Trial for developing a reference extract for future standardization of Japanese cypress pollen extracts
Kengo Kanai1, Aiko Oka2, Hideaki Kouzaki3
1Department of Otorhinolaryngology, International University of Health and Welfare, School of Medicine, Narita, Japan; Department of Otorhinolaryngology, Head and Neck Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
This study developed a standardized Japanese cypress pollen (JCyP) extract for allergy testing and immunotherapy. The extract demonstrated safe and effective allergic potency in intradermal skin tests, paving the way for improved JCyP pollinosis diagnosis and treatment.
Area of Science:
- Allergology
- Immunology
- Pharmacology
Background:
- Japanese cedar pollinosis (JCP) is common in Japan, with many patients also allergic to Japanese cypress pollen (JCyP).
- JCyP allergy exacerbates JCP symptoms, yet no specific immunotherapy exists.
- Standardized JCyP extracts are needed for diagnostic and therapeutic advancements.
Purpose of the Study:
- To develop a reference extract for Japanese cypress pollen (JCyP).
- To standardize JCyP extracts for future diagnostic and therapeutic applications.
- To determine the average threshold dilution for positive intradermal skin tests.
Main Methods:
- Prepared a 1:20 JCyP antigen extract (Lot AA) using glycerin extraction.
- Determined protein and allergen concentrations (Cha o 1, Cha o 3).
- Assessed safety and determined average threshold dilution in 55 Japanese subjects with JCyP-specific IgE.
Main Results:
- Lot AA contained 4.7 mg/mL protein and 18.8 μg/mL Cha o 1, 1.1 μg/mL Cha o 3.
- The average threshold dilution for positive intradermal reactions was 3^6.4 (1131-fold dilution).
- No serious adverse events were observed during safety testing.
Conclusions:
- The JCyP extract (Lot AA) demonstrated in vivo allergic potency and safety.
- This extract can serve as a standardized reference antigen for JCyP pollinosis.
- It supports the development of JCyP-specific diagnostic tools and immunotherapies.
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