracts overnight at 4°C. Biotin anti-mouse IgA (Biolegend, USA) was
added to detect IgA antibody, following with incubations of Streptavidin-HRP and
subsequent TMB substrate at room temperature. 1 M HCl was applied as the stop solution.
Finally, the optical density at 450 nm was measured using the POLARstar Omega
microplate reader (BMG LABTECH).
Chapter 5
223
5.3.3.6 Statistical analysis
Two-tailed Mann-Whitney U test was performed to analyse the difference of every two
related groups of data using Prism 6.0. Data are presented as mean ± SED from one
representative experiment out of two similar experiments. p values of less than 0.05 were
regarded statistically significant.
Chapter 5
224
5.4 Results
5.4.1 Serum antibodies and mast cell protease-1
To investigate humoral immune responses of immunised mice, mouse serum was isolated
for measuring circulating IgE antibody at the time-point of sacrifice (Day 31). As shown
in milk-gavaged mice, IP sensitisation with rTM conferred a significant rise of allergen-
specific IgE antibody (Figure 5.2.A and B). Comparing with rTM-BTP/hMilk group, oral
challenges with hAbal promoted rTM-BTP-sensitised mice to produce more IgE antibody,
although the rise of specific IgE antibody was more statistically significant after oral
challenges with hBTP. By comparison, there is no statistical increase of IgE antibody in
the blood of rTM-Abal-sensitised mice after gavage with hBTP, and only gavage of hAbal
triggered a strong increase in serum specific IgE.
To further study whether serum antibody can co-recognise abalone TM and prawn TM,
ELISA was performed and heterologous TM was coated on the solid binding surface to
test the serum collected from mice without previous exposure to heterologous TM. As
demonstrated in Figure 5.2.C and D, some IgG1 antibody was able to bind heterologous
TM, whereas the extracts containing homologous TM could clearly cause much stronger
IgG1 responses. These data indicate the importance of primary sensitization that may
determine the severity and specificity of antibody responses.
Next, circulating mMCP-1 was quantified to show the involvement of mast cells during
the allergic reaction in different mouse groups. Comparing mice sensitised with the same
allergen but gavaged differently, the highest titer of mMCP-1 was detected in the positive
control groups in which mice received oral challenges with extracts containing the
homologous allergen, including the rTM-BTP/hBTP group and the rTM-Abal/hAbal
group. There was no significant difference of mMCP-1 between PBS sham mice and TM-
Chapter 5
225
sensitised milk-gavage mice, which suggested the low participation of mast cells during
the sensitisation phase of allergy.
Chapter 5
226
Figure 5.2 Levels of serum IgE antibody (A and B) and mMCP-1 (E) and reactivity
of IgG1 antibody (C and D) against heterologous tropomyosin. Mouse serum was
collected on sacrifice day from BALB/c mice. Levels of specific IgE and IgG1 antibody
were determined by sandwich ELISA. Data are reported as mean ± SEM (n = 5) for each
mouse group. p < 0.05, and p< 0.01. Each dot represents an individual mouse.
Abbreviation: ns = Not significant. Note: Different scales of Y axis are used for the
antibody responses.
* **
Chapter 5
227
5.4.2 Release of cytokines by allergen restimulated splenocytes in vitro
Figure 5.3 Production of cytokines by allergen-restimulated splenocytes. Splenocytes
were cultured with rTM-BTP or rTM-Abal for three days in vitro. ELISA was performed
to determine the levels of IL-5, IL-13 and IFN-gamma. Data are reported as mean ± SEM
(n = 5) for each mouse group. p < 0.05, and p < 0.01. Each dot represents an
individual mouse. Abbreviation: ns = Not significant.
