public
Last active

Dietary Resveratrol Prevents the Development of Food Allergy in Mice

  • Download Gist
article.xml
XML
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295 296 297 298 299 300 301 302 303 304 305 306 307 308 309 310 311 312 313 314 315 316 317 318 319 320 321 322 323 324 325 326 327 328 329 330 331 332 333 334 335 336 337 338 339 340 341 342 343 344 345 346 347 348 349 350 351 352 353 354 355 356 357 358 359 360 361 362 363 364 365 366 367 368 369 370 371 372 373 374 375 376 377 378 379 380 381 382 383 384 385 386 387 388 389 390 391 392 393 394 395 396 397 398 399 400 401 402 403 404 405 406 407 408 409 410 411 412 413 414 415 416 417 418 419 420 421 422 423 424 425 426 427 428 429 430 431 432 433 434 435 436 437 438 439 440 441 442 443 444 445 446 447 448 449 450 451 452 453 454 455 456 457 458 459 460 461 462 463 464 465 466 467 468 469 470 471 472 473 474 475 476 477 478 479 480 481 482 483 484 485 486 487 488 489 490 491 492 493 494 495 496 497 498 499 500 501 502 503 504 505 506 507 508 509 510 511 512 513 514 515 516 517 518 519 520 521 522 523 524 525 526 527 528 529 530 531 532 533 534 535 536 537 538 539 540 541 542 543 544 545 546 547 548 549 550 551 552 553 554 555 556 557 558 559 560 561 562 563 564 565 566 567 568 569
<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" dtd-version="3.0" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">PLoS ONE</journal-id>
<journal-id journal-id-type="publisher-id">plos</journal-id>
<journal-id journal-id-type="pmc">plosone</journal-id>
<journal-title-group>
<journal-title>PLoS ONE</journal-title>
</journal-title-group>
<issn pub-type="epub">1932-6203</issn>
<publisher>
<publisher-name>Public Library of Science</publisher-name>
<publisher-loc>San Francisco, USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">PONE-D-12-05074</article-id>
<article-id pub-id-type="doi">10.1371/journal.pone.0044338</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Biology</subject>
<subj-group>
<subject>Immunology</subject>
<subj-group>
<subject>Allergy and hypersensitivity</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Model organisms</subject>
<subj-group>
<subject>Animal models</subject>
<subj-group>
<subject>Mouse</subject>
</subj-group>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline-v2">
<subject>Medicine</subject>
<subj-group>
<subject>Clinical immunology</subject>
<subj-group>
<subject>Allergy and hypersensitivity</subject>
<subject>Immune cells</subject>
<subject>Immune response</subject>
<subject>Immunomodulation</subject>
<subject>Immunopathology</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Complementary and alternative medicine</subject>
</subj-group>
<subj-group>
<subject>Drugs and devices</subject>
<subj-group>
<subject>Clinical pharmacology</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Gastroenterology and hepatology</subject>
<subj-group>
<subject>Small intestine</subject>
</subj-group>
</subj-group>
<subj-group>
<subject>Nutrition</subject>
</subj-group>
<subj-group>
<subject>Pediatrics</subject>
<subj-group>
<subject>Pediatric gastroenterology</subject>
</subj-group>
</subj-group>
</subj-group>
<subj-group subj-group-type="Discipline">
<subject>Immunology</subject>
<subject>Pharmacology</subject>
<subject>Pediatrics and Child Health</subject>
<subject>Gastroenterology and Hepatology</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Dietary Resveratrol Prevents the Development of Food Allergy in Mice</article-title>
<alt-title alt-title-type="running-head">Resveratrol Prevents Food Allergy</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Okada</surname>
<given-names>Yui</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Oh-oka</surname>
<given-names>Kyoko</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Nakamura</surname>
<given-names>Yuki</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Ishimaru</surname>
<given-names>Kayoko</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Matsuoka</surname>
<given-names>Shuji</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Okumura</surname>
<given-names>Ko</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Ogawa</surname>
<given-names>Hideoki</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Hisamoto</surname>
<given-names>Masashi</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Okuda</surname>
<given-names>Tohru</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author" xlink:type="simple">
<name name-style="western">
<surname>Nakao</surname>
<given-names>Atsuhito</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="corresp" rid="cor1">
<sup>*</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<label>1</label>
<addr-line>Department of Immunology, University of Yamanashi Faculty of Medicine Chuo, Yamanashi, Japan</addr-line>
</aff>
<aff id="aff2">
<label>2</label>
<addr-line>The Institute of Enology and Viticulture, University of Yamanashi, Koufu, Yamanashi, Japan</addr-line>
</aff>
<aff id="aff3">
<label>3</label>
<addr-line>Deparment of Pathology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan</addr-line>
</aff>
<aff id="aff4">
<label>4</label>
<addr-line>Atopy Research Center, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan</addr-line>
</aff>
<contrib-group>
<contrib contrib-type="editor" xlink:type="simple">
<name name-style="western">
<surname>Bereswill</surname>
<given-names>Stefan</given-names>
</name>
<role>Editor</role>
<xref ref-type="aff" rid="edit1"/>
</contrib>
</contrib-group>
<aff id="edit1">
