STUDIES OF INDUCED RESPIRATORY POLLENOSIS IN THE DOG By ROBERT EARL FAITH, JR. A'DISSERTATION PRESENTED TO THE GRADUATE COUNCIL OF THE UNIVERSITY OF FLORIDA IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF PHILOSOPHY UNIVERSITY OF FLORIDA 1979 This dissertation is dedicated to Parker A. Small, Jr., who has exhibited the patience of a saint and to Carol, someone who has a very high regard for education. ACKNOWLEDGMENTS The author wishes to express his deep appreciation and thanks to Dr. Parker A. Small, Jr., and Dr. Jack R. Kessler, who guided him through¬ out the course of this investigation. Deep appreciation and thanks are also extended to Drs. R. B. Crandall, G. E. Gifford, E. M. Hoffman, R. H. Waldeman and H. J. Wittig for helpful and stimulating discussion throughout the inception and performance of this investigation. This investigation was supported by USPHS grants 5-F02-RR52193, AI-07713 and HL-13749-05. iii TABLE OF CONTENTS PAGE LIST OF TABLES v LIST OF FIGURES vi ABSTRACT x INTRODUCTION 1 MATERIALS AND METHODS 9 Animals 9 Allergens 9 Sensitizing Regimen 10 Pulmonary Function Evaluation 10 Methods of Challenge 11 Sample Collections 14 Prausnitz-Kustner Reactions 15 Antisera 15 Determination of Sage Pollen Extract Binding Activity 16 Quantitation of Rabbit Immunoglobulin 16 Fractionation of SPE 16 Electrophoretic Analysis of SPE 16 Determination of Protein Nitrogen Content of SPE 17 RESULTS 18 Response to Bronchial Challenge with Histamine 18 Induction of Sensitivity to Sage Pollen 18 Observations with Passive Antibody in Neonatal Animals 42 Partial Characterization of the Serum Mediator of Sensitivity. 47 Use of the Model System to Investigate the Role of Specific Passive Antibody in Bronchial Response 47 Use of the Model System to Investigate Regeneration Time of Skin Reactivity 64 Fractionation of the Allergen (SPE) 65 DISCUSSION 75 REFERENCES 88 BIOGRAPHICAL SKETCH 100 iv LIST OF TABLES TABLE I Page 34 RESULTS OF SKIN TESTS AND PK REACTIONS OBTAINED FOR NEONATAL DOGS SENSITIZED TO PRAIRIE SAGE POLLEN TABLE II Page 35 RESULTS OF SKIN TESTS, PK REACTIONS AND BRONCHIAL CHALLENGE OBTAINED IN ADULT DOGS SENSITIZED TO PRAIRIE SAGE POLLEN TABLE III Page 48 EFFECT OF ADSORPTION WITH ANTI-HUMAN IgE ON PK TITERS OF DOG ANTI-SPE SERUM TABLE IV Page 66 SKIN SENSITIVITY OF SENSITIZED DOGS TO SAGE POLLEN EXTRACT AND ANTI-IgE TABLE V Page 67 SKIN REACTIONS TO SAGE POLLEN EXTRACT AND ANTI-IgE IN DOGS WHOSE SKIN SITES HAVE BEEN PREVIOUSLY REACTED WITH EITHER SAGE POLLEN EXTRACT OR ANTI-IgE v LIST OF FIGURES Figure 1 Typical polygraph tracing from which physiologic data was obtained. Of the 5 parameters monitored, 3, tidal volume, peak expiratory flow rate, and respiratory rate may be read directly from the chart. Figure 2 Response of a normal dog to bronchial challenge with 1 mg hist¬ amine. A represents changes in parameters of respiratory function. O = respiratory resistance; O = tidal volume; A = dynamic compliance; A = peak expiratory flow rate; ■ = respiratory rate. B represents changes in arterial blood gases. © = pC02 and A = pÜ2 . Figure 3 Response of a normal dog to bronchial challenge with 1 mg hist¬ amine. A represents changes in parameters of respiratory func¬ tions. B represents changes in arterial blood gases. Symbols as in figure 2. Figure 4 Response of a normal dog to bronchial challenge with 50 mg hist¬ amine. A represents changes in parameters of respiratory func¬ tion. B represents changes in arterial blood gases. Symbols as in figure 2. Figure 5 Response of a normal dog to bronchial challenge with 50 mg hist¬ amine. A represents changes in parameters of respiratory func¬ tion. B represents changes in arterial blood gases. Symbols as in figure 2. Figure 6 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 1 mg hist¬ amine and the subsequent challenge with 3 mg histamine. A re¬ presents changes in parameters of respiratory function. B re¬ presents changes in arterial blood gases. Symbols as in figure 2. Figure 7 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 10 mg hist¬ amine and the subsequent challenge with 15 mg histamine. A re¬ presents changes in parameters of respiratory function. B repre¬ sents changes in arterial blood gases. Symbols as in figure 2. vi Page 13 Page 20 Page 22 Page 24 Page 26 Page 28 Page 30 Page 32 Figure 8 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 50 mg histamine and the subsequent challenges with 100, 50 and 20 mg histamine. A represents changes in parameters of respiratory functions. B represents changes in arterial blood gases. Symbols as in figure 2. Figure 9 Page 37 Response of 2 minimally responsive dogs to bronchial challenge with 4.75 mg protein nitrogen SPE. © = respiratory resistance; O = tidal volume; A = dynamic compliance; A = peak expiratory flow rate; and El = respiratory rate. Figure 10 Page 39 Response of 2 medially responsive dogs to bronchial challenge with 4.75 mg protein nitrogen SPE. Symbols as figure 9. Figure 11 Page 41 Response of a highly responsive dog to bronchial challenge with 4.75 mg protein nitrogen SPE. Symbols as in figure 9. Figure 12 Page 44 Correlation of bronchial sensitivity to SPE with skin sensi¬ tivity to SPE. © = individual animal and ★= mean bronchial response as a given skin sensitivity level. The overall trend was significant at the p<0.10 level. Figure 13 Page 46 Response of animal RW490 to bronchial challenge with 4.75 mg protein nitrogen SPE. © = respiratory resistance; O = tidal volume; □ = dynamic compliance; A = peak expiratory flow rate; and El = respiratory rate. Figure 14 Response of animal YW383 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A) and on day 14 (B) 2 hours after administration of approximately 590 mg of dog anti- SPE. Symbols as in figure 13. Resting pulmonary function values were: Ra Vt Cd PEFR 1.27 0.59 0.15 1.81 1.40 0.68 0.25 2.10 RR 5 7 Page 51 Figure 15 Page 53 Temporal design of experiment to investigate the effect of passive antibody on the bronchial response to inspired allergen. Figure 16 Response of animal G437 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A) and on day 14 (B) 2 hours after administration of approximately 430 mg of rabbit anti-SPE Page 55 (a 1:30 dilution bound 50% of labeled SPE). Symbols as in figure 13. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 0.51 0.30 0.62 0.97 8 B 0.43 0.43 0.48 1.06 10 Figure 17 Page 57 Response of animal G422 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B), 2 hours after administration of 65 ml (approximately 550 mg) of a solution of rabbit anti-SPE (a 1:30 dilution bound 50% of labeled SPE), day 28 (C), day 42 (D), and day 56 (E), 2 hours after admin¬ istration of 50 ml (approximately 475 mg) of a solution of dog anti-SPE (a 1:40 dilution bound 50% of labeled SPE). Symbols as in figure 13. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.54 0.49 0.15 1.60 13 B 1.16 0.37 0.19 1.48 20 C 1.59 0.57 0.24 1.46 8 D 1.42 0.33 0.14 1.09 18 E 1.64 0.42 0.29 0.73 14 Figure 18 Page 59 Response of animal YW383 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B), 2 hours after administration of 62 ml (approximately 530 mg) of a solution of rabbit anti-SPE (a 1:30 dilution bound 50% of labeled SPE), day 28 (C), day 42 (D), day 56 (E), 2 hours after administra¬ tion of 46 ml (approximately 430 mg) of a solution of dog anti- SPE (a 1:40 dilution bound 50% of labeled SPE) and day 176 (F). Symbols as in figure 13. