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The Role of IgA in the Manifestation and Prevention of Allergic Immune Responses

Scheurer, Stephan, Junker, Ann-Christine, He, Chaoqi, Schülke, Stefan, Toda, Masako·2023·Current Allergy and Asthma Reports

Abstract

Purpose of Review: Immunoglobulin A (IgA) mediates immune exclusion of antigens in the gut. Notably, IgA plays also a role in the prevention of IgE-mediated allergies and induction of immune tolerance. The present review addresses the role of IgA in the manifestation of IgE-mediated allergies, including allergen-specific immunotherapy (AIT), the regulation of IgA production, and the mechanism of IgA in immune cell activation. Recent Findings: The majority of studies report an association of IgA with the induction of immune tolerance in IgE-mediated allergies. However, reports on the involvement of humoral and mucosal IgA, IgA subtypes, monomeric and polymeric IgA, and the mechanism of IgA-mediated immune cell activation are confounding. Summary: Effects by IgA are likely mediated by alteration of microbiota, IgE-blocking capacity, or activation of inhibitory signaling pathways. However, the precise mechanism of IgA-regulation, the contribution of serum and/or mucosal IgA, and IgA1/2 subtypes, on the manifestation of IgE-mediated allergies, and the underlying immune modulatory mechanism are still elusive.

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Fig. 1 Schematic structure of IgA1, IgA2, and SIgA. A IgA1 expresses multiple O-glycosylation sites of serine and threonine in the hinge region, modified by either sialic acid (NeuAc), galactose (Gal), or N-acetylgalactosamine (GalNAc). IgA2 lacks the corresponding O-glycosylation sites in the hinge region and has only N-glycosylation sites modified by glucosamine (GlcN) and a lower level of sialylation. B Secretory IgA (SIgA) is generated from dimeric IgA (dIgA) upon dimerization via the 15-kDa J-chain in tissue plasma cells and binding to the pIgR on epithelial cells. Upon translocalization to the luminal site, the ectodomain of pIgR (secretory component, SC) is cleaved and stabilizes dIgA to form SIgA
Fig. 1 Schematic structure of IgA1, IgA2, and SIgA. A IgA1 expresses multiple O-glycosylation sites of serine and threonine in the hinge region, modified by either sialic acid (NeuAc), galactose (Gal), or N-acetylgalactosamine (GalNAc). IgA2 lacks the corresponding O-glycosylation sites in the hinge region and has only N-glycosylation sites modified by glucosamine (GlcN) and a lower level of sialylation. B Secretory IgA (SIgA) is generated from dimeric IgA (dIgA) upon dimerization via the 15-kDa J-chain in tissue plasma cells and binding to the pIgR on epithelial cells. Upon translocalization to the luminal site, the ectodomain of pIgR (secretory component, SC) is cleaved and stabilizes dIgA to form SIgACC BY · PubMed Central
Fig. 2 Modulation of (allergic) immune responses by IgA. IgA production can be modulated by different factors such as the microbiome, certain infections, breastfeeding, genetic defects in IgA production, allergic sensitization, or AIT. The exact contribution of these factors to either the production of SIgA in secretions and monomeric IgA in serum remains unclear. Mucosal SIgA can prevent allergen absorption and promote allergen digestion via immune exclusion which prevents inflammatory responses towards the respective allergens. Moreover, mucosal SIgA can form aggregates with allergens in secretions that trigger pro-inflammatory signaling and effector functions via a FcαRI-dependent recruitment and activation of Src family kinases. In contrast, monomeric IgA in serum only results in an initial low-intensity activation of FcαRI by partial phosphorylation of FcRγ ITAM tyrosines. This promotes a transient recruitment of Syk followed by stable recruitment of SHP-1 to the FcRγ ITAM, the formation of intracellular “inhibisomes,” and the induction of anti-inflammatory responses. In addition, IgA can compete with IgE for allergen binding and thereby diminish IgE-mediated effector cell activation
Fig. 2 Modulation of (allergic) immune responses by IgA. IgA production can be modulated by different factors such as the microbiome, certain infections, breastfeeding, genetic defects in IgA production, allergic sensitization, or AIT. The exact contribution of these factors to either the production of SIgA in secretions and monomeric IgA in serum remains unclear. Mucosal SIgA can prevent allergen absorption and promote allergen digestion via immune exclusion which prevents inflammatory responses towards the respective allergens. Moreover, mucosal SIgA can form aggregates with allergens in secretions that trigger pro-inflammatory signaling and effector functions via a FcαRI-dependent recruitment and activation of Src family kinases. In contrast, monomeric IgA in serum only results in an initial low-intensity activation of FcαRI by partial phosphorylation of FcRγ ITAM tyrosines. This promotes a transient recruitment of Syk followed by stable recruitment of SHP-1 to the FcRγ ITAM, the formation of intracellular “inhibisomes,” and the induction of anti-inflammatory responses. In addition, IgA can compete with IgE for allergen binding and thereby diminish IgE-mediated effector cell activationCC BY · PubMed Central

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Metadata

Authors
Scheurer, S., Junker, A.-C., He, C., Schülke, S., & Toda, M.
Venue
Current Allergy and Asthma Reports
Published
2023-08-23
Volume
23
Issue
10
Pages
589-600
ISSN
  • 1529-7322
  • 1534-6315
Cited by
33
References
3
Language
en
Funders
Paul-Ehrlich-Institut - Bundesinstitut für Impfstoffe und biomedizinische Arzneimittel

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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