Group 1 allergens of house dust mites (HDM) are globally significant triggers of allergic disease. They are considered as initiator allergens because their protease activity enables the development of allergy to a spectrum of unrelated allergens from various sources. This initiator-perpetuator function identifies Group 1 HDM allergens as attractive drug design targets for the first small-molecule approach directed towards a non-human, root cause trigger of allergic disease. The purpose of this study was to: (i) identify exemplar inhibitors of these allergens using Der p 1 as a design template, and (ii) characterise the pharmacological profiles of these compounds using in vitro and in vivo models relevant to allergy. Potent inhibitors representing four different chemotypes and differentiated by mechanism of action were investigated. These compounds prevented the ab initio development of allergy to the full spectrum of HDM allergens and in established allergy they inhibited the recruitment of inflammatory cells and blunted acute allergic bronchoconstriction following aerosol challenge with the full HDM allergen repertoire. Collectively, the data obtained in these experiments demonstrate that the selective pharmacological targeting of Der p 1 achieves an attractive range of benefits against exposure to all HDM allergens, consistent with the initiator-perpetuator function of this allergen.
家居尘螨(Group 1)过敏原是全球重要的过敏疾病诱发因子。它们被认为是引发过敏的过敏原,因为它们的蛋白酶活性可以使人对来自各种来源的不相关过敏原谱系产生过敏反应。这种引发-维持功能将Group 1家居尘螨过敏原确定为针对过敏疾病非人类根本原因触发器的第一种小分子药物设计目标。本研究的目的是:(i)使用Der p 1作为设计模板,识别这些过敏原的样例抑制剂;(ii)使用与过敏相关的体外和体内模型表征这些化合物的药理学特性。研究了代表四种不同化学类型和不同作用机制的强效抑制剂。这些化合物防止了对全谱系家居尘螨过敏原的原始过敏反应,并且在已经发生的过敏反应中,它们抑制了炎症细胞的招募,并且在使用全谱系家居尘螨过敏原进行气溶胶挑战后减轻了急性过敏性支气管痉挛。总的来说,这些实验获得的数据表明,选择性药理靶向Der p 1可以对抗所有家居尘螨过敏原的暴露,与该过敏原的引发-维持功能一致。