PMID- 34755130 OWN - NLM STAT- MEDLINE DCOM- 20220303 LR - 20220726 IS - 2666-3791 (Electronic) IS - 2666-3791 (Linking) VI - 2 IP - 10 DP - 2021 Oct 19 TI - High-resolution epitope mapping by AllerScan reveals relationships between IgE and IgG repertoires during peanut oral immunotherapy. PG - 100410 LID - 10.1016/j.xcrm.2021.100410 [doi] LID - 100410 AB - Peanut allergy can result in life-threatening reactions and is a major public health concern. Oral immunotherapy (OIT) induces desensitization to food allergens through administration of increasing amounts of allergen. To dissect peanut-specific immunoglobulin E (IgE) and IgG responses in subjects undergoing OIT, we have developed AllerScan, a method that leverages phage-display and next-generation sequencing to identify the epitope targets of peanut-specific antibodies. We observe a striking diversification and boosting of the peanut-specific IgG repertoire after OIT and a reduction in pre-existing IgE levels against individual epitopes. High-resolution epitope mapping reveals shared recognition of public epitopes in Ara h 1, 2, 3, and 7. In individual subjects, OIT-induced IgG specificities overlap extensively with IgE and exhibit strikingly similar antibody footprints, suggesting related clonal lineages or convergent evolution of peanut-specific IgE and IgG B cells. Individual differences in epitope recognition identified via AllerScan could inform safer and more effective personalized immunotherapy. CI - (c) 2021 The Author(s). FAU - Chen, Genghao AU - Chen G AD - Department of Genetics, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Department of Medicine, Howard Hughes Medical Institute, Brigham and Women's Hospital, Boston, MA 02115, USA. AD - Program in Biological and Biomedical Sciences, Harvard University, Cambridge, MA 02115, USA. FAU - Shrock, Ellen L AU - Shrock EL AD - Department of Genetics, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Department of Medicine, Howard Hughes Medical Institute, Brigham and Women's Hospital, Boston, MA 02115, USA. AD - Program in Biological and Biomedical Sciences, Harvard University, Cambridge, MA 02115, USA. FAU - Li, Mamie Z AU - Li MZ AD - Department of Genetics, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Department of Medicine, Howard Hughes Medical Institute, Brigham and Women's Hospital, Boston, MA 02115, USA. FAU - Spergel, Jonathan M AU - Spergel JM AD - Division of Allergy and Immunology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. AD - Department of Pediatrics, Perelman School of Medicine of University of Pennsylvania, Philadelphia, PA, USA. FAU - Nadeau, Kari C AU - Nadeau KC AD - Department of Medicine, Sean N Parker Center for Allergy and Asthma Research, Stanford University, Palo Alto, CA, USA. FAU - Pongracic, Jacqueline A AU - Pongracic JA AD - Division of Pediatric Allergy and Immunology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. AD - Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611, USA. FAU - Umetsu, Dale T AU - Umetsu DT AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - Rachid, Rima AU - Rachid R AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - MacGinnitie, Andrew J AU - MacGinnitie AJ AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - Phipatanakul, Wanda AU - Phipatanakul W AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - Schneider, Lynda AU - Schneider L AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - Oettgen, Hans C AU - Oettgen HC AD - Division of Immunology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA. FAU - Elledge, Stephen J AU - Elledge SJ AD - Department of Genetics, Harvard Medical School, Boston, MA 02115, USA. AD - Division of Genetics, Department of Medicine, Howard Hughes Medical Institute, Brigham and Women's Hospital, Boston, MA 