Document Detail


Susceptibility of a grass-pollen oral immunotherapy extract to the saliva and gastric fluid digestive process.
MedLine Citation:
PMID:  8059676     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The oral and sublingual immunotherapy is still a controversial therapeutic procedure. One of the problems is knowing how much allergenic activity could the extracts loss due to the digestive process into the mouth and stomach. Using a grass-pollen oral and sublingual immunotherapy extract, we studied its degradation until reaching the small intestine. For this purpose we employed an in vitro model using the RAST-inhibition assay. We observed a 3.8 fold loss of allergenic activity after a 30 sec-incubation with saliva; a subsequent 5 min-incubation with gastric fluid got a final loss of allergenic activity of 10.3 fold. The incubation times were those expected occurring during the ingestion of the extract. It was surprising that after the enzymatic and acid actions of the gastric fluid, an important degree of allergenic activity still remained in the extract. This issue should be taken into account when considering the dose to be administered in oral and sublingual immunotherapy.
Authors:
J M Igea; M Cuevas; M Lázaro; S Quirce; J Cuesta
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Allergologia et immunopathologia     Volume:  22     ISSN:  0301-0546     ISO Abbreviation:  Allergol Immunopathol (Madr)     Publication Date:    1994 Mar-Apr
Date Detail:
Created Date:  1994-09-13     Completed Date:  1994-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370073     Medline TA:  Allergol Immunopathol (Madr)     Country:  SPAIN    
Other Details:
Languages:  eng     Pagination:  55-9     Citation Subset:  IM    
Affiliation:
Clínica Alergoasma, Salamanca, Spain.
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Administration, Sublingual
Adult
Allergens / administration & dosage,  immunology,  metabolism*
Desensitization, Immunologic*
Gastric Juice / metabolism*
Humans
Plant Extracts / administration & dosage,  immunology,  metabolism*,  pharmacokinetics
Plant Proteins / immunology,  metabolism
Poaceae
Pollen / immunology*
Protein Denaturation
Radioallergosorbent Test
Saliva / metabolism*
Chemical
Reg. No./Substance:
0/Allergens; 0/Plant Extracts; 0/Plant Proteins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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