<addr-line>Charité-University Medicine Berlin, Germany</addr-line>
</aff>
<author-notes>
<corresp id="cor1">* E-mail: <email xlink:type="simple">anakao@yamanashi.ac.jp</email></corresp>
<fn fn-type="conflict">
<p>The authors have declared that no competing interests exist.</p>
</fn>
<fn fn-type="con">
<p>Conceived and designed the experiments: YO TO AN. Performed the experiments: YO K. Oh-oka YN KI. Analyzed the data: YO K. Oh-oka YN KI. Contributed reagents/materials/analysis tools: SM K. Okumura HO MH TO. Wrote the paper: YO AN.</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>4</day>
<month>9</month>
<year>2012</year>
</pub-date>
<volume>7</volume>
<issue>9</issue>
<elocation-id>e44338</elocation-id>
<history>
<date date-type="received">
<day>14</day>
<month>2</month>
<year>2012</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>7</month>
<year>2012</year>
</date>
</history>
<permissions>
<copyright-year>2012</copyright-year>
<copyright-holder>Okada et al</copyright-holder>
<license xlink:type="simple">
<license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Resveratrol is a bioactive polyphenol enriched in red wine that exhibits many beneficial health effects via multiple mechanisms. However, it is unclear whether resveratrol is beneficial for the prevention of food allergy. This study investigated whether resveratrol inhibited the development of food allergy by using a mouse model of the disease.</p>
</sec>
<sec>
<title>Methodology/Principal Findings</title>
<p>Mice fed standard diet or standard diet plus resveratrol were sensitized by intragastric administration of ovalbumin (OVA) and mucosal adjuvant cholera toxin (CT). Several manifestations of food allergy were then compared between the mice. The effects of resveratrol on T cells or dendritic cells were also examined by using splenocytes from OVA-specific T cell-receptor (TCR) transgenic DO11.10 mice or mouse bone marrow-derived dendritic cells (BMDCs) <italic>in vitro</italic>. We found that mice fed resveratrol showed reduced OVA-specific serum IgE production, anaphylactic reaction, and OVA-induced IL-13 and IFN-γ production from the mesenteric lymph nodes (MLNs) and spleens in comparison to the control mice, following oral sensitization with OVA plus CT. In addition, resveratrol inhibited OVA plus CT-induced IL-4, IL-13, and IFN-γ production in splenocytes from DO11.10 mice associated with inhibition of GATA-3 and T-bet expression. Furthermore, resveratrol suppressed the OVA plus CT-induced CD25 expression and IL-2 production in DO11.10 mice-splenocytes in association with decreases in CD80 and CD86 expression levels. Finally, resveratrol suppressed CT-induced cAMP elevation in association with decreases in CD80 and CD86 expression levels in BMDCs.</p>
</sec>
<sec>
<title>Conclusions/Significance</title>
<p>Ingestion of resveratrol prevented the development of a food allergy model in mice. Given the <italic>in vitro</italic> findings, resveratrol might do so by inhibiting DC maturation and subsequent early T cell activation and differentiation via downregulation of CT-induced cAMP activation in mice. These results suggest that resveratrol may have potential for prophylaxis against food allergy.</p>
</sec>
</abstract>
<funding-group>
<funding-statement>This work was supported by grants from the Ministry of Education, Culture, Sports, Science, and Technology, Japan (H23). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.</funding-statement>
</funding-group>
<counts>
<page-count count="9"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Food allergy is defined as an immune-mediated pathological reaction toward food antigens, which is a major health concern and epidemic in developed countries <xref ref-type="bibr" rid="pone.0044338-Crespo1">[1]</xref><xref ref-type="bibr" rid="pone.0044338-Wang1">[3]</xref>. Generally, the mucosal immune system in the intestine is hyporesponsive to innocuous food antigens (termed “oral tolerance”) due to different T cell events, such as anergy, clonal deletion, and the induction of regulatory T cells <xref ref-type="bibr" rid="pone.0044338-Weiner1">[4]</xref>. In contrast, mucosal sensitization to a food antigen occurs in patients with food allergy (a breakdown of the natural oral tolerance), which results in the antigen (allergen)-specific IgE production although the mechanisms are poorly understood <xref ref-type="bibr" rid="pone.0044338-Burks1">[5]</xref>, <xref ref-type="bibr" rid="pone.0044338-Brandtzaeg1">[6]</xref>. The development of new approaches to prevent the disease is of significant importance for public health because allergen avoidance is currently the only way available for prevention of food allergy <xref ref-type="bibr" rid="pone.0044338-Hamelmann1">[7]</xref>.</p>
<p>Resveratrol (<italic>trans</italic>-3,4′,5-trihydroxystilbene) is a polyphenolic compound that is abundant in grapes and red wine and functions as a phytoalexin that protects against fungus infections in plants <xref ref-type="bibr" rid="pone.0044338-German1">[8]</xref>, <xref ref-type="bibr" rid="pone.0044338-Soleas1">[9]</xref>. Resveratrol has a wide range of biological and pharmacological activities in animal disease models and human health and diseases, including anti-inflammatory, anti-oxidative, and anti-carcinogenic properties via multiple molecular mechanisms <xref ref-type="bibr" rid="pone.0044338-Baur1">[10]</xref>. Recently, resveratrol is of great interest since this reagent is reported to improve health and survival of mice on a high-calorie diet without apparent toxicity <xref ref-type="bibr" rid="pone.0044338-Baur2">[11]</xref>. However, in spite of these extensive studies on the roles of resveratrol in human health and diseases, it remains unclear whether resveratrol is also beneficial for food allergy.</p>