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.03 0.45 0.18 1.96 8 B 0.72 0.60 0.26 2.02 24 C 1.19 0.45 0.40 1.58 8 D 1.07 0.52 0.25 1.72 9 E 1.18 0.67 0.24 1.15 12 F 1.49 0.46 0.22 0.96 12 Figure 19 Page 61 Response of animal RB396 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B), 2 hours after administration of 79 ml (approximately 670 mg) of a solution of rabbit anti-SPE (a 1:30 dilution bound 50% of labeled SPE), day 28 (C), day 42 (D), day 56 (E), 2 hours after administra¬ tion of 60 ml (approximately 570 mg) of a solution of dog anti- SPE (a 1:40 dilution bound 50% of labeled SPE) and day 176 (F). Symbols as in figure 13. viii Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.02 0.54 0.46 0.95 16 B 1.78 0.55 0.25 0.97 9 C 1.60 0.68 0.19 1.57 8 D 1.07 0.50 0.33 1.49 20 E 1.34 0.65 0.23 1.53 15 F 1.59 0.75 0.45 1.13 18 Figure 20 Page 63 Response of animal G433 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A) and day 14 (B), 2 hours after administration of 65 ml (approximately 600 mg) of a solution of normal rabbit IgG. Symbols as in figure 13. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 0.65 0.54 0.29 1.37 5 B 1.70 0.40 0.18 1.30 26 Figure 21 Page 70 Elution profile of sage pollen extract chromatographed on DEAE-cellulose. After the initial pass-through peak was eluted with the equilibiating buffer (0.015 M tris) the column was eluted with a linear gradient (the starting buffer was 0.015 M tris the elution buffer was 0.4M Nacl in 0.015 M tris). Figure 22 Page 72 Disc electrophoresis patterns of whole sage pollen extract and fractions of SPE eluted from DEAE-cellulose. A whole sage pollen extract, B first peak off DEAE, C second peak off DEAE, D ascending first h, of third peak off DEAE, E ascending second \ of third peak off DEAE, F descending third \ of third peak off DEAE, H trough between third and fourth peaks off DEAE, and I fourth peak off DEAE. Figure 23 Page 74 Elution profile of sage pollen extract chromatographed on Sephedex G-25. xx Abstract of Dissertation Presented to the Graduate Council of the University of Florida in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy STUDIES OF INDUCED RESPIRATORY POLLENOSIS IN THE DOG By Robert Earl Faith, Jr. June, 1979 Chairman: Parker A. Small, Jr., M. D. Major Department: Immunology and Medical Microbiology This investigation resulted in the development of an animal model for the study of respiratory allergic phenomena. A technique for inducing hypersensitivity to prairie sage pollen (Artemisis gnopheles) in the dog was developed. The allergen induced skin reactivity in most dogs and respiratory hypersensitivity in 7 of the 17 animals tested. As skin sensitivity increased bronchial sensitivity tended to increase also. The respiratory hypersensitivity resembled naturally occurring respiratory allergies in both man and dog. The route of allergy induc¬ tion resembles the natural route and it is felt that this system pro¬ vides a useful model for the study of respiratory allergies. This model system was used to investigate several aspects of al¬ lergic phenomena. Animals in which respiratory hypersensitivity was induced were used to investigate the role of passive "blocking" anti¬ body in respiratory allergy. It was observed that passive antibody will greatly inhibit the respiratory response to inspired allergen while x completely inhibiting the cutaneous response. The time required for regeneration of reactivity in skin sites initially reacted with sage pollen extract of anti-IgE was investigated by hypersensitive dogs. It was observed that the time required for regeneration of target organ reactivity was dependent upon the initial degree of sensitivity of the animal. Initial, partial characterization of this allergen system was per¬ formed. The allergen was found to be divisable into four populations by anion exchange chromatography or by molecular seive chromatography. Analytical polyacrylamide gel electrophoresis revealed the allergen to be composed of at least nine components. The allergen system was found to be not greatly different from other pollen allergen systems which have been described. xi INTRODUCTION Respiratory allergies constitute a significant health problem affect¬ ing a large portion of the population (1,2). Of the respiratory aller¬ gies, asthma is perhaps the most compromising. It is estimated that active asthma afflicts approximately 4% of the American population and another 3% have had it previously (3). Although the annual mortality from asthma is relatively small (about 4000 deaths/year) the disease accounts for 5% of all chronic disabilities. Asthma places a large burden on our health care system. Statistics for the year 1967 (3) illustrate the extent of this burden. In 1967 there were 1,078,000 days of hospital care for asthmatics at a cost of $83 million and there were 10,181,000 physician visits at a cost of $81 million. The total direct cost of asthma in 1967 was $243 million. In addition to the direct effects of asthma, the disease resulted in 17.5 thousand man years lost from work and house keeping in 1967. The total cost, direct plus indirect, came to a staggering $515 million. Allergic phenomena have been investigated extensively both in man and in various animal species, and while there have been a number of animal models of immediate hypersensitivity described, ranging from mice to monkeys, no ideal model system has yet been described. The most popular species for the study of allergic phenomena appear to be the mouse, the rat, the guinea pig, the rabbit, non-human primates and the dog. In many respects mice serve nicely as biologic models. They are 1 2 small and relatively inexpensive to obtain and keep. In addition, inbred strains allow for the study of large genetically uniform pop¬ ulations. The immune system of the mouse is perhaps more fully studied and better understood than that of any other animal. Given these facts, it would appear that the mouse would lend itself to the study of al¬ lergic disease. Indeed, there have been a number of studies of immediate hypersensi¬ tivity responses carried out in mice and mice have been shown to possess an IgE-like homocytotropic antibody (4,5) as well as the 7S y skin l fixing antibody known for some time (4-9) . The discovery of mouse IgE enhances the usefulness of mice in the studies of allergic disease. However, there are several disadvantages in the mouse model system when applied to respiratory allergies. Many of the studies on immediate hypersensitivity in the mouse have involved antigens other than natural allergens administered by parenteral routes (not the natural route of sensitization in respiratory allergy), and the technology does not pre¬ sently exist to follow parameters of respiratory function following bronchial challenge in the mouse. Even considering these drawbacks, several recent studies have shown the usefulness of the mouse in study¬ ing certain facets of respiratory allergic disease. It has recently been shown that mice can be sensitized to natural aeroallergens by the parenteral route (10) and can be sensitized by the respiratory route both to protein antigens (11) and pollen allergens (12). Perhaps the most interesting of these studies is that of Chang and Gottshall (12) who induced systemic sensitivity to ragweed pollen by injecting mice with pertussis vaccine or infecting mice with live pertussis organisms followed by a series of aerosol treatments with ragweed pollen. One 3 of these aerosol treatments consisted of simply housing mice in an environment naturally contaminated with ragweed pollen. Several other recent studies indicate two areas where mice could be very useful in the study of respiratory allergies. The first of these two areas involves specific inhibition or suppression of the formation of re- aginic antibodies to specific allergens. Several recent studies have shown promise in this area (13-19). Secondly, mice seem especially well suited for use in studying the genetics of allergic disease (20,21). Rats have been used in some laboratories in recent years to study immediate hypersensitivity phenomena. The rat offers many of the same advantages as the mouse as a biomedical model. The main differences are that the rat is larger than the mouse, there are not as many inbred strains of rats as mice and the immune system of the rat is not as thourghly investigated as is that of the mouse. In recent studies rats have been shown to be able to mount immediate hypersensitive