CD8+ T cell differentiation status correlates with the feasibility of sustained unresponsiveness following oral immunotherapy
Kaushik, Abhinav; Nadeau, Kari; Manohar, Monali (2022), CD8+ T cell differentiation status correlates with the feasibility of sustained unresponsiveness following oral immunotherapy, Dryad, Dataset, https://doi.org/10.5061/dryad.95x69p8p6
While food allergy oral immunotherapy (OIT) can provide safe and effective desensitization (DS), the immune mechanisms underlying development of sustained unresponsiveness (SU) following a period of avoidance are largely unknown. We compared high dimensional immunophenotypes of innate and adaptive immune cell subsets of participants in a phase 2 randomized, controlled, peanut OIT trial who achieved SU vs. DS (no vs. with allergic reactions upon food challenge after a withdrawal period; n=21 vs. 30 respectively among total 120 intent-to-treat participants). Lower frequencies of naïve CD8+ T cells and terminally differentiated CD57+ CD8+ T cell subsets at baseline (pre-OIT) were highly associated with SU. Frequency of naïve CD8+ T cells showed a significant positive correlation with peanut- and Ara h 2-specific IgE at baseline. Higher frequencies of IL-4+ and IFNg+ CD8+ T cells post-OIT were negatively correlated with SU. Our findings provide compelling evidence that an immune signature consisting of certain CD8+ T cell subset frequencies is predictive of SU following OIT.
National Institute of Allergy and Infectious Diseases, Award: U19AI104209