02115, USA. LA - eng SI - ClinicalTrials.gov/NCT01781637 GR - R01 AI119918/AI/NIAID NIH HHS/United States GR - UL1 TR001422/TR/NCATS NIH HHS/United States GR - R01 AI140134/AI/NIAID NIH HHS/United States GR - U01 AI126614/AI/NIAID NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20211019 PL - United States TA - Cell Rep Med JT - Cell reports. Medicine JID - 101766894 RN - 0 (2S Albumins, Plant) RN - 0 (Antigens, Plant) RN - 0 (Ara h 1 protein, Arachis hypogaea) RN - 0 (Ara h 2 allergen, Arachis hypogaea) RN - 0 (Epitopes) RN - 0 (Immunoglobulin G) RN - 0 (Membrane Proteins) RN - 0 (Peptide Library) RN - 0 (Plant Proteins) RN - 0 (Seed Storage Proteins) RN - 0 (allergen Ara h3) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) MH - 2S Albumins, Plant/administration & dosage/chemistry MH - Antigens, Plant/administration & dosage/chemistry MH - Arachis/chemistry/immunology MH - B-Lymphocytes/immunology/pathology MH - Case-Control Studies MH - Desensitization, Immunologic/*methods MH - Epitope Mapping/*methods MH - Epitopes/*chemistry/immunology MH - High-Throughput Nucleotide Sequencing MH - High-Throughput Screening Assays MH - Humans MH - Immunoglobulin E/*blood MH - Immunoglobulin G/*blood MH - Membrane Proteins/administration & dosage/chemistry MH - Omalizumab/*therapeutic use MH - Peanut Hypersensitivity/genetics/immunology/pathology/*therapy MH - Peptide Library MH - Plant Proteins/administration & dosage/chemistry MH - Precision Medicine MH - Seed Storage Proteins PMC - PMC8563412 OTO - NOTNLM OT - IgE OT - allergen immunotherapy OT - antibody OT - antibody repertoire OT - epitope mapping OT - food allergy OT - high-throughput sequencing OT - oral immunotherapy OT - peanut allergy OT - phage display COIS- S.J.E. is a co-founder of TSCAN Therapeutics, MAZE Therapeutics, ImmuneID, and Mirimus. S.J.E. serves on the Scientific Advisory Board (SAB) of CRISPR Therapeutics; Homology Medicines, Inc.; TSCAN Therapeutics; and X-Chem and is an advisor for MPM. S.J.E. and G.C. have applied for a patent on these findings. J.M.S. has received research funding from Aimmune Therapeutics, Regeneron, Sanofi, Novartis, and FARE. K.C.N. is co-founder of IgGenix, Latitude, Alladapt, and BeforeBrands. She also serves on the SAB or Data and Safety Monitoring Boards (DSMB) of Novartis, Regeneron, ClostraBio, Cour Pharmaceuticals, Aravax, and NHLBI. D.T.U. and H.C.O. serve on the SAB of IgGenix. J.A.P. is on the Independent Data Monitoring Committee of Regeneron and Clinical Advisory Board of FARE and has served as an investigator for Aimmune Therapeutics and FARE. She has received research funding from DBV, FARE, The Sunshine Charitable Foundation, and Peak6 Investments LLC. A.J.M. is an advisor to DBV Technologies. R.R. has received research funding from Aimmune Therapeutics. W.P. is a consultant for Genentech, Novartis, Regeneron, and Sanofi and received research support from Thermo Fisher Scientific. L.S. serves on the Medical Advisory Board for Food Allergy Research and Education and the DSMB for Alladapt and is an investigator for DBV Technologies and Regeneron. None of these affiliations represent a conflict of interest with respect to the design or execution of this study or interpretation of data presented in this manuscript. EDAT- 2021/11/11 06:00 MHDA- 2021/11/11 06:01 PMCR- 2021/10/19 CRDT- 2021/11/10 06:48 PHST- 2021/02/17 00:00 [received] PHST- 2021/07/18 00:00 [revised] PHST- 2021/09/21 00:00 [accepted] PHST- 2021/11/10 06:48 [entrez] PHST- 2021/11/11 06:00 [pubmed] PHST- 2021/11/11 06:01 [medline] PHST- 2021/10/19 00:00 [pmc-release] AID - S2666-3791(21)00268-8 [pii] AID - 100410 [pii] AID - 10.1016/j.xcrm.2021.100410 [doi] PST - epublish SO - Cell Rep Med. 2021 Oct 19;2(10):100410. doi: 10.1016/j.xcrm.2021.100410. eCollection 2021 Oct 19.