<p>The primary aim of this study was to investigate whether ingestion of resveratrol inhibits mucosal sensitization to a food antigen, thereby suppressing the hallmark manifestations of food allergy such as antigen-specific IgE production, anaphylactic reaction, and Th2 cytokine production. For this purpose, we examined the effects of dietary resveratrol on a mouse model of food allergy induced by oral administration of ovalbumin (OVA) with mucosal adjuvant cholera toxin (CT) <xref ref-type="bibr" rid="pone.0044338-Li1">[12]</xref>.</p>
</sec>
<sec id="s2">
<title>Results</title>
<sec id="s2a">
<title>Resveratrol Inhibits CT-driven Mucosal Sensitization to OVA in Mice</title>
<p>The mice were fed the standard diet or standard diet plus resveratrol (22.4 mg/kg diet, 0.01% resveratrol) for 5 weeks. The mice were orally administered 50 mg of OVA with 10 µg of CT 4 times a week for 4 weeks, beginning 1 week after the start of resveratrol administration (<xref ref-type="fig" rid="pone-0044338-g001"><bold>Figure 1A</bold></xref>) and then were sacrificed at 5 weeks for the analysis as was noted below. The feeding dose was determined based on a study showing improved longevity of mice by chronic dietary resveratrol ingestion without toxicity <xref ref-type="bibr" rid="pone.0044338-Baur2">[11]</xref>.</p>
<fig id="pone-0044338-g001" position="float">
<object-id pub-id-type="doi">10.1371/journal.pone.0044338.g001</object-id>
<label>Figure 1</label>
<caption>
<title>Resveratrol inhibits CT-driven mucosal sensitization to OVA in mice.</title>
<p>Mice were fed the standard diet or standard diet plus resveratrol (22.4 mg/kg diet, 0.01% resveratrol) for 5 weeks (day 0–35). The mice were orally administered 50 mg of OVA with 10 µg of CT 1 week after the start of resveratrol feeding and 4 times a week for 4 weeks and sacrificed at the 5 weeks (on day 35) for the analysis below.</p><p>A. Experimental protocol.</p> <p>B. Serum samples were collected on day 35 from the standard diet-fed and standard diet plus resveratrol-fed mice with or without OVA plus CT sensitization. OVA-specific serum IgE concentrations were measured by ELISA (n = 7 per group).</p> <p>C. The standard diet-fed and standard diet plus resveratrol-fed mice sensitized with OVA plus CT were challenged intraperitoneally with OVA on day 35 and rectal temperatures were measured with a digital thermometer at 0, 5, 30, and 60 minutes after the challenge (n = 10 per group).</p> <p>D. Splenocytes (SPL) and mesenteric lymph node (MLN) cells were obtained on day 35 from the standard diet-fed and standard diet plus resveratrol-fed mice with or without OVA plus CT sensitization and the cells were re-stimulated <italic>in vitro</italic> with OVA for 3 days (n = 5 per group). The culture supernatants were then collected and IL-13 and IFN-γ concentrations were measured by ELISA.</p> <p>(S: standard diet-fed mice, S/R: standard diet plus resveratrol-fed mice) Values represent the mean ± SD. *P&lt;0.05 in comparison to the corresponding controls. Representative results from 2 independent experiments with same results are shown.</p>
</caption>
<graphic mimetype="image" xlink:href="journal.pone.0044338.g001.png" position="float" xlink:type="simple"/>
</fig>
<p>Mice fed the standard diet showed the induction of serum OVA-specific IgE production following oral sensitization with OVA plus CT (<xref ref-type="fig" rid="pone-0044338-g001"><bold>Figure 1B</bold></xref>) as previously described <xref ref-type="bibr" rid="pone.0044338-Li1">[12]</xref>. In contrast, the mice fed a standard diet plus resveratrol showed a decrease in OVA-specific IgE production after oral sensitization (<xref ref-type="fig" rid="pone-0044338-g001"><bold>Figure 1B</bold></xref>). Consistent with the findings of the serum IgE levels, resveratrol-fed mice sensitized with OVA plus CT showed a smaller drop in the extent of rectal temperatures than the control mice sensitized with OVA plus CT, upon intraperitoneal OVA challenge (<xref ref-type="fig" rid="pone-0044338-g001"><bold>Figure 1C</bold></xref>). In addition, OVA-specific IL-13 and IFN-γ productions from splenocytes and mesenteric lymph nodes (MLN)-derived cells were decreased in resveratrol-fed mice in comparison to those in control mice, following sensitization with OVA plus CT (<xref ref-type="fig" rid="pone-0044338-g001"><bold>Figure 1D</bold></xref>). The frequencies of apoptotic cells in splenocytes and MLN cells freshly isolated from the mice fed standard diet and the mice fed the standard diet plus resveratrol were comparable based on propidium iodide (PI) and Annexin V staining <bold>(<xref ref-type="supplementary-material" rid="pone.0044338.s001">Figure S1 A and B</xref></bold>). In addition, the frequencies of apoptotic cells in splenocytes and MLN cells from the mice fed standard diet and the mice fed the standard diet plus resveratrol were comparable following <italic>in vitro</italic> OVA re-stimulation based on PI and Annexin V staining (<bold><xref ref-type="supplementary-material" rid="pone.0044338.s001">Figure S1 C</xref></bold>). These data suggested that dietary resveratrol did not affect the cellular viability in spleen and MLN cells in mice. There were no significant changes in body weights and food or water intake in resveratrol-fed mice in comparison to those in control mice (data not shown). These results suggest that resveratrol inhibited CT-driven mucosal sensitization to OVA in mice without apparent toxicity in association with inhibition of OVA-specific both Th1 and Th2 differentiation.</p>
