Immunotoxicology in Food and Ingredient Safety Assessment: Approaches and Case Studies

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Immunotoxicology in Food and Ingredient Safety Assessment: Approaches and Case Studies April 14, 2015

Toxicology and Food Allergy: Case Study of tbhq Cheryl Rockwell Assistant Professor Department of Pharmacology & Toxicology Michigan State University East Lansing, MI 48824 rockwelc@msu.edu

Outline Trends in food allergy Immune response during allergy Evaluation of allergenicity of novel proteins Animal models of food allergy Toxicity testing in food allergy case study: tbhq

Trends in Food Allergy Branum et al., 2008, NCHS Data Brief

Trends in Food Allergy Branum et al., 2008, NCHS Data Brief

Trends in Food Allergy Branum et al., 2008, NCHS Data Brief

Trends in Food Allergy Branum et al., 2008, NCHS Data Brief

Immune Response during Food Allergy

Cells of the Adaptive Immune System: T Lymphocytes CD4 + T helper (Th) cells produce stimulatory and regulatory cytokines

T cell differentiation Th1 Intracellular pathogens Th2 Helminths, nematodes Th0 Th17 Extracellular pathogens Treg Prevention of autoimmunity Tfh B cell activation

Th1 IFNγ Th2 IL-4, IL-5, IL-13 Th0 Th17 IL-17A, IL-17F, IL-22, IL-21 Treg TGFβ, IL-10 Tfh IL-4, IL-21

Immune response to food allergen Peanut Allergen Dendritic Cell Allergenspecific T cell Th2 differentiation Allergenspecific B cell IgE and IgG production Mast cell Y Local Swelling Itching Nausea Vomiting Diarrhea IL4, IL-5 and IL-13 Y Y Y Image from Wikimedia Commons Systemic Hives/Rash Respiratory distress Blood pressure drop Arrhythmia Mast cell degranulation Histamine Prostaglandins Leukotrienes Cytokines

Immune response to food allergen Peanut Allergen Dendritic Cell Allergenspecific T cell Th2 differentiation Allergenspecific B cell IgE and IgG production Mast cell Y Local Swelling Itching Nausea Vomiting Diarrhea IL4, IL-5 and IL-13 Y Y Y Image from Wikimedia Commons Systemic Hives/Rash Respiratory distress Blood pressure drop Arrhythmia Mast cell degranulation Histamine Prostaglandins Leukotrienes Cytokines

Sensitization Immune response to food allergen Peanut Allergen Dendritic Cell Allergenspecific T cell Th2 differentiation Allergenspecific B cell IgE and IgG production Mast cell Y Elicitation Local Swelling Itching Nausea Vomiting Diarrhea IL4, IL-5 and IL-13 Y Y Y Image from Wikimedia Commons Systemic Hives/Rash Respiratory distress Blood pressure drop Arrhythmia Mast cell degranulation Histamine Prostaglandins Leukotrienes Cytokines

Food allergy is normally prevented by oral tolerance Peanut Allergen Gut Lumen RA Allergenspecific T cell Gut Epithelium Dendritic Cell TGF-β Adapted from von Boehmer et al., 2007, Journal of Experimental Medicine Regulatory T cell

GMOs: Evaluating allergenicity of novel proteins Sequence-based testing Digestion stability Protein body and matrix effect Serum testing Use of animal models? Images from Wikimedia Commons

Animal models of food allergy Atopic dog Neonatal swine Brown Norway rat Mouse models Images from Wikimedia Commons

Animal Models: Neonatal Swine & Dog Lactation (3 wk) Sensitization (i.p., 3 5 wk): allergen + cholera tox Challenge Sensitization (s.c., 3 6 mo): allergen + alum Challenge Lactation 1. Skin prick test 2. Allergen-specific antibodies in serum 3. PCA (Passive Cutaneous Anaphylaxis): a surrogate for IgE quantification 4. Histology 5. Endoscopy 6. Clinical symptoms Helm, 2002; Rupa et al., 2008; Buchanan et al., 2002) Images from Wikimedia Commons