responses to a number of antigens (including natural allergens) and the mediating class of antibody has been shown to resemble IgE (22-24). In addition Von Hout and Johnson (25) induced homocytotropic antibodies in rats by aerosol exposure to bovine serum albumin (BSA) in conjunction with i.p. injection of Bordetella pertussis vaccine. Not only may the rat be sensitized by the respiratory route but the technology now exists to measure parameters of respiratory physiology following antigen challenge in the rat (25-38). These studies have employed intravenous challenge but it should not be too difficult to devise a method of bronchial challenge. To date, the rat has lent itself primarily to the study of three areas of allergic disease. These 4 are the effect of pharmacologic agents on the allergic response (26), the induction of tolerance or the suppression of the IgE antibody response to specific antigens (29-32) and studies on the genetic control of reagin synthesis (33). The guinea pig was perhaps the first animal model to be used to study respiratory hypersensitivity, being used for this purpose as early as 1917 (34). In early experiments it was shown that guinea pigs could be sensitized by the inhalation of allergens such as horse dander and pollen (34-36). Ratner (35) showed the induction of asthma-like reactions in guinea pigs by inhalation of dry pollen. More recently Popa, Douglas and Bouhuys (37) have shown positive respiratory responses in guinea pigs sensitized to egg albumin. Other studies have shown that guinea pigs may be sensitized to various protein antigens and nematode parasite antigens (38-41). The mediating antibody class in the guinea pig has been shown to be IgE (40,41) . The guinea pig model has been utilized to study several aspects of respiratory hypersensitivity including antigen localization in the respiratory tract (39), the effect of pharmacologic agents on the respiratory response (37,41,42) and specific and non-specific passive desensitization (43-45) . The rabbit, long popular for immunological studies, has been utilized to investigate several aspects of immediate hypersensitivity phenomena. Rabbits have been shown to produce reaginic antibody in response to in¬ jection with a number of proteins and hapten-protein conjugates (46-49) . This antibody has been shown to belong to the IgE class of immunoglobulin (46-49). In addition, it has been shown that rabbits will produce reaginic antibody in response to nasal instillation of pollen (50) . The rabbit model system has been utilized to investigate the ontogeny of the reaginic 5 response (51) and the suppression of reagin synthesis by passively administered specific antibody (52). Non-human primates have a relatively close phylogenetic relation¬ ship to man and therefore are popular models for the study of many bio¬ medical phenomena, including allergic responses. Non-human primates have been shown to produce reaginic antibodies in response to both naturally occurring and induced parasite infestations (2,3,53-55). In addition, monkeys have been shown to produce reaginic antibodies as a response to injection with hapten-protein conjugates (56) and pollen extracts (57). The reaginic antibody produced in monkeys has been shown to be of the IgE class (57-59), and so closely resembles human IgE that it is antigenically cross-reactive with human IgE (57,59). Non-human primates have lent themselves to the study of several aspects of respiratory allergic disease. Monkeys actively sensitive to parasite allergens will respond with a positive bronchial response when challenged with aerosols of these antigens (53,55,60) thus provid¬ ing a model for the study of the respiratory response. Studies have also shown that monkeys may be sensitized for cutaneous, systemic or respiratory responses by passive administration of either monkey or human serum from sensitive individuals (2,55,61,62). This allows for a model system, that in some respects, is more easily obtainable than animals actively sensitized to parasites. In addition, when serum from pollen sensitive humans is utilized to sensitize monkeys^ the antigenic system is that normally found in human respiratory allergic disease. These model systems have been utilized to study the effect of pharmaco¬ logic agents on the allergic response (55), the changes in arterial oxygen tension as a result of respiratory response (61,63) and the 6 bronchial cellular exudate following respiratory response (53). The dog has been utilized extensively to investigate allergic phenomena. Perhaps the most important single factor leading to the popularity of the dog for these types of studies is the fact that naturally occurring allergies in dogs are well documented (58,64-70) and the fact that the dog is the only animal other than man in which atopic disease is known to occur due to aeroallergens (55) . Based on cutaneous hypersensitivity testing dogs have been shown to have naturally occurring sensitivities to a wide variety of allergens including pollens, danders, feathers, house dust and insect allergens (71,72). Clinical allergic disease has been reported in dogs caused by food allergens (58,66), parasitic allergens (55,64,73) and pollen allergens (2,55,65,67-70,74-76). The pollen which most commonly is reported to cause allergic disease in dogs is that of ragweed (2,55,65,70,74,75,77). Naturally occurring pollenosis in the dog has been extensively studied and resembles pollenosis in man (2,65,74,78-80). The serum mediator of the allergic reaction in the dog has been shown to be IgE as it is in man (2,80-84). Clinically pollenosis in the dog usually manifests itself as intensely pruritic dermatitis, conjunctivitis or rhinitis. The animal may have one or any combination of these symptoms. More rarely dogs may have pollen allergies which result in asthma. In addition, dogs which have naturally occurring allergic disease, which does not include asthma, may be induced to have asthmatic symptoms by aerosol challenge with sufficient quantities of the offending allergen, be it pollen (2,55,65) or parasite extract (77). Naturally occurring allergic disease in the dog offers a model system which has been utilized to investigate various aspects of the 7 symptom complex. One factor that has facilitated the use of naturally sensitive dogs is the ability to passively transfer sensitivity from naturally sensitive dogs to non-sensitive dogs (2,61,64,74,78). This model systems (naturally sensitive dogs or passively sensitized dogs) has been utilized to investigate the physiology of the allergic re¬ sponse (cutaneous, systemic and respiratory) (2,55,61,64,65,73,74,77, 85), the effect of pharmacologic agents on the allergic response (55,65), changes ir arterial oxygen tension as a result of allergic responses (63) and the clinical management of the disease state (68,70). In addition to naturally allergic dogs, another source of dogs with immediate hypersensitivity exists. A number of studies have been carried out which show that dogs may be induced to produce reaginic antibody by the injection of various antigens including proteins (86, 87), hapten-protein conjugates (84,86,88) and pollen allergsrs (89-92). It has also been shown that atopic dogs can be sensitized to a hapten by aerosol exposure.to a hapten-pollen conjugate (93). The reaginic antibody induced in these studies resembles that occurring in natural allergies, has been shown to be IgE (84,86,87,89,91,93) and can be passively transferred to normal dogs (84,86,87,89,93). Challenge studies in the induced hypersensitive dog have had mixed results. Systemic (i.v.) and respiratory challenge resulted in negative responses in the studies of Arkins et al. (89) and Sunthonpalin ejt _al. (91). Dhali- wal et al. obtained positive systemic responses in dogs with induced sen¬ sitivity to ragweed pollen following i.v. challenge with ragweed pollen extract (92) . Finally, Kepron ej: al. (88) produced positive respiratory