</sec>
<sec id="s2b">
<title>Resveratrol Inhibits OVA Plus CT-induced Th1 and Th2 Differentiation <italic>in vitro</italic></title>
<p>The effects of resveratrol on OVA plus CT-stimulated spleen cells from OVA-specific TCR transgenic DO11.10 mice were examined to investigate how resveratrol inhibited CT-driven mucosal sensitization to OVA <italic>in vivo</italic> <xref ref-type="bibr" rid="pone.0044338-Murphy1">[13]</xref>, hoping to mimic the effects of resveratrol <italic>in vitro</italic>. It is not possible to exactly measure the concentrations of resveratrol in the target tissues in mice (e.g. gut-associated lymphoid tissue: GALT); therefore, this study used the concentrations of resveratrol that can be attained by red wine intake (∼10 µM) in humans <xref ref-type="bibr" rid="pone.0044338-Soleas1">[9]</xref> for the <italic>in vitro</italic> studies.</p>
<p>DO11.10 mice-splenocytes stimulated with OVA plus CT showed increased IFN-γ, IL-4, and IL-13 production in association with robust increases in mRNA levels of T-bet and GATA3, master transcriptional regulators of Th1 and Th2 differentiation, respectively (<xref ref-type="fig" rid="pone-0044338-g002"><bold>Figure 2A and B</bold></xref>). The addition of 10 or 30 µM resveratrol inhibited those responses (<xref ref-type="fig" rid="pone-0044338-g002"><bold>Figure 2A and B</bold></xref>). In contrast, we found that mRNA expression levels of Foxp3, a master regulator of regulatory T cells (Tregs) were not affected by the resveratrol treatment (<xref ref-type="fig" rid="pone-0044338-g002"><bold>Figure 2A</bold></xref>). In addition, the treatment of DO11.10 mice-splenocytes with 10 or 30 µM resveratrol did not affect the cell viability based on trypan blue dye exclusion (<bold><xref ref-type="supplementary-material" rid="pone.0044338.s002">Figure S2</xref></bold>) and WST assay (<xref ref-type="fig" rid="pone-0044338-g002"><bold>Figure 2C</bold></xref>), suggesting that the inhibition of Th1/Th2 differentiation by resveratrol was not due to a reduced cell viability by resveratrol. These results indicated that resveratrol inhibited OVA plus CT-induced both Th1 and Th2 differentiation <italic>in vitro</italic> as well as <italic>in vivo</italic>.</p>
<fig id="pone-0044338-g002" position="float">
<object-id pub-id-type="doi">10.1371/journal.pone.0044338.g002</object-id>
<label>Figure 2</label>
<caption>
<title>Resveratrol inhibits OVA plus CT-induced Th1/2 cell differentiation <italic>in vitro</italic>.</title>
<p>DO11.10 mice-derived splenocytes were un-stimulated or stimulated with 300 µg/ml OVA plus 12 pM CT and were cultured in the presence or absence of 10 or 30 µM resveratrol for the indicated times. Then the analysis described below was performed.</p> <p>A. After 3 day-culture, RNA samples were extracted from the cells and the cDNA samples were synthesized using reverse transcriptase system. Quantitative real-time PCR analysis was then done for T-bet, GATA3, and Foxp3 mRNAs. Relative expression levels are shown (n = 3 per group).</p> <p>B. After 3 day-culture, the supernatants were collected and IFN-γ, IL-4, and IL-13 concentrations were measured by ELISA (n = 9 per group).</p> <p>C. After 3 day-culture, the cells were subjected to a WST assay for evaluation of the cell viability (n = 4 per group).</p> <p>Values represent the mean ± SD. *P&lt;0.05 in comparison to the corresponding controls. (ND: non-detected).</p>
</caption>
<graphic mimetype="image" xlink:href="journal.pone.0044338.g002.png" position="float" xlink:type="simple"/>
</fig>
</sec>
<sec id="s2c">
<title>Resveratrol Inhibits Early T Cell Activation Associated with Decrease of Co-stimulatory Molecule Expression in Antigen-presenting Cells (APCs)</title>
<p>The <italic>in vitro</italic> results suggest that resveratrol may inhibit OVA plus CT-induced T cell responses at the level of early T cell activation, thereby suppressing subsequent Th1 and Th2 cell differentiation. Therefore, the effects of resveratrol on early T cell activation markers, surface CD25 expression and IL-2 production, were examined by using DO11.10 mice-splenocytes <italic>in vitro</italic>.</p>
<p>DO11.10 mice-derived splenocytes stimulated with OVA plus CT showed increased surface expression levels of CD25 in OVA-specific CD4<sup>+</sup> T cells that were identified by staining with the anti-clonotypic antibody KJ1–26 (<xref ref-type="fig" rid="pone-0044338-g003"><bold>Figure 3A and B</bold></xref>). Treatment of the cells with resveratrol (10 and 30 µM) decreased the frequency of CD25<sup>+</sup> KJ1–26<sup>+</sup> cells (<xref ref-type="fig" rid="pone-0044338-g003"><bold>Figure 3A and B</bold></xref>). In addition, DO11.10 mice-derived splenocytes stimulated with OVA plus CT showed increased IL-2 production in the culture supernatants, which were inhibited by the addition of 30 µM resveratrol (<xref ref-type="fig" rid="pone-0044338-g003"><bold>Figure 3C</bold></xref>). Furthermore, OVA plus CT-induced mRNA expression of co-stimulatory molecules CD80 and CD86 were decreased by resveratrol in DO11.10 mice-splenocytes (<xref ref-type="fig" rid="pone-0044338-g003"><bold>Figure 3D</bold></xref>). These data suggest that resveratrol inhibited OVA plus CT-induced early T cell activation by decreasing the expression levels of co-stimulatory molecules in antigen presenting cells (APCs), most likely in DCs.</p>