Animal Models: Passive Cutaneous Anaphylaxis 24-72h 30 min Mouse: 1. Ear thickness 2. Diameter of lesion 3. Histology Inject (dermal) anti-sera to target antigen (may heat inactivate) Inject (i.v.) target antigen Optional: Evan s blue dye Pig: 1. Wheal & flare 2. Diameter of lesion Images from Wikimedia Commons

Animal Models: Brown-Norway rat Sensitization (daily, oral, 6 wk): allergen Challenge 1. Antigen-specific IgG and IgE in serum 2. PCA (Passive Cutaneous Anaphylaxis) 3. Gut Permeability (serum level of bystander protein 4. Blood Pressure 5. Respiration rate 6. Clinical symptoms Minority of animals Knippels et al., 1998, 1999, 2002 Images from Wikimedia Commons

Animal models: Mouse Sensitization (various routes): +/- adjuvant Challenge 1. 3 Wk C3H mice: Cow s milk allergen + cholera toxin, 6 wk oral sensitization (Li et al, 1999). Similar protocol with peanut 2. 3 + 5 Wk C3H mice: Peanut allergen + cholera toxin, 6 wk oral sensitization (Li et al, 1999) 3. BALB/c mice: Adjuvant-free ovalbumin, bovine serum albumin or potato protein extract by either oral gavage (daily, 42 days) or by i.p. injection (twice, 1wk apart). Dearman et al., 1999)

Animal models: Transdermal adjuvantfree sensitization mouse model Sensitization (transdermal, 4 6 wk): various allergens Challenge Sensi Sensi Sensi Sensi Sensi Sensi Bleed Bleed Bleed Bleed 1. Allergen-specific IgE and IgG 1 in serum 2. Decrease in body temperature 3. Clinical symptoms (ranging from scratching/rubbing and edema to labored respiration and cyanosis of mucous membranes) Developed by Dr. Venugopaul Gangur

Animal models: Adjuvant-free Transdermal Mouse model Known allergens induce IgE production, decrease in body temperature and other clinical symptoms of anaphylaxis Hazelnut Sesame Cashew Cow s milk Foods that are not typically allergenic do not induce IgE production or anaphylactic response Vanilla bean extract Gonipeta et al., 2009, 2010; Parvataneni et al., 2009; Navuluri et al., 2006

Adjuvant-free transdermal mouse model: ovalbumin sensitization Bleed Bleed Bleed 1 Wk 1 Wk 1 Wk 1 Wk 1 Wk OVA OVA OVA OVA OVA orally Symptoms of anaphylaxis Images from Wikimedia Commons

Adjuvant-free transdermal mouse model: ovalbumin sensitization Robust increase in OVA-specific IgE in serum after 4 wk sensitization Clinical symptoms of anaphylaxis after oral challenge Change in body temp = 1.9º C Clinical symptoms: Scratching/rubbing nose & mouth Edema of mucosal tissues Decreased activity Labored respiration Unresponsive after stimulus

The food preservative tbhq inhibits Th1 cytokine production and promotes Th2 cytokine production Rockwell et al., 2012, Journal of Immunology, 188:1630-7. Copyright 2012. The American Association of Immunologists, Inc.

The food preservative tbhq inhibits Th1 cytokine production and promotes Th2 cytokine production Rockwell et al., 2012, Journal of Immunology, 188:1630-7. Copyright 2012. The American Association of Immunologists, Inc.

Effect of tbhq on food allergy study design Control Bleed Bleed Bleed 1 Wk 1 Wk 1 Wk 1 Wk 1 Wk OVA OVA OVA OVA OVA orally tbhq (0.001%) Symptoms of anaphylaxis Images from Wikimedia Commons

Effect of tbhq on food allergy results from the pilot study Saline OVA OVA + tbhq IgE ND IgG1 ND Body temp No change No change 1.3 C Clinical score 0 1.5 2.4

Acknowledgments Rockwell Lab Heather Dover Jenna Bursley David Cook Alex Turley Joe Zagorski Holly Cline Dr. Bryan Copple Copple Lab Dr. Venu Gangur Tina Ortiz Radhakrishna Para Babu Gonipeta Dr. Jim Pestka