Am. J. Respir. Crit. Care Med., Volume 157, Number 5, May 1998, 1429-1435

Inhibition of Human Airway Sensitization by a Novel Monoclonal Anti-IgE Antibody, 17-9 

KLAUS F. RABE, NIKKI WATSON, GORDON DENT, BENITA E. MORTON, KATHRIN WAGNER, HELGO MAGNUSSEN, and CHRISTOPH H. HEUSSER

Krankenhaus Grosshansdorf, Zentrum für Pneumologie und Thoraxchirurgie, LVA Hamburg, Grosshansdorf, Germany; and Novartis Pharma AG, Basel, Switzerland

We investigated the effect of a novel mouse lgG_2b nonanaphylactogenic anti-human IgE antibody, 17-9, on allergen and histamine responses in passively sensitized human airways in vitro to determine the specific contribution of IgE to the sensitization process. Bronchial rings were sensitized with serum containing high levels of allergen-specific IgE (Dermatophagoides farinae), or with a hapten-specific chimeric humanized IgE (JW8). There was a concentration-dependent contraction of serum-sensitized bronchial rings to D. farinae (517 ± 188 mg tension at 10 U/ml, n = 8) that was not observed in nonsensitized controls. This response was practically abolished when tissues were sensitized in the presence of 100 µg/ml anti-IgE antibody 17-9 (54 ± 20 mg). In tissues sensitized with the anti-NIP IgE, JW8, there was a concentration-dependent contraction to the specific antigen NIP-BSA (560 ± 154 mg at 0.3 µg/ml, n = 5) that was not observed in nonsensitized control subjects and that was substantially inhibited when 17-9 was present in the sensitization buffer (124 ± 109 mg). The inhibition with 17-9 was specific, as pretreatment with a non-IgE-specific IgG_2b antibody did not affect allergen responses. Potency and maximal contractions to histamine in serum-sensitized tissues were significantly elevated compared with nonsensitized controls; this was not affected by the presence of 17-9 during sensitization (pEC₅₀ = 5.1 ± 0.2 versus 5.0 ± 0.3 in tissues sensitized in the absence of 17-9). In tissues sensitized with JW8 there was no significant increase in responsiveness to histamine. We conclude that allergen responses in sensitized human airways are dependent on IgE levels in the sensitizing serum while nonspecific (hyper)responsiveness depends on serum factors other than IgE. Nonanaphylactogenic anti-human IgE antibodies effectively inhibit allergen responses of human airways in vitro but may not affect other factors inducing hyperresponsiveness.

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