<fig id="pone-0044338-g003" position="float">
<object-id pub-id-type="doi">10.1371/journal.pone.0044338.g003</object-id>
<label>Figure 3</label>
<caption>
<title>Resveratrol inhibits early T cell activation and co-stimulatory molecule expression in APCs <italic>in vitro</italic>.</title>
<p>DO11.10 mice-derived splenocytes were un-stimulated (no treat) or stimulated with 300 µg/ml OVA plus 12 pM CT and were cultured in the presence or absence of 10 or 30 µM resveratrol for 1 day. Then the analysis described below was performed.</p> <p>A. After 1 day-culture, whole splenocytes were stained with PE-conjugated anti-KJ1–26 and APC-conjugated anti-CD25 antibody. Representative FACS plots are shown. Numbers indicate the proportion of the KJ1–26<sup>+</sup> CD25<sup>+</sup> cells.</p> <p>B. Quantitative analysis of A (n = 3 per group).</p> <p>C. After 1 day-culture, the supernatants were collected and IL-2 concentrations were measured by ELISA (n = 9 per group).</p> <p>D. After 1 day-culture, RNA samples were extracted from the splenocytes and the cDNA samples were synthesized using reverse transcriptase system. Quantitative real-time PCR analysis was then performed to assess CD80 and CD86 mRNA levels. Relative expression levels are shown (n = 3 per group).</p> <p>Values represent the mean ± SD. *P&lt;0.05 in comparison to the corresponding controls. (ND: non-detected).</p>
</caption>
<graphic mimetype="image" xlink:href="journal.pone.0044338.g003.png" position="float" xlink:type="simple"/>
</fig>
</sec>
<sec id="s2d">
<title>Resveratrol Inhibits CT-induced cAMP Elevation in BMDCs</title>
<p>The adjuvant activity of CT is attributed, at least in part, to up-regulation of co-stimulatory molecules in APCs <xref ref-type="bibr" rid="pone.0044338-Gagliardi1">[14]</xref>, <xref ref-type="bibr" rid="pone.0044338-Blzquez1">[15]</xref>. It is thought that CT-induced intracellular cAMP elevation is involved in the up-regulation of co-stimulatory molecules in APCs and licenses them for Th2 priming <xref ref-type="bibr" rid="pone.0044338-Bagley1">[16]</xref><xref ref-type="bibr" rid="pone.0044338-Negri1">[18]</xref>. Therefore, the effects of resveratrol on cAMP elevation induced by CT in bone marrow-derived dendritic cells (BMDCs) were examined.</p>
<p>CT or prostaglandin E2 (PGE2) (as a positive control) induced cAMP elevation in BMDCs (<xref ref-type="fig" rid="pone-0044338-g004"><bold>Figure 4A</bold></xref>) as reported previously <xref ref-type="bibr" rid="pone.0044338-Bagley1">[16]</xref>. Resveratrol (10 and 30 µM) inhibited CT-induced cAMP elevation in BMDCs (<xref ref-type="fig" rid="pone-0044338-g004"><bold>Figure 4A</bold></xref>). In addition, OVA plus CT-induced surface CD80 and CD86 expression levels in BMDCs were decreased by 10 and 30 µM resveratrol as indicated by mean fluorescence intensity (<xref ref-type="fig" rid="pone-0044338-g004"><bold>Figure 4B</bold></xref>). The treatment of BMDCs with 10 or 30 µM resveratrol did not affect the cell viability based on a WST assay (data not shown). These results suggest that resveratrol inhibits CT-induced cAMP elevation in BMDCs in association with decreases in the expression levels of co-stimulatory molecules.</p>
<fig id="pone-0044338-g004" position="float">
<object-id pub-id-type="doi">10.1371/journal.pone.0044338.g004</object-id>
<label>Figure 4</label>
<caption>
<title>Resveratrol inhibits CT-induced cAMP elevation in BMDCs.</title>
<p>A. Cultured BMDCs were un-stimulated or stimulated with 12 pM CT in the presence or absence of 10 or 30 µM resveratrol for 1 hour or 10 nM PGE2 (as a positive control) and intracellular cAMP levels were measured using a cAMP EIA kit. Relative changes in intracellular cAMP levels are indicated. Values represent the mean ± SD (n = 3 per group).</p> <p>B. Cultured BMDCs were un-stimulated (no treat) or stimulated with 300 µg/ml OVA plus 12 pM CT and were cultured in the presence or absence of 10 or 30 µM resveratrol for 3 days. The cells were then stained with APC-conjugated anti-CD11c and FITC-conjugated anti-CD80 or CD86 antibody and were subjected to FACS analysis. A representative histogram regarding surface CD80 and CD86 expression levels on CD11c gated cells is shown. Numbers indicate the mean fluorescence intensity (MFI) of CD80 and CD86-stained cells. The filled histogram indicates un-stimulated (no treat) BMDCs for comparison. Representative results from 3 independent experiments with similar results are shown.</p>
</caption>
<graphic mimetype="image" xlink:href="journal.pone.0044338.g004.png" position="float" xlink:type="simple"/>
</fig>
</sec>
<sec id="s2e">
<title>Dietary Resveratrol Protects Mice Against a Lethal dose of CT</title>
<p>We thought that, if resveratrol inhibits the adjuvant activity (e.g. cAMP elevation) of a low-dose of CT as described above, resveratrol might also protect mice against the toxic effects of a high-dose of CT. Thus, we orally administered a high-dose of CT that causes severe toxicity to naïve mice fed with or without resveratrol.</p>
<p>One hundred percent of the mice fed the standard diet died by day 5 after a single challenge of 150 µg CT as previously described <xref ref-type="bibr" rid="pone.0044338-Wei1">[19]</xref>. In contrast, 80% of the mice fed a standard diet plus resveratrol survived after the single challenge of CT (<xref ref-type="fig" rid="pone-0044338-g005"><bold>Figure 5</bold></xref>).</p>