IL-5
pg/m
l
Control
rTM-B
TP/hMilk
rTM-B
TP/hBTP
Control
rTM-B
TP/hMilk
rTM-B
TP/hAbal0
200
400
600
800
1000
rTM-BTP restim
**ns
ns
ns
rTM-Abal restim
IL-5
Control
rTM-A
bal/hMilk
rTM-A
bal/hAbal
Control
rTM-A
bal/hMilk
rTM-A
bal/hBTP
0
100
200
300
400
pg/m
l
rTM-BTP restim
**
ns
ns
*
rTM-Abal restim
IL-13
pg/m
lContro
l
rTM-B
TP/hMilk
rTM-B
TP/hBTP
Control
rTM-B
TP/hMilk
rTM-B
TP/hAbal0
500
1000
1500
2000
rTM-BTP restim
**
ns
ns
****
rTM-Abal restim
IL-13
pg/m
l
Control
rTM-A
bal/hMilk
rTM-A
bal/hAbal
Control
rTM-A
bal/hMilk
rTM-A
bal/hBTP
0
500
1000
1500
rTM-BTP restim
**
**
**ns
ns
**
rTM-Abal restim
IFN-gamma
pg/m
l
Control
rTM-B
TP/hMilk
rTM-B
TP/hBTP
Control
rTM-B
TP/hMilk
rTM-B
TP/hAbal0
1000
2000
3000
4000
5000
rTM-BTP restim
*
nsns
*ns
rTM-Abal restim
IFN-gamma
pg/m
l
Control
rTM-A
bal/hMilk
rTM-A
bal/hAbal
Control
rTM-A
bal/hMilk
rTM-A
bal/hBTP
0
1000
2000
3000
4000
5000
rTM-BTP restim
****
ns**
rTM-Abal restim
rTM-BTP sensitised mice
rTM-Abal sensitised mice
A B C
A' B' C'
* **
Chapter 5
228
Th2-cytokine producing cells in spleen were restimulated with the recombinant allergen
for three days in vitro. Figure 5.3 illustrates that the elevation of IL-5 and IL-13 is a vital
immunological event caused by sensitisation, since the high concentrations of these two
cytokines appeared in allergen-sensitised milk-gavaged mice. Splenocytes from mice
treated with PBS only released neither IL-5 nor IL-13. The presence of TM-Abal in the
culture of rTM-BTP-sensitised splenocytes resulted in increased IL-5 and IL-13 in the
medium (Figure 5.3.A and B), and similar responses were observed when rTM-BTP was
used to restimulate rTM-Abal-sensitised splenocytes (Figure 5.3.A’ and B’). There was
no statistical difference between the level of cytokines (IL-5 or IL-13) secreted by
splenocytes from rTM-BTP/hBTP and rTM-BTP/hAbal. However, the Th2-cytokine
responses of rTM-Abal-sensitised splenocytes to rTM-BTP were much weaker than
responses to the homologues rTM-Abal, resulting in a 90.9% lower IL-5 level and 75.6%
lower IL-13 level. Splenocytes from rTM-BTP/hAbal mice and rTM-Abal/hBTP mice
seemed to present different degrees of cytokine cross-reactivity, which was consistent
with the results of serum IgE antibody (Figure 5.2).
It is worth noting that, as described previously in Chapter 4, rTM-sensitised mice were
orally challenged with hBTP or hAbal in which the contents of natural TM contained
might be different. To exclude the possible influence of different doses of TM delivered
orally to mice on the degree of immunological cross-reactivity, dedicated analysis of two
groups of rTM-sensitised hMilk-gavaged mice might provide more evidence for better
evaluation of the cross-reactivity. In this cell restimulation assay, splenocytes from rTM-
BTP/hMilk mice were for the first time exposed to rTM-Abal after the sensitisation phase
and successfully secreted Th2 cytokines, although the concentration of IL-5 was 93% less
and the concentration of IL-13 was 79% less than the cytokine levels detected in the
culture of rTM-BTP/hMilk splenocytes with rTM-BTP. Similarly, the cytokine
Chapter 5
229
producing cells specific to rTM-Abal, without confronting rTM-BTP before, could cross-
react to rTM-BTP presented in culture medium but at a limited level.
Comparing with sham splenocytes, all the sensitised splenoctes with either rTM-BTP or
rTM-Abal released significantly higher levels of Th1 cytokine IFN-gamma, when
cultured with either rTM-BTP or rTM-Abal (Figure 5.3.C and C’). Since considerable
amount of IFN-gamma was detected in both rTM-BTP/hMilk group and rTM-Abal/hMilk
group, the Th1-cytokine producing cells were very likely initially activated during IP
sensitisation with rTM in which lipopolysaccharides (LPS) was present.
Chapter 5
230
5.4.3 Induction of eosinophil and basophil in circulating blood and spleen
Figure 5.4 Eosinophil and IgE bound basophil in circulating blood (A and B) and
spleen (A’ and B’). Cell populations stained with fluorescence-conjugated antibodies
were analysed by flow cytometer. Data are reported as mean ± SEM for each mouse group
(n=5). p < 0.05, and p < 0.01. Abbreviation: ns = Not significant. * **
Chapter 5
231
The patterns of eosinophil and basophil accumulation in allergic pathologies were
investigated by means of flow cytometry. As demonstrated in Figure 5.4.A and B, the
mean proportions of circulating eosinophil and IgE bound basophil were as expected the
highest in positive control groups, and there was no significant rise of these two cell
populations in blood after rTM-sensitised mice were gavaged with shellfish extracts
containing heterologous TM. Moreover, there was no statistical difference of circulating
eosinophil between the positive group and hMilk-gavaged negative group (rTM-
BTP/hBTP vs rTM-BTP/hMilk, and rTM-Abal/hAbal vs rTM-Abal/hMilk). In contrast
to blood, the accumulation of splenic eosinophil and basophil elicited by cross-reactivity
was clearly observed, especially eosinophilia promoted by oral gavage with hAbal in
mice sensitised with rTM-BTP. Also, by comparing rTM-BTP/hMilk group and rTM-
Abal/hMilk group in Figure 5.4.B and B’, rTM-Abal seemed to provoke more IgE-
binding basophils than rTM-BTP as a sensitisation allergen, although levels of serum
specific IgE (Figure 5.2.A and B) and the in vitro expression of IL-13 (Figure 5.3.B and
B’) were similar in these two groups.