responses following bronchoprovocation in dogs with induced sensitivity to 2,4-dinitrobenzene. This model system of induced hypersensitivity 8 has been utilized to study the ontogeny of the allergic immune response (88). The animal is not the only important part of the model system. It was also necessary to give careful consideration to the allergen to be used in the system. In studying reaginic responses in various animal species a number of antigens have been utilized including proteins such as BSA and haptens such as DNP. A limited number of studies have emp¬ loyed naturally occurring allergens. It was felt that in developing a model system, which would simulate naturally occurring allergies, a natural allergen should be employed. The allergen chosen for these studies was the pollen of prairie sage (sage pollen). This pollen was chosen because it is strongly antigenic (94) and natural sensitivity to it in the dog has been demonstrated (70). These studies report the development of a model system in which the induction of skin and bronchial sensitivity to pollen was accomplished. This model system was utilized to study the role of "blocking" antibody in respiratory allergies and it was found that passively administered antibody suppressed the respiratory response to allergen challenge. The allergen system used was partially characterized and was found to pos¬ sibly be somewhat more restricted in its component makeup than other pollen systems which have been studied. MATERIALS AND METHODS Animals Neonatal (10 days to 6 weeks old at the initiation of study) and adult mongrel dogs were purchased from, and housed by, the Health Center Animal Research Department of the University of Florida, Gainesville, Florida. All of the adult dogs utilized in this study were skin tested with prairie sage pollen extract before being placed in the study. Only skin test negative animals were used. Approximately 70% of the animals tested were skin test negative. Allergens The pollen of prairie sage (Artemisia gnopheles), referred to hence¬ forth as sage pollen, was chosen for these studies because it is strong¬ ly antigenic (94) and is responsible for naturally occurring sensitivity in dogs (70) . Pollen was purchased initially from International Biologies Inc., Bethany, Oklahoma. The final respiratory challenge was carried out using pollen from Greer Laboratories, Inc., Lenoir, North Carolina. The latter product appeared more homogeneous than the former when examined microscopically. Pollen suspension used in sensitizing treat¬ ments was made immediately prior to use. This was done to avoid extrac¬ tion of water soluble components from the pollen. For the majority of experiments, pollen extract was produced by extracting pollen with phosphate buffered saline (PBS). In initial studies, pollen was extracted by the method of Coca (95) as described by Phillips (96). Before use in bronchial challenge this extract was 9 10 dialyzed extensively against PBS to remove phenol. Sensitizing Regimen The animals were sensitized as shown in Table I and II with sage pollen in the following manner. Both adult and neonatal animals were divided as follows: 5 adults and 3 neonates received no treatment: 5 i o adults and 5 neonates received 1.3 x 10 Bordetella pertussis organisms/ treatment subcutaneously (SC) twice weekly for 3 weeks, 3 adults and 4 neonates received pollen suspended in normal saline intranasaly (0.1 to i o 0.4 mg pollen/treatment/animal) and 1$. pertussis (1.3 x 10 organisms/ treatment/animal) SC twice weekly for 3 weeks; and 15 adults and 4 neonates received pollen suspended in normal saline intranasaly (0.1 to 0.4 mg pollen/treatment/animal_ twice weekly for 3 weeks. Pulmonary Function Evaluation Resistance of the respiratory airways, dynamic compliance of the lungs, tidal volume and peak expiratory flow rates were the parameters used to evaluate pulmonary functions. The dogs were anesthesized with sodium pentobarbital (Burns-Biotec Laboratories, Inc., Oakland, CA), intubated and placed in ventral recum- bancy after which an esophagel balloon catheter was positioned at a point where the pressure was the most negative. The following parameters were monitored on a polygraph recorder (Brush Accuchart, Gould, Inc., Cleve¬ land, OH): 1) air flow at the end of the tracheal tube with a Fleisch pneumotachograph and a differential pressure transducer (Stalham PM 285TC); 2) tidal volume by integration of the respiratory flow rates; and 3) trans-airway pressure (difference between esophagel and tracheal tube pressure) with a differential pressure transducer. Respiratory resistance was calculated according to the method of 11 Aiudur and Mead (97) in which the trans-airway pressure differences (P) at isovolume points (approximately mid volume) during inspiration and expiration is divided by the sum of the air flow at these two points (figure 1): Resistance = P3 - P4 cm H20 Vi + V2 L/sec Dynamic compliance was calculated by dividing the difference in volume between the 2 points where air flow was zero by the difference in pressure at these points (figure 1): Compliance = V2 - Vi L P2 - Pi cm H20 Respiratory function was evaluated prior to bronchial challenge and at 5 to 10 minute intervals, for up to approximately 30 minutes follow¬ ing challenge. Values for respiratory resistance, dynamic compliance, tidal volume and peak expiratory flow rates were determined by averag¬ ing calculations made from 15 consecutive respiratory cycles during each evaluation period. The animals lungs were hyperinflated prior to each evaluation period in order to prevent atelectasis and maintain a base¬ line . Respiratory resistance was the parameter utilized to determine whether or not an animal was sensitive. An increase in respiratory resistance greater than 35% was arbitrarily taken to indicate a posi¬ tive bronchial response. Respiratory resistance never increased more than 8% when normal dogs were challenged with SPE. Methods of Challenge One week after the last sensitizing treatment the animals were Typical polygraph tracing from which physiologic data was obtained. Of the 5 parameters monitored, 3, tidal volume, peak expiratory flow rate, and respiratory rate may be read directly from the chart. Figure 1 tested for skin reactivity with varying dilutions of SPE. The animals were bronchially challenged within 2 weeks after the last sensitizing treatment. Skin tests were performed by injection of 0.1 ml of varying dilutions (950, 95, 9.5 and 0.95 yg protein nitrogen/ml) of SPE intradermally followed by 1.5 ml of a 1% solution of Evans blue i.v. Skin sites were observed for blueing at 15 and 30 minutes post-injection. Any skin sites showing a blueing reaction with a diameter greater than 5mm was scored as a positive reaction. Bronchial challenge was accomplished by delivering 1 ml of challenge material over a 5 minute period through a Bird micro-nebulizer connected to the endotracheal tube and driven by a Bird Mark VIII respirator actuated by a pressurized gas mixture of 5% CO2, 20% O2 and 75% N2. Peak inspiratory pressure during nebulization was 25cm H2O and the rate was approximately 30 breaths/minute. The respirator and nebulizer were removed before recording of physiologic parameters. The animals were initially challenged with PBS as a control, followed by challenge with varying concentrations of histamine (Histamine Hcl, Fisher Scientific Co., Pittsburgh, PA) or approximately 4.75 mg protein nitrogen of SPE. Sample Collections Blood samples for serum harvest were collected by femoral veni¬ puncture immediately prior to skin testing. Arterial blood samples, for blood gas determinations, were collected anaerobically via an intracath inserted percutaneously into the femoral artery. Arterial blood PO2, and PCO2 and pH were determined with a blood gas analyzer (model 113 Blood Gas Analyzer, Instrumentation Laboratory, Inc., Lexington, MA). 