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Timothy grass pollen allergen-specific IgE and T-cell receptors (Phl p 1, Phl p 2, Phl p 5, Phl p 6) (Phl p 1/2/5/6-specific IgE/TCR)

Target
Phl p 1/2/5/6-specific IgE/TCR
Molecular classification
Receptor, Other
01

Overview

The target comprises the specific IgE antibodies and T-cell receptors (TCRs) that recognize the major allergens of Timothy grass (Phleum pratense), specifically Phl p 1, Phl p 2, Phl p 5, and Phl p 6. These allergens are the primary drivers of seasonal allergic rhinitis (hay fever) and allergic asthma in sensitized individuals, with Phl p 1 and Phl p 5 being particularly potent and widely recognized by over 90% and 65-90% of grass-allergic patients, respectively [11, 12, 16]. Upon exposure, these allergens cross-link IgE bound to high-affinity receptors (FcεRI) on mast cells and basophils, triggering the release of inflammatory mediators, while TCR recognition of allergen-derived peptides promotes a Th2-polarized immune response [2, 9, 12]. Therapeutic strategies targeting these components primarily involve allergen-specific immunotherapy (AIT), which aims to modify the underlying immune response. A prominent example is the recombinant vaccine BM32, which utilizes hypoallergenic peptides from these four allergens fused to a hepatitis B PreS carrier to induce high levels of allergen-specific blocking IgG4 antibodies [2, 4]. These IgG4 antibodies compete with IgE for allergen binding, thereby preventing effector cell degranulation and IgE-facilitated antigen presentation to T cells [2, 9]. Additionally, AIT promotes T-cell tolerance or a shift toward a regulatory T-cell (Treg) or Th1 phenotype, leading to long-term clinical desensitization and disease modification [4, 12].

Other names
Timothy grass pollen allergensPhleum pratense allergensGrass pollen-specific IgEGrass pollen-specific T-cell receptorsPhl p 1, 2, 5, 6 allergens
02

Mechanism of action

Induction of allergen-specific blocking IgG4 antibodies, reduction of Th2-mediated T-cell responses, and desensitization of effector cells such as mast cells and basophils.

03

Biological functions

Immune responseHypersensitivityAntigen recognition
04

Disease associations

Allergic rhinitisAsthmaInflammation
05

Safety considerations

AnaphylaxisSystemic allergic reactionsLocal injection site reactionsHeterogeneity of patient sensitization profiles
06

Interacting drugs

BM32

5 more in the full profile.

07

Biomarkers

Allergen-specific IgE (sIgE)Allergen-specific IgG4 (sIgG4)Skin prick test (SPT) reactivityBasophil activation test (BAT)

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