5.4.4 Secretion of mucosal IgA antibody in jejunum
Mucosal responses against heterologous allergen were also studied through measuring
the level of secretory IgA antibody in jejunums. Figure 5.5 demonstrates that mice
gavaged with homologous allergens seemed to secret more intestinal IgA (0.7483 ±
0.4104 in rTM-BTP/hBTP group, and 0.4291 ± 0.1712 in rTM-Abal/hAbal group) than
milk-gavaged mice (0.3009 ± 0.08907 in rTM-BTP/hMilk group, and 0.1883 ± 0.04527
in rTM-Abal/hMilk group), however this was statistical not significance. IgA producing
cells in jejunums from sensitised mice barely reacted to heterologous allergens that were
delivered by gastrointestinal route in vivo or coated on ELISA plates in vitro.
Chapter 5
232
Figure 5.5 Levels of allergen-specific IgA in jejunum. Homogenised jejunums were
tested in sandwich ELISA for comparing levels of IgA antibody in different mouse groups.
Data are reported as mean ± SEM (n = 5) for each mouse group. p< .05, and p< .01.
Each dot represents an individual mouse. Abbreviation: ns = Not significant. Note:
Different scales of Y axis are used for the antibody responses.
Control
rTM-BTP/hMilk
rTM-BTP/rTM-BTP
rTM-BTP/rTM-Abal0.0
0.5
1.0
1.5
2.0
2.5
rTM-BTP sepcific IgA
OD
450n
m
p=0.0556
Control
rTM-Abal/hMilk
rTM-Abal/hAbal
rTM-Abal/hBTP0.0
0.5
1.0
1.5
OD
450n
m
rTM-Abal sepcific IgA
p=0.0952
Anti-rTM-Abal
Anti-rTM-Abal
Anti-rTM-BTP
0.0
0.7
1.4
2.1
2.8
Allergen recognising of IgA in jejunum
OD
450n
m
ns
ns
Control jejunum rTM-BTP/hBTP jejunum
Anti-rTM-BTP
Anti-rTM-BTP
Anti-rTM-Abal
0.0
0.5
1.0
1.5O
D45
0nm
Allergen recognising of IgA in jejunum
ns
ns
Control jejunum rTM-Abal/hAbal jejunum
A
C
B
D
* **
Chapter 5
233
5.5 Discussion
Although allergic reactions to molluscs species are generally thought to be acquired by
primary sensitisation through ingestion, molluscs allergy may also occur in patients
sensitised to cross-reactive allergen sources, such as crustacean species, and vice versa.
Tropomyosin is believed to be the major cross-reactive allergen, widely distributed in a
high variety of shellfish species and other inhalant allergen invertebrates [6, 14-19].
Cross-reactivity between crustacean and molluscs species seem to be less frequent than
within crustacean, which may partially result from the lower degrees of amino acid
homology between crustacean and molluscs TM [10]. In Chapter 3 I described the
immunological cross-reactivity between the total protein extracts of Black tiger prawn
and Jade tiger abalone. In the current chapter, the immunological cross-reactivity to TM
from Black tiger prawn and Jade tiger abalone was evaluated in detail to investigate
whether TM was the major culprit causing the prawn-abalone cross-reactivity.
Determination of the true sensitisation is an obstacle to studies of cross-reactivity in
allergy patients. The presence of allergenic structures shared by abalone TM and prawn
TM has been investigated in vitro using human IgE [19] and monoclonal antibodies [20].
Results showed that serum IgE from nine patients with documented anaphylaxis to
shrimp could all react to abalone (Haliotis diveriscolor) TM and pre-absorption of the
tested sera with recombinant shrimp TM, Met e 1, completely blocked their IgE reactivity
to abalone TM. Lu’s group generated monoclonal antibody specific to Japanese abalone
(Haliotis discus) that was observed also to cross-react to Black tiger prawn TM [20].
Although cross-reactive IgE epitopes between abalone TM and prawn TM seems to exist,
their clinical relevance remains to be revealed. It is important to note that serologic IgE
reactivity is only part of immunological pathways leading to clinical hypersensitivity
reactions [19, 21]. The reactivity of important mediator cells located at relevant organs
Chapter 5
234
should also be addressed. Without involving patients and possible health risks, mouse
models in allergies are a very useful in vivo tool to provide valuable information about
allergic mechanisms [22]. In the current study, a mouse model was designed for the
evaluation of immunological cross-reactivity to recombinant TM from Black tiger prawn
and Jade tiger abalone, at both humoral and cellular levels. Based on the data I collected
from thes mouse studies, I could demonstrate that mice sensitised with prawn TM could
react to heated abalone extracts at a considerable level through increased IgE antibody,
Th2 cytokines and splenic eosinophils. In contrast the gavage with prawn extracts could
not elicit Th2-responses in abalone-TM-sensitised mice. These results suggest that most
immunodominant allergens from Black tiger prawn TM might share similar allergenic
structure with those from Jade tiger abalone TM. However, some allergenic structures of
abalone TM may be unique and make abalone-TM-sensitisited individuals unlikely to
react to TM from Black tiger prawn. Moreover, circulating effector cells were not
significantly increased in groups where either hBTP or hAbal were gavaged as
heterologous allergens, which suggests the restricted level of in vivo immunological
cross-reactivity between prawn TM and abalone TM.