15 Nasal wash samples were collected by washing the nasal passage with approximately 30 ml of normal saline. These samples were concentrated 10X by vacuum dialysis. Both serum and nasal wash samples were stored at -20°C until used. Prausnitz-Kustner Reactions Prausnitz-Kustner reactions (P.K. reactions) were performed in the skin of normal dogs using undiluted serum and concentrated (10X) nasal wash fluid. These reactions were run in duplicate in 2 normal dogs (i.e 4 skin reactions/sample). The hair was clipped from the ventrolateral skin and 0.1 ml of the sample to be tested was injected intradermally into skin sites. Forty-eight hours later (78) these skin sites were challenged with 0.1 ml of a solution of SPE containing 95 yg protein nitrogen/ml followed by 1.5 ml of a 1% solution of Evans blue i.v. Challenged sites were read at 15 and 30 minutes post injection. Sites showing blueing at a diameter greater than 5mm were scored as positive. Antisera Equine antiserum to human epsilon chain (anti-IgE) was purchased from Kallestad Laboratories, Inc., Chaska, MN. This antisera cross reacts with canine IgE as shown by producing skin reactions in normal dogs at dilutions as high as 1:2048 and as reported by Halliwell, Swartz man and Rockey (81). Antisera to sage pollen extract was produced both in rabbits and dogs. Rabbit antisera were induced by injecting rabbits in multiple subcutaneous sites with approximately 1 mg protein nitrogen of SPE emulsified in complete Freund's adjuvant. These animals were boosted at monthly intervals with the same antigen preparation. Canine antisera were produced by injecting adult mongrel dogs in multiple subcutaneous sites with approximately 2 mg protein nitrogen of SPE 16 emulsified in incomplete Freund's adjuvant. These animals were boosted with the same antigen at approximately 14 day intervals. Determination of Sage Pollen Extract Binding Activity The antibody activity in the rabbit and dog anti-SPE was determined 125 125 by the technique of Lidd and Farr (98) using I-labeled SPE. I-SPE was obtained by trace labeling SPE by the chloramine T method as des- 1 2 5 cribed by McConahey and Dixon (99) with carrier-free I (New England Nuclear, Boston, MA). Quantitation of Rabbit Immunoglobulin Rabbit IgG was measured using radial-immunodiffusion as described by Mancini, Carbonora and Heremans (100) utilizing goat anti-rabbit IgG purchased from Microbiological Associates, Bethesda, MD. Fractionation of SPE SPE was fractionated by anion exchange chromatography using DEAE (diethylamionethyl) cellulose (Whatman DE 32, H. Reeve Angel Inc., Clifton, NJ) columns and by molecular seive chromatography utilizing Sephedex-G25 (Pharmacia Fine Chemicals Inc., Piscataway, NJ) columns. DEAE-cellulose chromatography was performed utilizing columns equili¬ brated with 0.015 molar Tris, pH 8.2. These columns were eluted with a linear sodium chloride gradient. Molecular seive chromatography was performed in downward flow columns equilibrated with 0.15 molar sodium chlorida, 0.015 molar Tris, pH 7.4. Electrophoretic Analysis of SPE Analytical disc electrophoresis was performed on whole SPE and DEAE-cellulose chromatographic fractions of SPE. Electrophoresis was carried out on 15% polyacrylamide gels in the presence of 0.1% Triton X-100 (101). 17 Determination of Protein Nitrogen Content of SPE The protein of SPE was determined by the Nessler technique using commercial Kessler's reagent (Fisher Scientific Co., Pittsburgh, Pa). RESULTS Response to Bronchial Challenge with Histamine In order to gain insight into the bronchial sensitivity of dogs to histamine, to determine the approximate changes in respiratory functions required to produce changes in arterial blood gases and to evaluate the bronchial challenge monitoring system, normal dogs were bronchially challenged with varying concentrations of histamine. Figures 2 and 3 depict the respiratory response of 2 normal dogs to bronchial challenge with 1 mg histamine. Both animals responded to this challenge with increases in respiratory resistance (100% and 150% respectively) and decreases in dynamic compliance. These changes were accompanied by decreases in arterial PO2 and increases in arterial PCO2. Figures 4 and 5 illustrate the responses of 2 normal dogs to bron¬ chial challenge with 50 mg histamine. This challenge resulted in severe changes in all respiratory functions measured as well as a pronounced decrease in arterial PO2 and increase in PCO2. While the changes in respiratory function were pronounced they were, with the exception of dynamic compliance, only about 15 minutes in duration. In addition to a single bronchial challenge with histamine, 3 normal dogs were challenged with multiple challenges of histamine (figures 6-8). When these multiple challenges were performed the res¬ piratory response was prolonged and pronounced. 18 Figure 2 Response of a normal dog to bronchial challenge with 1 mg hist amine. A represents changes in parameters of respiratory function. •= respiratory resistance; 0= tidal volume; A = namic compliance; A= peak expiratory flow rate; Q = respira tory rate. B represents changes in arterial blood gases. Q pCÜ2 and ▲ =p02. % Change in respiratory functions I __ O-^jcnrb i>o ui -si o OaiOcnouiOuiO 03 Figure 3 Response of a normal dog to bronchial challenge with 1 mg hist amine. A represents changes in parameters of respiratory func tion. © = respiratory resistance; O = tidal volume; A = dynamic compliance; A = peak expiratory flow rate; £3 = res¬ piratory rate. B represents changes in arterial blood gases. © = pCÜ2 and A = pC>2. o o % Change in respiratory functions Ñ cji i\> k> ui ~sj 6 F3 üi uiOoiOoiOüiOaiO Respiratory rate % Change in arterial blood gases ZZ Figure 4 Response of a normal dog to bronchial challenge with 50 mg hist¬ amine. A represents changes in parameters of respiratory func¬ tion. O = respiratory resistance; O = tidal volume; A = dy¬ namic compliance; ▲ = peak expiratory flow rate; Q = res¬ piratory rate. B represents changes in arterial blood gases. Q = pCÜ2 and ▲ = pÜ2. % Change in respiratory functions o Respiratory rate ZT a n Figure 5 Response of a normal dog to bronchial challenge with 50 mg hist¬ amine. A represents changes in parameters of respiratory func¬ tion. ©= respiratory resistance; 0= tidal volume; A = dynamic compliance; A = peak expiratory flow rate; O = res¬ piratory rate. B represents changes in arterial blood gases. 9 = pCÜ2 and A = p02. % Change in respiratory functions 9Z Figure 6 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 1 mg hist¬ amine and the subsequent challenge with 3 mg histamine. A re¬ presents changes in parameters of respiratory function. Q = respiratory resistance; O = tidal volume; A = dynamic comp¬ liance; A = peak expiratory flow rate; £2 = respiratory rate. B represents changes in arterial blood gases. © = pC02 and A = p02 . Post Bronchial Challenge (min.) % Change in respiratory function j- - - ro i\) o oí ai o 01 o ai SZ Figure 7 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 10 mg histamine and the subsequent challenge with 15 mg histamine. A represents changes in parameters of respiratory function. © = respiratory resistance; O = tidal volume; A = dynamic compliance; A = peak expiratory flow rate; Si = respiratory rate. B represents changes in arterial blood gases. O = pCÜ2 and A = pÜ2. Post Bronchial Challenge(min) o O % Change in respiratory functions ■Nl W N ui O U1 o ro O O o o 05 o o 03 o o o o o - m w oi m o o O o o o Respiratory rate 0£ Figure 8 Response of a normal dog to multiple bronchial challenge with histamine. The initial challenge was performed with 50 mg histamine and the subsequent challenges with 100, 50 and 20 mg histamine. A represents changes in parameters of respiratory functions. 