Efficacy of transdermal immunotherapy with biodegradable microneedle patches in a murine asthma model

Kyung Hee Park, Eun Yi Oh, Heejae Han, Jung Dong Kim, Sung Jin Kim, Kyoung Yong Jeong, Ji Hye Kim, Chang Ook Park, Sung Ryeol Kim, Jae Hyun Lee, Do Hyeon Jeong, Tai Soon Yong, Kwang Hoon Lee, Jung Won Park

Research output: Contribution to journalArticle

Abstract

Background: House dust mite (HDM) is a well-known cause of asthma. Allergen-specific immunotherapy (AIT) can only modify the natural course of the disease. Conventional routes of HDM AIT are subcutaneous or sublingual. Subcutaneous immunotherapy (SCIT) has a disadvantage of systemic hypersensitive reaction, and the sublingual immunotherapy has a disadvantage of local allergic reaction and low drug adherence. Objective: To overcome the weak points of conventional AIT, we developed a HDM loaded biodegradable microneedle patch (MNP) for transdermal immunotherapy (TDIT). We aim to demonstrate the efficacy of TDIT in murine asthma model triggered by HDM compared with conventional SCIT. Methods: To make HDM asthma mouse model, 5-week-old BALB/c female mice were sensitized and challenged by intranasal administration of HDM. The mice were divided into 5 groups: sham, asthma, low (10 µg) and high dose (100 µg) SCIT, and TDIT (10 µg). To make HDM loaded MNP, droplet-born air blowing method was used. Airway hyperresponsiveness and allergic inflammation markers were analysed by bronchoalveolar lavage fluid, immunohistochemistry, serum immunoglobulin (Ig) analysis, and lung cytokine assays. Results: Airway hyperresponsiveness was ameliorated by TDIT. Eosinophilic inflammation in bronchoalveolar lavage was improved without adverse reactions. Reduction of Th2 (IL-4, IL-5, and IL-13) cytokines, and HDM-specific IgE, induction of Treg (IL-10, TGF-β), Th1 (IFN-γ) cytokines were observed. Eosinophilic infiltration, goblet cell hyperplasia, and subepithelial fibrosis were also alleviated by TDIT. These changes were more significant in the TDIT group than in subcutaneous AIT group. Conclusion: In conclusion, HDM loaded biodegradable TDIT is a novel treatment option to treat asthma which showed more effectiveness and may have better safety profiles than conventional SCIT.

Original languageEnglish
Pages (from-to)1084-1092
Number of pages9
JournalClinical and Experimental Allergy
Volume50
Issue number9
DOIs
Publication statusPublished - 2020 Sep 1

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology

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  • Cite this

    Park, K. H., Oh, E. Y., Han, H., Kim, J. D., Kim, S. J., Jeong, K. Y., Kim, J. H., Park, C. O., Kim, S. R., Lee, J. H., Jeong, D. H., Yong, T. S., Lee, K. H., & Park, J. W. (2020). Efficacy of transdermal immunotherapy with biodegradable microneedle patches in a murine asthma model. Clinical and Experimental Allergy, 50(9), 1084-1092. https://doi.org/10.1111/cea.13688