In the mouse model I employed, the sensitisation with alum as adjuvant promoted the
production of IgE and IgG1 antibody. Only a small portion of TM-BTP or TM-Abal
specific IgG1 reacted to heterologous TM in vitro. TM-BTP-specific IgE was increased
after mice gavaged hAbal. In contrast, abalone-TM specific IgE was not induced by the
gavage with hBTP in the abalone-TM-sensitised mice. This study demonstrates for the
first time, using an in vivo platform, that abalone TM may include more immunoreactive
epitopes than those shared by prawn and abalone TM, in contrast to prawn TM which
seem to be less reactive.
Chapter 5
235
In this mouse model, lymphocytes in the spleen displayed a typical Th2 cytokines profile,
which made a critical systemic contribution to the allergic cross-reactivity. IL-5 is well
known for enhancing the growth, differentiation, effector function and migration of
eosinophils [23, 24]. IL-13 is another critical cytokine for the induction of intestinal
allergy [25], and can support the class switching towards IgE [26]. Shifting away from a
Th2-pattern of immune responses through reducing the production of IL-5 and IL-13
could be a promising therapeutic strategy for allergy patients [27, 28]. In this work, TM-
sensitised murine splenocytes produced only low levels of IL-5 and IL-13, when they
were for the first time exposed to the heterologous TM in vitro. The reactivity of the
splenocytes from mice that were already gavaged with heterogous allergens was similar
against heterologous TM. In comparison, in Chapter 3, murine splenocytes more
frequently exposed to heterologous shellfish extracts could release more IL-5 and IL-13.
This indicates that with the increasing exposure incidence of sensitised individuals to
homologous but also heterologous shellfish, other allergens than tropomyosin may play
an increasingly important role in inducing immunological cross-reactivity. Arginine
kinase is one of these potential candidates as it has been reported to be a cross-reactive
allergen between crustacean and edible insect [29], but also between prawn and mite [30].
Currently, there is a lack of evidence on immunological cross-reactivity of other shellfish
minor allergens, such as sarcoplasmic calcium binding protein, troponin C and
triosephosphate isomerase, among crustacean, molluscs or other invertebrates [31].
In conclusion, the mouse model in this study showed evidence of antibody, cytokine and
effector cell involvement in the immunological cross-reactivity between prawn TM and
abalone TM. Results obtained from this work may be useful for the development of
precise diagnosis and new immunotherapies for susceptible individuals. Further studies
Chapter 5
236
are warranted to identify other potential cross-reactive allergens or the B and T cell
immunodominant epitopes.
Chapter 5
237
5.6 References
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bandages in shellfish allergic patients, Military medicine, 176 (2011) 1153-1156.
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identification of a unique 49 kd IgE-binding protein (Hal-m-1) in abalone (Haliotis
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[10] A. Lopata, R. O'hehir, S. Lehrer, Shellfish allergy, Clinical & Experimental Allergy,
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Bohle, Bet v 1 142-156 is the dominant T-cell epitope of the major birch pollen allergen
and important for cross-reactivity with Bet v 1–related food allergens, Journal of allergy
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[13] B. Jahn-Schmid, M. Hauser, N. Wopfner, P. Briza, U.E. Berger, R. Asero, C. Ebner,
F. Ferreira, B. Bohle, Humoral and cellular cross-reactivity between Amb a 1, the major
ragweed pollen allergen, and its mugwort homolog Art v 6, The Journal of Immunology,
188 (2012) 1559-1567.
[14] J.B. Abramovitch, S. Kamath, N. Varese, C. Zubrinich, A.L. Lopata, R.E. O'Hehir,
J.M. Rolland, IgE reactivity of blue swimmer crab (Portunus pelagicus) Tropomyosin,
Por p 1, and other allergens; cross-reactivity with black tiger prawn and effects of heating,
PLoS One, 8 (2013) e67487.
[15] K.H. Chu, S.H. Wong, P.S. Leung, Tropomyosin is the major mollusk allergen:
reverse transcriptase polymerase chain reaction, expression and IgE reactivity, Marine
Biotechnology, 2 (2000) 499-509.
[16] Å.M. DeWitt, L. Mattsson, I. Lauer, G. Reese, J. Lidholm, Recombinant
tropomyosin from Penaeus aztecus (rPen a 1) for measurement of specific immuno
globulin E antibodies relevant in food allergy to crustaceans and other invertebrates,
Molecular nutrition & food research, 48 (2004) 370-379.
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[17] A. Emoto, S. Ishizaki, K. Shiomi, Tropomyosins in gastropods and bivalves:
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(2009) 634-641.
[18] S.D. Kamath, A.M.A. Rahman, T. Komoda, A.L. Lopata, Impact of heat processing
on the detection of the major shellfish allergen tropomyosin in crustaceans and molluscs
using specific monoclonal antibodies, Food chemistry, 141 (2013) 4031-4039.