9 = respiratory resistance; O = tidal volume; A = dynamic compliance; ▲ = peak expiratory flow rate; □ = respiratory rate. B represents changes in arterial blood gases. @ = pCÜ2 and A= p02. % Change in respiratory functions ZZ Induction of Sensitivity to Sage Pollen The initial goal of these studies was to produce pollen hypersensi¬ tivity in dogs by a natural route. Preliminary uncontrolled studies showed that 5 out of 8 neonates and 19 out of 21 adult dogs converted from negative to positive skin tests following intranasal pollen instillation twice weekly for 3 weeks. An additional group of animals received Bordetella pertussis at the same time as the intranasal pollen and 14 out of 25 neonates and 16 out of 19 adult dogs converted from negative to positive skin tests. These results were sufficiently encouraging to be followed by controlled experiments. Table I shows the results obtained in neonatal animals. All 8 of the animals given pollen became positive to skin test, while none of the control animals became positive. All but 1 of skin test posi¬ tive animals had PK positive serum. This animal (367) was only weakly positive to skin test. Nasal wash PK's were uniformly negative in contrast to the observation of Patterson, jet al. (77) in dogs sensitive to ascaris but in agreement with their observations in ragweed sensitive dogs (77). Table II shows results obtained with adult dogs. As can be seen, the majority of animals that underwent sensitizing treatment became sensitive to SPE when measured by skin reactivity or serum PK positivity. Again, all concentrated nasal wash samples were negative in transferring skin reactivity. In addition to inducing skin and serum PK positivity the sensitizing treatments resulted in bronchial sensitivity in 7 of the 13 animals positive by skin and PK tests. This bronchial sensi¬ tivity ranged from a minimal sensitivity to a fairly high degree of sensitivity. Figures 9-11 illustrate dogs with varying degrees of bronchial sensitivity. 34 TA3LE I RESULTS OF SKIN TESTS AND ?K REACTIONS OBTAINED FOR NEONATAL DOGS SENSITIZED TO PRAIRIE SAGE POLLEN Animal Treatment Skin PK PK Number Test Serum Nasal Nash 363 None a neg. b neg. neg. 365 neg. neg. neg. 366 neg. neg. neg. 318 Bordetella oertussis neg. neg. neg. 321 Sub Q neg. neg. neg. 322 neg. neg. neg. 323 neg. neg. neg. 326 neg. neg. neg. 317 Pollen Suspension pos. pos. neg. 320 Intranasaiy plus pos. pos. neg. 324 B. oertussis Sub Q pos. pos. neg. 327 pos. pos. neg. 364 Pollen Suspension pos. pos. neg. 367 Intranasaiy pos. neg. neg. 363 pos. pos. neg. 369 pos. pos. neg. a.) Any challenged site showing less chan 5 mm diameter blueing at 15 and 30 minutes post challenge was scored as negative, sices showing blueing 5 mm or larger in diameter were scored as positive. b.) Any ?K site showing less than 5mm diameter blueing at 15 and 30 minutes post challenge was scored as negative, sites showing blueing 5 mm or larger in diameter were scored as positive. 35 TASLZ II RESULTS OF SKIN TESTS, PK REACTIONS, AND BRONCHIAL CEALLENG OBTAINED IN ADULT DOGS SENSITIZED TO PRAIRIE SAGE POLLEN Animal Skin Skicb PK PR Bronchial Number Test Test Serum S.W.C Cnallenge W3113 d neg. None neg. e neg. neg. neg. YW3103 neg. neg. neg. neg. neg. R32 neg. neg. c neg. neg. neg. YW399 neg. 95 Ug1- neg. neg. neg. YW3S3 neg. neg. neg. neg. W3128 neg. Bordetella pertussis 9.5ug neg. neg. neg. TW393 neg. Sub Q neg. r.eg. neg. neg. YW381 neg. neg. r.eg. neg. neg. RB341 neg. neg. neg. neg. neg. YW3119 neg. neg. neg. r.eg. neg. GU316 neg. Pollen Suspension 9.5 Ug DOS. neg. neg. YW325 neg. Intranasaly plus 9.5ug pos. aeg. 54 RB311 neg. B. pertussis Sub Q neg. neg. neg. neg. YV323 neg. Pollen Suspension 0.95ug pos. neg. 433 YW3104 neg. Intranasaly 0.95Ug neg. neg. neg. GW311 neg. 95Ug neg. neg. neg. YW383 neg. 0.9 5 Ug pos. ae3. 108 G437 neg. 0.95ug pos. N.D."' 47 G433 neg. 0.95ug pos. N.D. 133 G428 neg. neg. neg. N.D. N.D. G422 neg. 0.95ug pos. N.D. 52 G427 neg. . 0.95US pos. N.D. neg. RB39S 0.095Ug 0.095Ug pos. N.D. 94 C429 neg. 0.95Ug pos. N.D. neg. RB2115 neg. 95Wg neg. N.D. neg. BH326 9 .Sug1 0,95ug pos. N.D. neg. G431 neg. 0.95ug pos. N.D. neg. G424 r.eg. 0.95ug pos. N.D. neg. a. Skin test results prior to animal being placed on stud'/. b. Skin test results post sensitizing treatment. c. Results or PK reactions with nasal wash sanóles. d. Percent increase in respiratory resistance following bronchial challenge. e. Any challenged sice showing less than 5 era diacecer blueing at 15 and 30 ninutes post challenge was scored as negative. f. Any ?K site showing less than 5 zm diameter blueing at 15 and 3C minutas post challenge was scored as negative, sites showing blueing 5 m or larger in diameter were scored as positive. g. Lowest concentration in ug protein nitrogen/skin test of 3?E giving positive skin test. h. M.D. indicates not done. i. Positive skin tests in this column were obtained in animals which were sensitized as reonates and included here in an effort to obtain bronchiaily positive animals. Response of 2 minimally responsive dogs to bronchial challenge with 4.75 mg protein nitrogen SPE. Q = respiratory resistance; O = tidal volume; A = dynamic compliance; A. = peak expira¬ tory flow rate; and Q = respiratory rate. Figure 9 % change in respiratory function LZ Figure 10 Response of 2 medially responsive dogs to bronchial challenge with 4.75 mg protein nitrogen SPE. © = respiratory resistance; O = tidal volume; A = dynamic compliance; A = peak expira¬ tory flow rate; and S3 = respiratory rate. o Respiratory rate(breaths/min.) Response of a highly responsive dog to bronchial challenge with 4.75 mg protein nitrogen SPE. © = respiratory resistance; 0= tidal volume; A = dynamic compliance; A = peak expiratory flow rate; and El = respiratory rate. Figure 11 Minutes post bronchial challenge % change in respiratory functions j- , — ro o cn o o 300H 42 One interesting observation made here was the correlation between skin sensitivity and bronchial sensitivity (figure 12). As the degree of skin sensitivity increased the probability of bronchial sensitivity also increased. This trend was significant at the p<0.1 level. Observations with Passive Antibody in Neonatal Animals Six neonatal animals were used to investigate the possible effect of antibody on sensitization. These animals were divided into 2 groups of 3 each. One group was given the regular sensitizing treatment while the other group was given passive canine aniti-SPE antibody (1 dose weekly for 3 weeks, at a level calculated to give the animals a serum titer capable of binding 50% of a labeled antigen with undilute serum, 1 ml of serum could bind approximately 100 yg SPE) in addition to the regular sensitizing treatment. One week after the last sensitizing treatment the animals were skin tested. At this time only 1 animal from each group was found to be skin test positive. Approximately 3 months later the animals were again subjected to a sensitizing regimen with pollen. This time the passive antibody was omitted. At the end of the sensitizing regimen the animals were rested for 1 month and then bronchially challenged. The animal which initially had been skin test positive after being given passive antibody and pollen was extremely sensitive to bronchial challenge as can be seen in figure 13. When challenged at this time this animal underwent extreme respira¬ tory distress. It exhibited extremely rapid and labored breathing. The animal was treated with epinephrine intravenously and isoproteranol by nebulization and was maintained on a respirator for several hours. Had this treatment not been performed the animal would almost certainly have died as a result of bronchial challenge. Correlation of bronchial sensitivity to SPE with skin sensi¬ tivity to SPE. O = individual animal and ★ = mean bronchial response at a given skin sensitivity level. The overall trend was significant at the p<0.10 level. Figure 12 % Increase In Respiratory Resistance Following Bronchial Challenge c/> O § IS e Figure 13 Response of animal RW490 to bronchial challenge with 4.75 mg protein nitrogen SPE. © = respiratory resis¬ tance; O = tidal volume; □ = dynamic compliance; ▲ = peak expiratory flow rate; and £1 = respiratory