<p>These results suggest that dietary resveratrol protects mice against a lethal toxicity of CT at a high-dose, which may be related with the inhibitory effects of resveratrol on CT activity.</p>
<fig id="pone-0044338-g005" position="float">
<object-id pub-id-type="doi">10.1371/journal.pone.0044338.g005</object-id>
<label>Figure 5</label>
<caption>
<title>Dietary resveratrol protects mice against a lethal dose of CT.</title>
<p>Survival of 8-week-old C57BL/6 mice orally challenged with CT at a dose of 150 µg monitored until day 10 after challenge (n = 5 per group).</p> <p>Representative results from 2 independent experiments with similar results are shown. (S: standard diet-fed mice, S/R: standard diet plus resveratrol-fed mice).</p>
</caption>
<graphic mimetype="image" xlink:href="journal.pone.0044338.g005.png" position="float" xlink:type="simple"/>
</fig>
</sec>
</sec>
<sec id="s3">
<title>Discussion</title>
<p>This study demonstrated that ingestion of resveratrol prevented CT-driven mucosal sensitization to OVA in mice without apparent toxic effects. The <italic>in vitro</italic> experiments showed that resveratrol was able to inhibit CT-induced cAMP elevation and maturation of DC and abrogated T cell activation and subsequent Th1/Th2 differentiation. The adjuvant activity of CT is largely attributed to its ability to induce co-stimulatory molecules in APCs via cAMP elevation <xref ref-type="bibr" rid="pone.0044338-Gagliardi1">[14]</xref>, <xref ref-type="bibr" rid="pone.0044338-Blzquez1">[15]</xref>, <xref ref-type="bibr" rid="pone.0044338-Negri1">[18]</xref>. Therefore, the current data suggest that resveratrol suppression of CT adjuvant activity is likely to be a key event associated with the inhibition of CT-induced mucosal sensitization to OVA <italic>in vivo</italic>. The findings that dietary resveratrol protected mice against a lethal dose of CT may support the hypothesis.</p>
<p>As stated above, the <italic>in vivo</italic> effects of resveratrol might be attributed to suppression of CT-induced DC maturation, which could occur in the gut-associated lymphoid tissue (GALT). However, the precise mechanisms by which resveratrol inhibits OVA-induced immune responses <italic>in vivo</italic> remain to be determined because resveratrol has a wide range of biological and pharmacological activities via multiple molecular mechanisms <xref ref-type="bibr" rid="pone.0044338-Baur1">[10]</xref> and the bioavailability of resveratrol in mice (and also in humans) remains a major consideration <xref ref-type="bibr" rid="pone.0044338-Singh1">[20]</xref>. In particular, further investigation should determine if it is possible to achieve the concentrations (10–30 µM) of resveratrol (that were used in the current <italic>in vitro</italic> studies) in the gut local environment in the resveratrol-fed mice.</p>
<p>Resveratrol treatment decreased OVA plus CT-induced co-stimulatory molecule expression levels in DO11.10 mice-splenocytes and in BMDCs. In consistent with this study, Sharma et al. previously reported that resveratrol at 20 µM suppressed the expression of co-stimulatory molecules (e.g. CD80) in LPS-stimulated mouse peritoneal macrophages <italic>in vitro</italic>, although the molecular mechanism was not addressed <xref ref-type="bibr" rid="pone.0044338-Sharma1">[21]</xref>.</p>
<p>How resveratrol inhibits CT-induced cAMP elevation in BMDCs remains to be determined. Recently, Morinaga et al. reported that resveratrol inhibited CT-induced cAMP accumulation in Vero cells <xref ref-type="bibr" rid="pone.0044338-Morinaga1">[22]</xref>. They suggested that resveratrol suppressed the CT activity indirectly by suppressing the internalization of CT or directly by interacting with CT and inhibiting its enzymatic activity to activate adenylate cyclase. These mechanisms might also occur in DC in this study.</p>
<p>Masilamani et al. and Zuercher et al. reported that dietary soybean isoflavons or polyphenol-enriched apple extract protected against CT-driven mucosal sensitization to peanut or OVA in mice, respectively <xref ref-type="bibr" rid="pone.0044338-Masilamani1">[23]</xref>, <xref ref-type="bibr" rid="pone.0044338-Zuercher1">[24]</xref>. Masilamani et al. also showed that soybean isoflavons inhibited CT-induced DC maturation and subsequent T cell activation <xref ref-type="bibr" rid="pone.0044338-Masilamani1">[23]</xref>, which is similar to the current findings in case of resveratrol. Therefore, dietary polyphenols present in vegetables and fruits might have the general potential to prevent food allergy and other allergic diseases <xref ref-type="bibr" rid="pone.0044338-Singh1">[20]</xref>. The current study identifies resveratrol as a new dietary polyphenol having such an anti-allergic activity and shows that CT adjuvant activity is likely to be an important target of resveratrol in the context of a food allergy model.</p>
<p>In summary, this study suggests that dietary resveratrol can prevent mucosal sensitization to food antigens without apparent toxic effects. Resveratrol has beneficial properties in animal disease models and human health and, as such, many clinical trials are on going with relative safety <xref ref-type="bibr" rid="pone.0044338-Baur1">[10]</xref>, <xref ref-type="bibr" rid="pone.0044338-Patel1">[25]</xref>. The current results provide additional evidence that this remarkable natural substance may also be beneficial for prophylaxis against food allergy, where unmet preventive/therapeutic needs are greatest in allergic diseases.</p>