[19] P.S. Leung, W.K. Chow, S. Duffey, H.S. Kwan, M.E. Gershwin, K.H. Chu, IgE
reactivity against a cross-reactive allergen in crustacea and mollusca: evidence for
tropomyosin as the common allergen, Journal of Allergy and Clinical Immunology, 98
(1996) 954-961.
[20] Y. Lu, T. Oshima, H. Ushio, K. Shiomi, Preparation and characterization of
monoclonal antibody against abalone allergen tropomyosin, Hybridoma and
hybridomics, 23 (2004) 357-361.
[21] F. Ferreira, T. Hawranek, P. Gruber, N. Wopfner, A. Mari, Allergic cross
reactivity: from gene to the clinic, Allergy, 59 (2004) 243-267.
[22] T. Liu, S. Navarro, A.L. Lopata, Current advances of murine models for food allergy,
Molecular immunology, 70 (2016) 104-117.
[23] S.C. Bischoff, Food allergy and eosinophilic gastroenteritis and colitis, Current
opinion in allergy and clinical immunology, 10 (2010) 238-245.
[24] A. Mishra, S.P. Hogan, E.B. Brandt, M.E. Rothenberg, IL-5 promotes eosinophil
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[25] M. Wang, K. Takeda, Y. Shiraishi, M. Okamoto, A. Dakhama, A. Joetham, E.W.
Gelfand, Peanut-induced intestinal allergy is mediated through a mast cell–IgE–FcεRI–
IL-13 pathway, Journal of Allergy and Clinical Immunology, 126 (2010) 306-316.
[26] M.C. Berin, S. Sicherer, Food allergy: mechanisms and therapeutics, Current opinion
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[27] J. Wang, H.A. Sampson, Treatments for food allergy: how close are we?,
Immunologic research, 54 (2012) 83-94.
[28] Y.-H. Yang, B.-L. Chiang, Novel approaches to food allergy, Clinical reviews in
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[29] C. Srinroch, C. Srisomsap, D. Chokchaichamnankit, P. Punyarit, P. Phiriyangkul,
Identification of novel allergen in edible insect, Gryllus bimaculatus and its cross-
reactivity with Macrobrachium spp. allergens, Food chemistry, 184 (2015) 160-166.
[30] C. Gámez, M.P. Zafra, M. Boquete, V. Sanz, C. Mazzeo, M.D. Ibáñez, S. Sánchez
García, J. Sastre, V. Pozo, New shrimp IgE binding proteins involved in mite seafood
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[31] A.L. Lopata, J. Kleine-Tebbe, S.D. Kamath, Allergens and molecular diagnostics of
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CHAPTER
GENERAL DISCUSSION AND FUTURE DIRECTIONS
Chapter 6
242
Shellfish is one of the essential nutrition sources in human diets. With the increasing
consumption of shellfish across the world, unfortunately, within recent decades, the
incidence of shellfish allergy has been significantly more frequent. So far, there is still no
cure for shellfish allergy. The best treatment strategy for susceptible individuals is to
strictly avoid all shellfish-related foods. The clinical cross-reactivity among crustacean
species has been frequently reported and the major cross-reactive allergen has been
identified as tropomyosin. By comparison, the mollusc allergens are much less studied
and the clinical and immunological cross-reactivity between crustacean and mollusc
species is largely unknown. The current approaches to assess the allergenic potential of
shellfish proteins and the clinical significance of allergic reactions include in vitro tests
of patient serum IgE and basophil activation, as well as skin prick testing. However, their
clinical relevance is often lacking and thus their implication for prescribing food
avoidance is in debate. Currently, a number of mouse models have been used in studies
of food allergies to egg, peanut and milk. Controlling allergen exposure using mice can
be a very useful in vivo tool to provide new insights on the understanding of
immunological mechanisms, assessment of allergen sources and the development of
diagnostics and immunotherapeutics.
The work presented in this PhD thesis aims at evaluating the immunological cross-
reactivity between Black tiger prawn (Penaeus monodon) and Jade tiger abalone (Haliotis
laevigata × Haliotis rubra). These two shellfish species are widely consumed in the Asia-
Pacific region. In chapter 2, a novel mouse model of shellfish allergy was developed and
characterised. In Chapter 3, the heated protein extracts of prawns and abalone were used
in this model for the detection of potential immunological cross-reactivity between the
different allergens. Moreover, the major cross-reactive allergen was identified to be
tropomyosin. Consequently, in Chapter 4, the amino acid sequence alignment was
Chapter 6
243
performed between prawn and abalone tropomyosins. Subsequently, recombinant
tropomyosins from prawns and abalone were generated and assessed for their allergenic
potentials using patient sera and the developed mouse model. Finally, in chapter 5, the in
vivo immunological cross-reactivity to tropomyosins from prawns and abalone was
thoroughly evaluated in mice.
