Abbas Pishdadian - School of Medicine, Zabol University of Medical Sciences, Zabol, Iran
Abdolreza Varasteh - Allergy Research Center, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Mehran Gholamin - Division of Human Genetics, Immunology Research Center, Avicenna Research Institute, Mashhad University of Medical Sciences,Mashhad, Iran
Leila Roozbeh Nasiraie - Department of Food Science, Nour Branch, Islamic Azad University, Nour, Iran
Mitra Hosseinpour - Immunology Research Center, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Malihe Moghadam - Immunology Research Center, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran
Mojtaba Sankian - Immunology Research Center, Medical School, Mashhad University of Medical Sciences, Mashhad, Iran

Objective(s):Sublingual allergen-specific immunotherapy is a safe and effective method for treatment of IgE-mediated respiratory allergies; however, the underlying mechanisms are not fully understood. This study was planned to test whether sublingual immunotherapy (SLIT) can exert epigenetic mechanisms through which the airway allergic responses can be extinguished. Materials and Methods:BALB/c mice were sensitized intraperitoneally and challenged intranasally. Then, they received sublingual treatment with recombinant Che a ۲ (rChe a ۲), a major allergen of Chenopodium album. After SLIT, allergen-specific antibodies in sera, cytokine profiles of spleen cell cultures, mRNA and protein expression of lung-derived IL-۳۳, IL-۲۵, and TSLP (thymic stromal lymphopoietin), and histone modifications of these three genes were assessed. Results:Following Immunotherapy, systemic immune responses shifted from Th۲ to Th۱ profile as demonstrated by significant decrease in IgE and IL-۴ and substantial increase in IgG۲a and IFN-γ. At local site, mRNA and protein levels of lung-derived pro-inflammatory cytokines IL-۳۳ and TSLP were markedly down-regulated following SLIT that was associated with marked enrichment of trimethylated lysine ۲۷ of histone H۳ at promoter regions of these two cytokines. Conclusion:In our study, sublingual immunotherapy with recombinant allergen effectively attenuated allergic immune responses, at least partly, by induction of distinct histone modifications at specific loci. Additionally, the lung-derived pro-allergic cytokines IL-۳۳ and TSLP could be promising mucosal candidates for either monitoring allergic conditions or therapeutic approaches.

Chenopodium album Histone modifications, IL-۲۵, IL-۳۳, Sublingual mmunotherapy, TSLP