</sec>
<sec id="s4" sec-type="methods">
<title>Methods</title>
<sec id="s4a">
<title>Mice</title>
<p>Female 4–6 weeks Balb/c were purchased from Japan SLC (Tokyo, Japan) and DO11.10 transgenic mice <xref ref-type="bibr" rid="pone.0044338-Murphy1">[13]</xref> with Balb/c genetic backgrounds were bred under specific pathogen-free conditions. Susceptibility of mice to a lethal dose of CT was tested using 8 week-old C57BL/6 mice (Japan SLC, Tokyo, Japan). All animal experiments were approved by the Institutional Review Board of the University of Yamanashi.</p>
</sec>
<sec id="s4b">
<title>Dietary Resveratrol</title>
<p>The mice were maintained on a standard mouse diet for 2 weeks prior to the start of the experiment. All mice were housed 4–5 per cage with free access to food and water for 24 hours, under a 12∶12 light/dark cycle. Mice were fed the standard diet or resveratrol (&gt;99%, Sigma-Aldrich, St Louis, MO)-mixed standard diet (22.4 mg/kg diet, 0.01% resveratrol) for 5 weeks as previously described <xref ref-type="bibr" rid="pone.0044338-Baur2">[11]</xref>. The diet was provided in cages for no more than 1 week. Food intake and body weight were measured on a weekly basis for the duration of the study.</p>
</sec>
<sec id="s4c">
<title>Mucosal Sensitization</title>
<p>The mice were orally sensitized with ovalbumin (OVA) at 1 week after the start of resveratrol feeding as previously described <xref ref-type="bibr" rid="pone.0044338-Li1">[12]</xref> with some modifications. Briefly, mice were administered 50 mg of OVA (Sigma-Aldrich, St Louis, MO) with 10 µg of CT (List Biologicals, Campbell, CA) in a final volume of 200 µl by using a mouse feeding needle 4 times a week for 4 weeks.</p>
</sec>
<sec id="s4d">
<title>Serum IgE Levels</title>
<p>Serum levels of OVA-specific IgE levels were determined using the mouse OVA-specific IgE ELISA kit at week 5 (DS Pharma Biomedical, Ohsaka, Japan), according to the manufacturers’ instructions.</p>
</sec>
<sec id="s4e">
<title>Measurement of Anaphylaxis</title>
<p>All mice received a bolus i.p. challenge with OVA (100 µg) at week 5. Anaphylaxis was assessed in challenged mice by measuring changes in rectal temperature with a digital thermometer (Shibaura Electronics, Tokyo, Japan) at 0, 5, 30, 60 minutes after the challenge as previously described <xref ref-type="bibr" rid="pone.0044338-Nakamura1">[26]</xref>.</p>
</sec>
<sec id="s4f">
<title>Antigen-recall Response</title>
<p>The splenocytes and mesenteric lymph node (MLN) cells were obtained from the mice at week 5 and were cultured (2×10<sup>6</sup> cells/well) for 72 hours in the presence of 300 µg/ml OVA. In the absence of OVA, IL-13 and IFN-γ production in the culture supernatants was not detected (data not shown).</p>
</sec>
<sec id="s4g">
<title><italic>In vitro</italic> Cell Culture</title>
<p>Bone marrow-derived dendritic cells were generated from the femoral bone marrow cells of female mice as previously described <xref ref-type="bibr" rid="pone.0044338-Kanada1">[27]</xref>. DO11.10 mice derived-splenocytes or BMDCs were cultured in RPMI1640 (Sigma-Aldrich, St Louis, MO) containing 10% FCS and antibiotics. For experiments, the cells (1×10<sup>6</sup> cells/well) were stimulated with 300 µg/ml OVA and 12 pM CT and were cultured for the indicated times. Resveratrol (10 and 30 µM) dissolved in DMSO or DMSO alone was added to the culture 30 minutes before the OVA plus CT stimulation. For some experiments, BMDCs were stimulated with 12 pM CT alone.</p>
</sec>
<sec id="s4h">
<title>Quantitative Real-time PCR</title>
<p>Total RNA was extracted from the cells using RNAeasy Mini kit (QUAGEN Inc., Valencia, CA). cDNA was then synthesized from 4 µg of total RNA using Reverse Transcriptase System (Applied Biosystems, Foster City, CA). Quantitative real-time PCR with specific primers and probes for mouse T-bet, GATA3, Foxp3, CD80, CD86, and GAPDH (Applied Biosystems, Foster City, CA) was then performed using the AB7300 real-time PCR system (Applied Biosystems) as previously described <xref ref-type="bibr" rid="pone.0044338-Nakamura2">[28]</xref>.</p>
</sec>
<sec id="s4i">
<title>ELISA</title>
<p>The amounts of IL-2, IL-4, IL-13, and IFN-γ in the culture supernatants were determined by using the mouse IL-2, IL-4, IL-13, and IFN-γ ELISA kits (eBioscience, San Diego, CA).</p>
</sec>
<sec id="s4j">
<title>Cell Viability Assay</title>
<p>The cells (1×10<sup>5</sup> cells/well) were cultured with or without the indicated stimulations for 72 hours in a U-bottom 96-well microtiter plate. Cell viability was then determined by trypan blue dye exclusion and a WST assay using the Tetra Color ONE kit (Seikagaku Corporation, Tokyo, Japan) according to the manufacturer’s instructions. To detect apoptotic cells, the spleen cells or MLN cells (1×10<sup>6</sup>) isolated from the mice were incubated with 5 µl FITC-conjugated Annexin V and 5 µl PI (BD Pharmingen, San Diego, CA, USA) in 500 µl PBS for 15 minutes. After washing with PBS, the cells were subjected to FACS analysis. For some experiments, the cells isolated from the mice were re-stimulated with 300 µg/ml OVA <italic>in vitro</italic> for 48 hours and stained with PI and Annexin V and subjected to FACS analysis.</p>
</sec>
<sec id="s4k">
<title>FACS</title>