Food allergy is a complex chronic disease and IgE, mast cells, basophils, eosinophils,
cytokines, and intestinal IgA are essential components of the allergic inflammation. The
novel mouse model, established in Chapter 2, successfully mimicked these key hallmarks
of allergic reactions to the heated prawn extracts. A serial optimisation was conducted for
the establishment of a better mouse model. BALB/c mice showed a higher baseline of
antibody production as compared to C57BL/6 mice, which makes BALB/c mice a better
mouse strain for allergy research. Also, these result confirm the influence of genetic
backgrounds on the susceptibility to shellfish allergy. For the intraperitoneal sensitisation
dose 3 x 10 μg of prawn extracts was selected as this promoted the highest levels of serum
IgE as compared to higher doses.
Human IgE immunoblots, mouse IgG immunoblots, SDS-PAGE analysis and mass
spectrometric analysis were performed to identify the prawn and abalone allergens.
Tropomyosin was demonstrated to be the most abundant but also the major antibody
reactive protein in the heated extracts of Black tiger prawn. In contrast, the protein
tropomyosin was a smaller proportion in the total protein content of heated abalone
extracts, but still generates the strongest antibody reactivity as demonstrated using patient
and mouse sera. In addition to tropomyosin, other potential allergens with a less
significant allergenic potency were also detected, including arginine kinase, myosin
heavy chain, paramyosin and Troponin T. More interestingly, the mouse IgG antibody
response to prawn extracts detected also the natural tropomyosin in the heated abalone
Chapter 6
244
extracts, which was confirmed by mass spectrometry.
Consequently, for a better understanding of the allergenic capacity and the cross-reactive
properties of tropomyosin, the primary structure of tropomyosins from prawns and
abalone were compared, and recombinant proteins expressed and tested using patient sera
and experimental animals. Notably, prawn tropomyosin shared 63.4% amino acid
sequence identity with abalone tropomyosin and only one of eight previously predicted
prawn IgE epitopes is identical in abalone tropomyosin.
This is the first time the molecular basis of the immunological cross-reactivity to
tropomyosin from Black tiger prawn and Jade tiger abalone has been reported.
Importantly, serum IgG from recombinant-tropomyosin-sensitised mice could bind to the
heterologous tropomyosin, which confirms the antibody cross-reactivity between prawn
and abalone tropomyosins. Regarding the allergenicity of recombinant tropomyosin from
prawns and abalone, both recombinant tropomyosins showed a very strong capacity to
bind to human IgE. This is the first time to evidence tropomyosin from Jade tiger abalone
as an important allergen. Furthermore, the allergenic potential of recombinant
tropomyosin from Black tiger prawn seemed very similar as compared to the total heated
extracts of prawns when used in the induction of allergic responses in mice. Nevertheless,
compared to heated abalone extracts, recombinant tropomyosin from Jade tiger abalone
elicited less serum IgE, mast cell protease-1, intestinal IgA and splenic IL-5, indicating
the noticeable contributions of other allergens (e.g. arginine kinase) to the total
allergenicity of abalone.
The in vivo immunological cross-reactivity between the heated extracts of prawns and
abalone or between tropomyosins from prawns and abalone was comprehensively
evaluated in Chapter 3 and Chapter 5, respectively. Overall, the immunological cross-
reactivity at both humoral and cellular aspects was observed at certain degrees between
Chapter 6
245
either the heated extracts or tropomyosins of these two species as demonstrated in mice.
The capacity of serum and intestinal antibodies to bind heterologous extracts was reduced
as compared to homologous extracts. However, the results of splenic cytokine stimulation
illustrated that the frequent exposure of heterologous extracts seemed to increase the level
of Th2-associated reactions in the sensitised mice. However, increased exposure of
heterologous tropomyosins did not promote the production of Th2 cytokines, indicating
that other allergens might contribute to the overall allergenicity. In contrast, with the
continual gavages of heterologous extracts, the Th2-associated responses to the other
shellfish allergens might be enhanced. Another important finding is the different
allergenic properties between the heated protein extracts and tropomyosins from prawns
and abalone. As compared to the heated prawn extracts, mice that were sensitised with
heated abalone extracts were more susceptible to either homologous or heterologous
allergen stimulation. This might be correlated with the findings in Chapter 5 that abalone
tropomyosin may contain a more complex panel of immunodominant epitopes as
compared to prawn tropomyosin. This is concluded from the results where the gavage of
abalone extracts elicited significant IgE production in prawn-tropomyosin-sensitised
mice, rather than vice versa.
Overall, in this PhD thesis, a very useful in vivo experimental platform was established
to study shellfish allergy. This platform was successfully applied for assessing
immunological shellfish cross-reactivity and the allergenicity of recombinant
tropomyosins from prawns and abalone. Tropomyosin has been demonstrated to be the
central cross-reactive allergen in shellfish allergy. The work present in this thesis provides
an important contribution towards better diagnostics and prescribing therapeutic
elimination diets in patients with shellfish allergy.
Chapter 6
246
Future directions
(1) Epitope mapping of shellfish allergens
In-depth identification and characterisation of B and T cell epitopes of major allergens
can be very helpful for studying many aspects of food allergy, including the assessment
of food allergenicity, and the development of improved diagnosis/prognosis and
immunotherapies. In this thesis, the responsibility of tropomyosin in the prawn-abalone
cross-reactivity has been evidenced. As shown in Figure 6.1, tropomyosin is widely
distributed in several distinct animal groups, and thus the susceptible patients need
medical advice about the potential clinical cross-reactivity between these shellfish species.