rate. % change in respiratory functions O' 47 This animal was allowed to rest (no further treatment given) for approximately 10 months. At the end of this time the animal was bron- chially challenged and found to be negative to this challenge. Ap¬ proximately 5 months later it was resensitized by nasal instillation of pollen suspension twice weekly for 3 weeks. Approximately 6 weeks later this animal was bronchially challenged and found to be positive to about the same extent as it had been previously. Partial Characterization of the Serum Mediator of Sensitivity Serum samples with positive PK activity were treated in several ways to partially characterize the mediator of these reactions. Treat¬ ment of these serum samples with 2-mercaptoethanol or heating at 56°C for 4 hours abolished PK activity. In addition, passage of positive PK serum samples through immunoadsorbent columns (equine anti-human IgE linked to polyacrylamide beads) greatly reduced the PK titer of these sera (Table III). Use of the Model System to Investigate the Role of Specific Passive Antibody in Bronchial Response Once having obtained animals positive to bronchial challenge it was possible to investigate what role specific serum antibody against the inciting agent might play. Initially 1 animal positive to bronchial challenge (YW383) was given i.v. 62 ml of a solution containing ap¬ proximately 10 mg/ml protein derived from 75 ml of anti-SPE dog serum as a 33% ammonium sulfate fraction. A 1:30 dilution of this solution bound 50% of labelled antigen and the amount given to the animal was calculated to give the animal a serum allergen binding capacity of 50% with undilute serum. Fourteen days after the previous challenge and 2 hours after administration of passive antibody the animal was TABLE III 48 EFFECT OF ADSORPTION WITH ANTI-HUMAN IgE ON ?K TITERS OF DOG ANTI-SPS SERUM ?. K. Titers3 Animal Preadsorption Postadsorp YW325 512° 3 YW323 2043 256 YV383 1024 32 RB490 4096 256 G433 512 16 a. Titers shown are the mean of at least four determinations of each sample and are recorded as the reciprocal of the highest twofold dilution giving a positive reaction. b. Serum samples were adsorbed by passage through a column of anti¬ human IgE covalently bound to polyacrylamide beads. c. Any challenged site showing 5 mm or greater diameter blueing at 15 and 30 minutes post challenge was scored as positive. 49 bronchially challenged with SPE. As can be seen in figure 14, the passive antibody greatly inhibited the changes induced by the allergen. Based on these findings the following study was designed. Anti¬ bodies raised in both rabbits and dogs were used to study their effect on bronchial challenge. It was felt that the use of heterologous and homologous antisera would allow an animal to be given passive anti¬ body twice within a reasonable period of time. The studies were conducted as shown in figure 15 and involved 1 control and 4 experimental dogs. Figures 16, 17, (a,b & c), 18 (a,b & c) and 19 (a,b & c) illustrate the effect of passive rabbit antibody on the bronchial response in sensitive animals. As can be seen this passive antibody greatly reduced the effect of the allergen. Skin tests of all 4 animals immediately prior to bronchial challenge (2 hours post passive antibody) were negative. The animals shown in figures 18c and 19c had regained partial bronchial positivity 2 weeks post passive rabbit antibody while the animal depicted in 17c was still negative at this time. All 3 of these animals had between 20 and 55% of the rabbit passive antibody remaining at the time of this chal¬ lenge as judged by radialimmunodiffusion. Two weeks later (4 weeks post passive antibody) these animals regained full bronchial sensitivity (see figures 17d, 18d and 19d). These animals had also fully regained their skin sensitivity at this time. Since it is conceivable that the observed inhibition could have been a result of rabbit serum and not rabbit antibody to pollen, normal rabbit serum was given to 1 dog. Figure 20 illustrates the bronchial response of this animal 2 weeks before and 2 hours after i.v. injection of a 33% ammonium sulfate fraction of normal rabbit Figure 14 Response of animal YW383 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A) and on day 14 (B) 2 hours after administration of approximately 590 mg of dog anti-SPE. © = respiratory resistance; O = tidal volume; □ = dynam¬ ic compliance; ▲ = peak expiratory flow rate; and H = re¬ spiratory rate. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.27 0.59 0.15 1.81 5 ' B 1.40 0.68 0.25 2.10 7 75 50 25 O 25 50 ■75 Minutes post bronchial challenge Figure 15 Temporal design of experiment to investigate the effect of passive antibody on the bronchial response to inspired allergen. Day of Study o 14 28 42 56 // 1 176 Bronchial Passive Bronchial Bronchial Passive challenge ab. challenge challenge ab. (rabbit) (dog) followed by followed by bronchial bronchial challenge challenge Bronchial challenge Figure 16 Response of animal G437 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A) and on day 14 (B) 2 hours after administration of approximately 430 mg of rabbit anti- SPE (a 1:30 dilution bound 50% of labeled SPE). © = res¬ piratory resistance; O = tidal volume; □ = dynamic com¬ pliance; ^ = peak expiratory flow rate; and 0 = respira¬ tory rate. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 0.51 0.30 0.62 0.97 8 B 0.43 0.43 0.48 1.06 10 Minutes post bronchial challenge % change in respiratory functions Respiratory rate (breath/min.) Figure 17 Response of animal G422 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B), 2 hours after administration of 65 ml (approximately 550 mg) of a solution of rabbit anti-SPE (a 1:30 dilution bound 50% of labeled SPE), day 28 (C), day 42 (D), and day 56 (E), 2 hours after administration of 50 ml (approximately 475 mg) of a solution of dog anti-SPE (a 1:40 dilution bound 50% of labeled SPE). © = respiratory resistance; O = tidal volume; D = dynamic compliance; A = peak expiratory flow rate; and El = respiratory rate. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.54 0.49 0.15 1.60 13 B 1.16 0.37 0.19 1.48 20 C 1.59 0.57 0.24 1.46 8 D 1.43 0.33 0.14 1.09 18 E 1.64 0.42 0.29 0.73 14 change in respiratory functions 57 Minutes post bronchial chai lenge Figure 13 Response of animal YW383 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B), 2 hours after administration of 62 ml (approximately 530 mg) of a solution of rabbit anti-SPE (a 1:30 di¬ lution bound 50% of labeled SPE), day 28 (C), day 42 (D), day 56 (E), 2 hours after administration of 46 ml (approximately 430 mg) of a solution of dog anti- SPE (a 1:40 dilution bound 50% of labeled SPE) and day 176 (F). © = respiratory resistance; O = tidal volume; □ = dynamic compliance; A = peak expiratory flow rate; and SI = respiratory rate. Resting pulmonary function values were: RA Vt Cd PEFR RR A 1.03 0.45 0.18 1.96 8 B 0.72 0.60 0.26 2.02 24 C 1.19 0.45 0.40 1.58 8 D 1.07 0.52 0.25 1.72 9 E 1.18 0.67 0.24 1.15 12 F 1.49 0.46 0.22 0.96 12 % change in respiratory functions 59 chai lenge Figure 19 Response of animal RB396 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), day 14 (B) , 2 hours after administration of 79 ml (approximately 670 mg) of a solution of rabbit anti-SPE (a 1:30 dilution bound 50% of labeled SPE), day 28 (C), day 42 (D), day 56 (E), 2 hours after administration of 60 ml (approximately 570mg) of a solution of dog anti-SPE (a 1:40 dilution bound 50% of labeled SPE) and day 176 (F) . 0= respiratory resistance; O = tidal volume; CD — dynamic compliance; A = peak expiraotry flow rate; and ESI = respiratory rate. