Arbeiten aus dem Paul-Ehrlich-Institut
Allergen Products for Diagnosis and Therapy: Regulation and
Science
Foreword
Ronald L. Rabin, S. Vieths, Jay E. Slater .................... 1
Opening Keynote Address: History of Specific Immunotherapy
Harold S. Nelson ............................................. 3
Session 1: Legal Aspects of the Regulation of Allergen
Products
Chairs: Stefan Vieths, Harold S. Nelson ...................... 7
Legal Status and Regulation of Allergenic Products in the
United States
Sandra Menzies, Susan Huynh, Ronald L. Rabin ................. 9
Regulation of Allergen Products in Europe (Including NPPs)
Carlo Pini .................................................. 15
Current Status and Regulation of Allergen Products in Mexico
Désirée Larenas Linnemann ................................... 23
Regulation of Allergen Products in Canada: An Overview of the
Current and the Proposed Regulatory Frameworks
Nancy Green ................................................. 27
Current and Future Challenges for the Allergen Manufacturers
Lars Jacobsen ............................................... 31
Session 2: Standardization and Characterization of Natural
Allergen Products
Chairs: Fatima Ferreira, Marcel Hoefnagel ...................... 35
Update on the FDA/CBER Allergen Standardization Program
Taruna Khurana, Jay E. Slater ............................... 37
Validation of Major Allergen References and ELISAs - Current
State of the BSP090 Project
Susanne Kaul, Oliver Dehus, Julia Zimmer, Stefan Vieths ..... 45
Molecular and Functional Characterization of Natural Allergen
Extracts
Thierry Batard, Emmanuel Nony, Henri Chabre, Maud Hrabina,
Julien Bouley, Maxime Lemignon, Pierrick Lemoine, Karine
Jain, Sophie Tourdot, Laurent Mascarell, Véronique Bodo,
Philippe Moingeon ........................................... 54
The Potential of Mass Spectrometry as a Novel Tool in
Standardization of Natural Allergen Extracts
Peter Briza ................................................. 57
Session 3: Methods in Product and Study Design of Effective
Allergen Products for Therapy
Chairs: Stephen R. Durham, Fréderic de Blay .................... 63
Efficacy Testing of Allergen Mixtures for Specific
Immunotherapy
Jörg Kleine-Tebbe .............................................. 65
Biomarkers of Tolerance in Response to Allergen Immunotherapy
Stephen R. Durham, Guy W. Scadding, Deborah Phippard,
Peter A. Wurtzen, Mohamed H. Shamji ......................... 75
Multiplex IgE Antibody Testing As a Tool for Diagnosis and
Defining the Allergic (Atopic) Status of Study Populations
Robert G. Hamilton .......................................... 82
Environmental Exposure Units for Specific Immunotherapy
Trials Anne K. Ellis ........................................ 91
Session 4: Standardization and Characterization of Modified
and Recombinant Allergen Products
Chairs: Jay E. Slater, Geoffrey A. Mueller .................. 95
Physicochemical Characterisation of Mite Allergoids and
Alum-Adsorbed Mite Allergoids
Dion Luykx, Jan Cordewener, Jurgen de Bruijn, Adrie
Westphal, Hetty Sleijster, Twan America, Rob van den Hout ... 97
Physicochemical Characterization of Recombinant Allergens and
Hypoallergenic Variants
Martin Himly, Michael Wallner, Nadja Zaborsky, Michael
Hauser, Gabriele Gadermeier, Andrea Harrer, Fátima
Ferreira ................................................... 101
Antibody-Based Assays for Potency Determination of Mite
Allergoids and for Stability Studies of Alum-Adsorbed Mite
Vaccines
Erica Kerkvliet, Niels Sinnige, Carola Franso, Ronald van
Ree, Rob van den Hout ...................................... 106
Session 5: Immunological Mechanisms of Allergy Immunotherapy
Chairs: Philippe Moingeon, Caiman Prussin ..................... 113
An Overview of Proposed Mechanisms of Specific
Immunotherapy
Thomas A. E. Platts-Mills ..................................... 115
Mechanisms of Immunotherapy Specific to the Sublingual or
Oral Route
Jean-Pierre Allam ............................................. 119
Oral Immunotherapy for Food Allergy
Wesley Burks .................................................. 122
Interleukin-5+ Super-Effector Th2 Cells As Targets for
Immunotherapy and Drug Discovery
Caiman Prussin ................................................ 124
Use of Trichuris Suis Ova (TSO) Therapy for the Treatment of
Allergy
Peter Bager ................................................... 128
Session 6: Immunotherapy With Purified Allergen Components
Chairs: Ronald van Ree, Barbara Bohle ......................... 131
Current Status of Subcutaneous and Sublingual Immunotherapy
With Recombinant Allergens
Marek Jutel, Katarzyna Solarewicz-Madejek, Sylwia
Smolinska .................................................. 133
Recombinant Allergens for SIT of Mite Allergy
Andreas Nandy, Martin Wald, Steffen Augustin, Linda
Pump, Helga Kahlert, Gerald Reese, Gesine Cornelissen,
Steen Klysner .............................................. 140
Recombinant Allergens for SIT of Cat Allergy
Kåre Meno .................................................. 148
Targeting Antibody Receptors As an Approach Towards
Immunotherapy
Rachana Agrawal, Kathryn Hьlse, Judith A. Woodfolk ......... 153
Session 7: Extrinsic Adjuvants in the Use of Allergen
Immunotherapy
Chairs: Christopher L. Karp, Jörg Kleine-Tebbe ................ 157
Toll-Like Receptor Ligands As Adjuvants in Allergy Vaccines
Stephan Deifl, Claudia Kitzmüller, Barbara Bohle ........... 159
Adjuvants and Vector Systems for the Sublingual Route
Philippe Moingeon, Véronique Bodo, Sabi Airouche, Laurent
Mascarell, Thierry Batard .................................. 164
Session 8: Immunomodulatory Properties of Allergens
Chairs: Robert E. Esch, N. Franklin Adkinson ............... 169
Structural Studies of Allergens Suggest Hypotheses for
Immune System Interactions
Geoffrey A. Mueller ........................................ 171
Session 9: State-of-the-Art of Immunotherapy in Different
Allergic Diseases
Chairs: Marek Jutel, Ronald L. Rabin .......................... 175
Sublingual Immunotherapy: Overview of American Experience
Paul A. Greenberger ........................................ 177
SLIT Clinical Trials for Allergic Rhinitis in the U.S.
Robert E. Esch ............................................. 180
The Politics and Economics of Specific Immunotherapy Across
Europe
Anthony Frew ............................................... 182
SIT for the Treatment of Atopic Dermatitis
Jean-Pierre Allam .......................................... 186
List of Contributors .......................................... 189
List of Participants .......................................... 190
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