The immunodominant epitopes of tropomyosin, including the cross-reactive properties,
can be identified as candidate biomarkers to predict the occurrence or the degree of
immunological and clinical cross-reactivity between shellfish and other allergenic
invertebrates. The appropriate application of these biomarkers in skin prick test, serum
IgE detection and the induction of animal models may decrease the need for oral
challenges. Accurate recommendations of cross-reactive shellfish species from the same
phyla that could be safely consumed could avoid overly restrictive diets. Moreover, the
identification of species-specific epitopes of tropomyosin can be very useful for precise
diagnosis of true sensitisation to a specific allergen source. Other potential cross-reactive
allergens in shellfish and their informative epitopes should also be further investigated.
Based on the identification of cross-reactive epitopes, characterisation of allergen
molecules by X-ray crystallography and site-directed mutagenesis can be a promising
strategy for the generation of specific allergen vaccination.
Chapter 6
247
Figure 6.1 Molecular phylogenetic tree of tropomyosins from different invertebrate
species inferred using Neighbour-Joining method. Clustering of species from the same
phyla is demonstrated on the right side of the figure.
(2) Validation of animal models
Protein extracts of more shellfish species and the derived allergen molecules should be
prepared and applied in both patient tests and mouse model inductions. Hence, according
to the data of patient tests, animal models can be optimised for improved clinical
relevance, through adjusting the animal genetics, sensitisation doses, nature of allergens
and routes of allergen exposure. For the further validation of animal models, it is also
recommended to test whether the animal model could respond to specific treatments to
relieve allergic symptoms, such as antihistamines, corticosteroids and bronchodilators, or
promising therapeutic strategies, with clinical efficacy. Subsequently, the establishment
of animal models needs to be standardised, which would promote their wider acceptance
and applications in studies of shellfish allergy.
APPENDIX
BUFFERS AND SOLUTIONS
Appendix
249
1.1 General buffer
20 x Phosphate buffered saline (PBS)
Na2HPO4 ------------------------------------ 28.8 g
KH2PO4 --------------------------------------- 4.8 g
NaCl ------------------------------------------ 160 g
KCl ---------------------------------------------- 4 g
Milli-Q H2O ------------------------------------ 1 l
Mix to dissolve and adjust pH to 7.2. Autoclave or filter through 0.45μm membrane for
long-time storage. Dilute 1:20 with Milli-Q water before use and adjust pH if necessary.
1.2 ELISA buffers
2% Fetal bovine serum (FBS) (antibody dilution buffer)
FBS --------------------------------------------- 2 ml
1 x PBS -------------------------------------- 100 ml
10% FBS (block buffer)
FBS -------------------------------------------- 10 ml
1 x PBS -------------------------------------- 100 ml
PBS/0.05% Tween 20 (wash buffer)
Tween 20 ------------------------------------- 2.5 ml
1 x PBS ------------------------------------------- 5 l
1M HCl (stop buffer)
38% HCl -------------------------------------- 8.3 ml
Milli-Q H2O --------------------------- up to 100 ml
Appendix
250
1.3 Cell culture buffers
Cell wash buffer
RPMI-1640 ---------------------------------- 500 ml
FBS ---------------------------------------------- 5 ml
Complete culture medium
RPMI-1640 ---------------------------------- 500 ml
FBS -------------------------------------------- 50 ml
2-mercaptoethanol -------------------------- 500 μl
HEPES (1M) --------------------------------- 10 ml
Gluta-max (100 x) ---------------------------- 5 ml
Penicillin/Streptomycin Solution (P/S) ---- 5 ml
1.4 Flow cytometry
Fluorescence-activated cell sorting (FACS) buffer
Bovine serum albumin ------------------------- 1 g
Sodium azide ------------------------------------ 1 g
1 x PBS ------------------------------------ up to 1 l
1.5 SDS-PAGE solutions
Solution B
Tris-HCl (2 M, pH 8.8) ---------------------- 75 ml
10% SDS in Milli-Q H2O --------------------- 4 ml
Milli-Q H2O ------------------------------------21 ml
Appendix
251
Solution C
Tris-HCl (1 M, pH 6.8) ---------------------- 50 ml
10% SDS in Milli-Q H2O --------------------- 4 ml
Milli-Q H2O ------------------------------------46 ml
5 x Protein sample loading buffer
Tris-HCl (1 M, pH 6.8) ---------------------- 0.6 ml
50% Glycerol ------------------------------------ 5ml
10% SDS ---------------------------------------- 2 ml
Dithiothreitol (1 M) ---------------------------- 1 ml
1% Bromophenol blue ------------------------- 1 ml
Milli-Q H2O ----------------------------- up to 10 ml
12% SDS-PAGE gel recipe
Resolving gel
40% 29:1 Acrylamide -------------------------- 6 ml
Solution B ---------------------------------------- 5 ml