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 1.02 0.54 0.46 0.95 16 B 1.78 0.55 0.25 0.97 9 C 1.60 0.68 0.19 1.57 8 D 1.07 0.50 0.33 1.49 20 E 1.34 0.65 0.23 1.53 15 F 1.59 0.75 0.45 1.13 18 % change in respiratory functions 61 chai lenge Respiratory rate (breaths/min.) Figure 20 Response of animal G433 to bronchial challenge with 4.75 mg protein nitrogen SPE on day 0 (A), and day 14 (B), 2 hours after administration of 65 ml (approximately 600 mg) of a solution of normal rabbit IgG. Q = respiratory resistance O = tidal volume; □ = dynamic compliance; A = peak expiratory flow rate; and Si = respiratory rate. Resting pulmonary function values were: Ra Vt Cd PEFR RR A 0.65 0.54 0.29 1.37 5 B 1.70 0.40 0.18 1.30 26 % change in respiratory functions 50 25 0 10 20 30 0 10 20 30 Minutes post bronchial challenge 0 Respiratory rate (breaths/min.) 64 serum equivalent to the amount of protein received by the animals which were given passive antibody. This treatment had little if any effect on the bronchial response of this animal. Two weeks after the animals had regained bronchial sensitivity they were given passive dog anti-SPE antibody and challenged bronchially 2 hours later. These animals were given an amount of 33% ammonium sulfate fraction of dog antibody calculated to give the animal a serum binding capacity for labeled allergen of 50% with undilute serum. Figures 17e, 18e and 19e show that dog passive antibody greatly reduced the bronchial response of the animals when challenged with allergen. Figures 18f and 19f show that in both animals tested (the only two survivors) full bronchial sensitivity was recovered by the time they were next challenged. These animals were allowed to rest (no further treatment given) for approximately 1 year. At the end of this time they were bronchially challenged and found to be negative to this challenge. Approximately 5 months later they were resensitized by nasal instillation of pollen suspension twice weekly for 3 weeks. Approximately 6 weeks later they were bronchially challenged and found to be positive to approximately the same extent that they had been previously. Use of the Model System to Investigate Regeneration Time of Skin Reactivity It is well known that allergens induce the degranulation of sensi¬ tized mast cells, causing the release of vasoactive compounds, when they react with specific antibody fixed to the surface of the mast cells. In addition it has been shown (102,103) that anti-IgE will induce degranu¬ lation of mast cells. Therefore, anti-IgE as well as specific antigen 65 was utilized to react skin sites in this study. Initially the 3 animals utilized in this study were skin tested with varying dilutions of sage pollen extract and anti-IgE to determine the optimal dilution for reacting the skin sites to be utilized for determination of regeneration time of reactivity. The results of this determination are indicated in Table IV. Based on data presented in this table, skin sites on the right sides of the animals were reacted with SPE at a concentration of 0.095 mg PN/ml and sites on the left sides with anti-IgE at a 1:8 dilution. The 3 animals utilized included one highly sensitive to SPE, one weakly sensitive and the other moder¬ ately sensitive. Following the reaction of skin sites with either SPE or anti-IgE the same sites and control sites were challenged (2/test/material/ challenge time) with SPE (0.095 mg PN/ml) and anti-IgE (1:8 dilution) at 12 hours, 24 hours and 24 hour intervals thereafter. In addition, serum samples were drawn just prior to challenge and used in PK reactions. As indicated in Table V the highly sensitive animal was positive to skin test at 12 hours post triggering of skin sites and remained positive thereafter. The moderately sensitive animal regained skin sensitivity by 48 hours post triggering of skin sites while the weakly sensitive animal did not regain skin reactivity until 96 hours post triggering of skin sites. PK reactivity paralled recovery of skin sensitivity. Fractionation of the Allergen (SPE) In order to gain some insight into the complexity of the allergen system utilized in these studies, SPE was subjected to fractionation by anion exchange and molecular seive chromatography. Initially SPE 66 TABLE IV SKIN SENSITIVITY OF SENSITIZED DOGS TO SAGE POLLEN EXTRAC T AND ANTI-IgE TEST MATERIAL SPE YW383 G356 YW3 25 0.95 mg PN/ml 20 18 12a 12 12 14 0.095 mg PN/ml 13 17 10 9 5 7 0.0095 mg PN/ml 11 13 5 6 0 0 0.00095 mg PN/ml 5 7 0 0 0 0 Anti-IgE undilute 14 13 12 13 10 11 2b 12 13 11 11 11 10 4 12 12 10 11 11 10 8 11 12 9 11 10 8 16 12 10 *» 1 6 9 8 32_ 12 11 0 0 7 7 64 9 7 0 0 0 0 128 0 0 0 0 0 0 Extracting buffer 0 0 0 0 0 0 c ?. K. Reactions + + - a. Skin test results are reported as the diameter of blueing in toa at the test site. b. The strengths of the anti-IgE used are shown as the reciprocal of the dilution used. c. Just prior to testing, serum samples were collected from the animals and utilized for ?. K. reactions in the skin of normal dogs. TABLE V SKIN REACTIONS TO SAGE TOU.EN EXTRACT AND ANTl-IgE IN DOCS WHOSE SKIN SITES HAVE SEEN PREVIOUSLY REACTED WITH EITHER SAGE POLLEN EXTRACT OR ANTI-IgE Anima1 Time Post SPE Reacted Side*1 Anti-lgE Reacted Side*3 Con t ro1C P. K.d Number Reaction12 SPE f anti- -lgEK SPE nnti- lgE SPE anti -IgE YW383 12 hours 18 14 16 14 0 0 0 0 17 15 16 19 + YW383 24 hours 15 16 14 15 14 12 11 13 15 16 15 13 + YW383 48 hours 13 12 14 15 12 12 12 13 13 12 14 15 + 0356 12 hours o'* 0 0 0 0 0 U 0 0 Ü 0 0 0356 24 hours 0 0 0 0 0 0 0 0 U 0 0 0 - 0356 48 hours 8 11 y 12 12 12 10 1 1 11 10 14 1 1 + YW 125 12 hours 0 0 o U 0 0 0 Ü Ü 0 0 0 _ YW 125 24 hours 0 0 Ü 0 0 U 0 0 0 0 0 0 - YW 32 5 48 hours 0 0 0 0 0 0 0 0 0 0 0 0 - YW 12.5 72 hours 0 0 0 0 0 0 0 0 u 0 0 0 - YW325 96 hours 6 7 11 8 7 5 y 11 7 7 ID 8 - a. Kl^lil aide akin altes were Initially reacted with sage pollen extract. L. Left side skin sites were initially reacted with anti-lgE. c. Control skin sites were sites not reacted with either sage pollen extract or anti-lgE before challenge. d. P. K. reactions were run in the skin of normal dogs using serum samples collected from the experimental dogs at the time of skin challenges. e. Time post reaction is that after skin sites were Initially reacted with either sage pollen extract or anti-lgE. I. Sage pollen extract used was 0.0‘J5 mg. g. Anti-lgE used was at a 1:8 dilution. h. Skin test results are recorded as mm of blueing. 68 was fractionated by means of anion exchange chromatography on DEAE- cellulose. Wien eluted with a linear NaCl gradient the SPE gave four major fractions (figure 21), a pass through fraction and 3 eluted fractions. These fractions as well as whole SPE were subjected to electrophoretic analysis on polyacrylamide gels in the presence of 0.1% Triton X-100. The results of this analysis (figure 22) revealed SPE to have at least nine components. Molecular seive chromatogrphy of whole SPE on Sephedex G-25 revealed SPE to have 4 major size distributions of components (figure 23). The first peak off of G-25 was an excluded peak and could there¬ fore have been composed of more than one size population. To investi¬ gate this possibility concentrated material from this peak was chromato¬ graphed on Sephedex G-50. This material migrated through G-50 as a single, sharp, included peak indicating a single population of molecular size. Figure 21 Elution profile of sage pollen extract chromatographed on DEAE-cellulose. After the initial pass-through peak was eluted with the equilibiating buffer (0.015 M tris) the column was eluted with a linear gradient (the starting buffer was 0.015 M tris the elution buffer was 0.4 M Nacl in 0.015 M tris). Optical density (280mju) Conductivity (juMHOSxlO3) Figure 22 Disc electrophoresis patterns of whole sage pollen extract and fractions of SPE eluted from DEAE-cellulose. A, whole sage pollen extract; B, first peak off DEAE; C, second peak off DEAE; D, ascending first h of third peak off DEAE; E, ascending second \ of third peak off DEAE: F, descending third h, of third peak off DEAE; H, trough between third and fourth peaks off DEAE; and I, fourth peak off DEAE. 72 Figure 23 Elution profile of sage pollen extract chromatographed on Sephedex G-25. 4.8 4.0- * E O GO CM co c. j ( Jío-yíQ