Abstract
The constant rise in allergies in Western industrialized countries has fueled efforts to develop novel therapies to treat the immunological cause of disease rather than merely ameliorating symptoms. Gene vaccines against allergic diseases may be an attractive alternative to classical specific immunotherapy (SIT) avoiding its pitfalls such as potential side effects as well as low patient compliance. While SIT is commonly believed to rely on the generation of regulatory immune reactions and blocking antibodies, gene based allergy vaccines rather exert immune deviation by balancing allergic TH2 reactions through the generation of allergen specific TH1 cells. In contrast to SIT, gene based allergy vaccines may also have a high potential for prophylactic applications. Already small amounts of translated allergen in the context of DNA/RNA vaccine-inherent danger signals prime a milieu that counteracts the induction of allergic immune responses. Such prophylactic vaccines may very well resemble naturally acquired protection from allergy as it is observed in individuals exposed to microbial compounds during early childhood (hygiene hypothesis). In this chapter, we will discuss different types of DNA vaccines that have been designed to prevent from allergy, and the potential safety hazards associated with their application for prophylactic vaccination of children. Furthermore, we will demonstrate that RNA vaccines are as effective as DNA vaccines, yet with a much higher safety profile, thus making them the most promising candidates for prophylactic vaccination against allergic diseases.
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This work was supported by Biomay AG, Vienna, Austria and the Christian Doppler Research Association, Vienna, Austria.
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Weiss, R., Scheiblhofer, S., Rösler, E., Thalhamer, J. (2012). DNA and RNA Vaccines for Prophylactic and Therapeutic Treatment of Type I Allergy. In: Thalhamer, J., Weiss, R., Scheiblhofer, S. (eds) Gene Vaccines. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0439-2_12
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