Milli-Q H2O ------------------------------------ 8.9 ml
10% Ammonium persulphate ---------------- 100 μl
TEMED ------------------------------------------- 10 μl
Stacking gel
40% 29:1 Acrylamide ----------------------- 0.93 ml
Solution C -------------------------------------- 2.5 ml
Milli-Q H2O ------------------------------------ 6.5 ml
10% Ammonium persulphate ---------------- 100 μl
TEMED ------------------------------------------- 10 μl
Appendix
252
1 x Gel Electrophoresis running buffer
Tris ------------------------------------------------ 3 g/l
Glycine ---------------------------------------- 14.4 g/l
SDS ------------------------------------------------ 1 g/l
Milli-Q H2O ---------------------------------- up to 1 l
SDS-PAGE gel destaining solution
Methanol (AR grade) ------------------------- 500 ml
Glacial acetic acid ----------------------------- 100 ml
Milli-Q H2O ------------------------------------ 400 ml
1.6 Immunoblotting Buffers
Transfer buffer
Tris ------------------------------------------- 1.164 g
Glycine ---------------------------------------- 0.58 g
10% SDS -------------------------------------- 750 μl
Methanol --------------------------------------- 40 ml
Milli-Q H2O --------------------------- up to 200 ml
Blocking buffer
Skimmed Milk powder -------------------------- 5 g
Milli-Q H2O --------------------------- up to 100 ml
Antibody dilution buffer
Skimmed Milk powder -------------------------- 1 g
Milli-Q H2O --------------------------- up to 100 ml
Appendix
253
1.7 DNA clone buffers
LB broth
Tryptone -------------------------------------- 10 g/l
NaCl ------------------------------------------- 10 g/l
Yeast extract ----------------------------------- 5 g/l
Milli-Q H2O ------------------------------- up to 1 l
Mix to dissolve and autoclave before use for bacterial culture.
LB plates
Tryptone -------------------------------------- 10 g/l
NaCl ------------------------------------------- 10 g/l
Yeast extract ----------------------------------- 5 g/l
Agar ------------------------------------------- 15 g/l
Milli-Q H2O ------------------------------- up to 1 l
Ampicillin stock
Ampicillin ---------------------------------------- 1 g
70% Ethanol ---------------------------------- 10 ml
Filter sterilised before use.
Glycerol stocks
Fresh overnight culture --------------------- 700 μl
50% sterile glycerol in Milli-Q H2O ------ 300 μl
Appendix
254
1.8 Protein expression buffers
ZY
Peptone ------------------------------------------ 10 g
Yeast extract -------------------------------------- 5 g
Milli-Q H2O -------------------------------- up to 1 l
20 x NPS
(NH4)2SO4 ------------------------------------ 16.5 g
KH2PO4 ----------------------------------------- 34 g
NaHPO4 ---------------------------------------35.5 g
Milli-Q H2O --------------------------------- 250 ml
50 x 5052
Glycerol --------------------------------------- 125 g
Glucose --------------------------------------- 12.5 g
α-Lactose --------------------------------------- 50 g
Milli-Q H2O --------------------------------- 365 ml
MgSO4 (1 M)
MgSO4.7H2O ------------------------------ 24.65 g
Milli-Q H2O -------------------------------- 100 ml
FeCl3 (1000 x)
HCl (0.1 M) ---------------------------------- 81 ml
FeCl3.6H20 ------------------------------------- 2.7 g
Milli-Q H2O -------------------------- up to 100 ml
Autoclave every component above before generating ZYP-5052 medium.
Appendix
255
ZYP-5052 medium
ZY -------------------------------------------- 928 ml
MgSO4 (1 M) ---------------------------------- 1 ml
FeCl3 (1000 x) --------------------------------- 1 ml
50 x 5052 -------------------------------------- 20 ml
20 x NPS --------------------------------------- 50 ml
Ampicillin (100 mg/ml) --------------------- 0.5 ml
Extraction buffer
Tris ------------------------------------------- 3.0285 g
NaCl ------------------------------------------- 17.53 g
Imidazole -------------------------------------- 0.068 g
HCl ------------------------------------------ till pH 8.0
Milli-Q H2O ---------------------------------- up to 1 l
1.9 Protein Purification Buffers
Phosphate buffer
Na2HPO4 ----------------------------------------- 1.44 g
KH2PO4 ------------------------------------------- 0.24 g
NaCl ----------------------------------------------- 17.5 g
KCl -------------------------------------------------- 0.2 g
Milli-Q H2O ------------------------------------------- 1 l
Mix to dissolve and adjust pH to 7.4.
Stock solution
Imidazole --------------------------------------- 0.068 g
Appendix
256
Phosphate buffer --------------------------------- 50 ml
Equilibration buffer
Stock solution ------------------------------------- 1 ml
Milli-Q H2O ------------------------------- up to 50 ml
Wash buffer
Stock solution ------------------------------------- 5 ml
Milli-Q H2O ------------------------------- up to 50 ml
Elution buffer
Stock solution ------------------------------------ 30 ml
Milli-Q H2O ------------------------------- up to 50 ml