Active vaccination against interleukin-5 as long-term treatment for insect-bite hypersensitivity in horses. Fettelschoss-Gabriel, A., Fettelschoss, V., Olomski, F., Birkmann, K., Thoms, F., Bühler, M., Kummer, M., Zeltins, A., Kündig, T. M., & Bachmann, M. F. Allergy, 74(3):572–582, March, 2019. Number: 3
Active vaccination against interleukin-5 as long-term treatment for insect-bite hypersensitivity in horses [link]Paper  doi  abstract   bibtex   2 downloads  
Background Insect-bite hypersensitivity (IBH) in horses is a chronic allergic dermatitis caused by insect bites. Horses suffer from pruritic skin lesions, caused by type-I/type-IV allergic reactions accompanied by prominent eosinophil infiltration into the skin. Interleukin-5 (IL-5) is the key cytokine for eosinophils and we have previously shown that targeting IL-5 by vaccination reduces disease symptoms in horses. Objective Here, we analyzed the potential for long-term therapy by assessing a second follow-up year of the previously published study. Methods The vaccine consisted of equine IL-5 (eIL-5) covalently linked to a cucumber mosaic virus-like particle (VLP) containing a universal T cell epitope (CuMVTT) using a semi-crossover design to follow vaccinated horses during a second treatment season. Thirty Icelandic horses were immunized with 300 μg of eIL-5-CuMVTT without adjuvant. Results The vaccine was well tolerated and did not reveal any safety concerns throughout the study. Upon vaccination, all horses developed reversible anti-eIL-5 auto-antibody titers. The mean course of eosinophil levels was reduced compared to placebo treatment leading to significant reduction of clinical lesion scores. Horses in their second vaccination year showed a more pronounced improvement of disease symptoms when compared to first treatment year, most likely due to more stable antibody titers induced by a single booster injection. Hence, responses could be maintained over two seasons and the horses remained protected against disease symptoms. Conclusion Yearly vaccination against IL-5 may be a long-term solution for the treatment of IBH and other eosinophil-mediated diseases in horses and other species including humans.
@article{fettelschoss-gabriel_active_2019,
	title = {Active vaccination against interleukin-5 as long-term treatment for insect-bite hypersensitivity in horses},
	volume = {74},
	issn = {01054538},
	url = {http://doi.wiley.com/10.1111/all.13659},
	doi = {10.1111/all.13659},
	abstract = {Background
Insect-bite hypersensitivity (IBH) in horses is a chronic allergic dermatitis caused by insect bites. Horses suffer from pruritic skin lesions, caused by type-I/type-IV allergic reactions accompanied by prominent eosinophil infiltration into the skin. Interleukin-5 (IL-5) is the key cytokine for eosinophils and we have previously shown that targeting IL-5 by vaccination reduces disease symptoms in horses.

Objective
Here, we analyzed the potential for long-term therapy by assessing a second follow-up year of the previously published study.

Methods
The vaccine consisted of equine IL-5 (eIL-5) covalently linked to a cucumber mosaic virus-like particle (VLP) containing a universal T cell epitope (CuMVTT) using a semi-crossover design to follow vaccinated horses during a second treatment season. Thirty Icelandic horses were immunized with 300 μg of eIL-5-CuMVTT without adjuvant.

Results
The vaccine was well tolerated and did not reveal any safety concerns throughout the study. Upon vaccination, all horses developed reversible anti-eIL-5 auto-antibody titers. The mean course of eosinophil levels was reduced compared to placebo treatment leading to significant reduction of clinical lesion scores. Horses in their second vaccination year showed a more pronounced improvement of disease symptoms when compared to first treatment year, most likely due to more stable antibody titers induced by a single booster injection. Hence, responses could be maintained over two seasons and the horses remained protected against disease symptoms.

Conclusion
Yearly vaccination against IL-5 may be a long-term solution for the treatment of IBH and other eosinophil-mediated diseases in horses and other species including humans.},
	language = {en},
	number = {3},
	urldate = {2019-12-02},
	journal = {Allergy},
	author = {Fettelschoss-Gabriel, Antonia and Fettelschoss, Victoria and Olomski, Florian and Birkmann, Katharina and Thoms, Franziska and Bühler, Maya and Kummer, Martin and Zeltins, Andris and Kündig, Thomas M. and Bachmann, Martin F.},
	month = mar,
	year = {2019},
	note = {Number: 3},
	keywords = {Application - Allergy Research, Application - Antibody Validation / Epitope Mapping, Application - Vaccine Development, Country - Latvia, Country - Switzerland, Country - United Kingdom, Other Organisms, PEPperCHIP - Customized - Linear, PEPperMAP - Epitope Mapping - Linear, Sample Type - Serum},
	pages = {572--582},
}

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