<p>PE-conjugated anti-mouse KJ1–26, FITC-conjugated anti-mouse CD80 and CD86, and APC-conjugated anti-mouse CD11c antibody were purchased from BD PharMingen (San Diego, CA). APC-conjugated anti-mouse CD25 antibody were purchased from eBioscience Inc. (San Diego, CA). The cellular staining was analyzed on a FACSCalibur (BD Biosciences, San Diego, CA) using the CellQuest program (BD Biosciences). Before staining, Fc receptors were blocked with anti-CD16/32 antibody (2.4G2; BD Biosciences). Negative controls consisted of isotype-matched directly conjugated, nonspecific antibodies (BD Biosciences).</p>
</sec>
<sec id="s4l">
<title>cAMP Assay</title>
<p>cAMP was quantified using a cAMP EIA kit (Cayman Chemical Company, Ann Arbor, MI). Resveratrol (10 and 30 µM) was added to BMDCs (5 × 10<sup>5</sup> cells/well) grown in 24-well plates and incubated at 37°C for 30 minutes before addition of 12 pM CT or 10 nM prostaglandin E2 (PGE2) (Tokyo Chemical Industry Co., Ltd., Tokyo, Japan) as a positive control and further incubation for 1 hour. The medium was then aspirated and 0.3 ml of 2% triton (Sigma-Aldrich, St Louis, MO) in EIA buffer (company supplied) was added. The cells were incubated for 10 min at room temperature and sedimented by centrifugation and the supernatant was used for assay following the manufacturer’s instructions.</p>
</sec>
<sec id="s4m">
<title>Oral Administration of a Lethal Dose of CT to Mice</title>
<p>Mice were deprived of food for 2 hours and were deprived of water for another 2 hours and then were given a solution of sodium bicarbonate to neutralize stomach acidity before oral administration of CT as previously described <xref ref-type="bibr" rid="pone.0044338-Wei1">[19]</xref>. Then 30 minutes later, mice were mildly sedated by anesthesia and given oral challenge with 150 µg CT in 10 mM Tris, pH7.5; they were monitored daily after the challenge if they were allowed to die after the lethal dose.</p>
</sec>
<sec id="s4n">
<title>Data Analysis</title>
<p>The statistical analysis was performed using un-paired Student’s <italic>t-</italic>test. A value of P&lt;0.05 was considered to be significant.</p>
</sec>
</sec>
<sec id="s5">
<title>Supporting Information</title>
<supplementary-material id="pone.0044338.s001" mimetype="image/png" xlink:href="journal.pone.0044338.s001.png" position="float" xlink:type="simple">
<label>Figure S1</label>
<caption>
<p><bold>The frequencies of apoptotic cells in splenocytes and mesenteric lymph node cells isolated from standard diet- or standard diet plus resveratrol-fed mice.</bold> The splenocytes and mesenteric lymph node (MLN) cells were freshly isolated from the mice fed standard diet or fed the standard diet plus resveratrol at 5 weeks (day 35). A. B. The cells were immediately stained with propidium iodide (PI) and Annexin V and subjected to FACS analysis. Representative plots (left panels) and the quantitative data (right panels) of the splenocytes (SPL) (A) and MLN cells (B). C. The cells were stimulated with 300 µg/ml OVA <italic>in vitro</italic> for 2 days and were stained with PI and Annexin V and subjected to FACS analysis. The quantitative data of the splenocytes (SPL) and MLN cells are shown. Values represent the mean ± SD (A, B, n = 4 per group, C, n = 3 per group). (S: standard diet-fed mice, S/R: standard diet plus resveratrol-fed mice).</p>
<p>(TIF)</p>
</caption>
</supplementary-material>
<supplementary-material id="pone.0044338.s002" mimetype="image/png" xlink:href="journal.pone.0044338.s002.png" position="float" xlink:type="simple">
<label>Figure S2</label>
<caption>
<p><bold>The frequencies of viable cells in DO11.10 splenocytes stimulated in the presence or absence of resveratrol.</bold> The splenocytes isolated from DO11.10 mice were stimulated with 300 µg/ml OVA +12 pM CT in the presence or absence of 10 or 30 µM resveratrol for 72 hours. The cells were then stained with trypan blue solution. Trypan blue exclusion rates relative to those in control group (OVA + CT stimulation) are shown. Values represent the mean ± SD (n = 4 per group).</p>
<p>(TIF)</p>
</caption>
</supplementary-material>
</sec>
</body>
<back>
<ack>
<p>The authors thank Drs. Ryusukek Nakagawa and Naomi Shimokawa for their technical assistance and Ms. Yuko Ohnuma and Mutuko Hara for their valuable general assistance.</p>
</ack>
<ref-list>
<title>References</title>
<ref id="pone.0044338-Crespo1">
<label>1</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Crespo</surname><given-names>JF</given-names></name>, <name name-style="western"><surname>Rodriguez</surname><given-names>J</given-names></name> (<year>2003</year>) <article-title>Food allergy in adult food</article-title>. <source>Allergy</source> <volume>58</volume>: <fpage>98</fpage><lpage>113</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Lack1">
<label>2</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Lack</surname><given-names>G</given-names></name> (<year>2008</year>) <article-title>Clinical practice. Food allergy</article-title>. <source>N Engl J Med</source> <volume>359</volume>: <fpage>1252</fpage><lpage>1260</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Wang1">
<label>3</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Wang</surname><given-names>J</given-names></name>, <name name-style="western"><surname>Sampson</surname><given-names>HA</given-names></name> (<year>2011</year>) <article-title>Food allergy</article-title>. <source>J Clin Invest</source> <volume>121</volume>: <fpage>827</fpage><lpage>835</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Weiner1">
<label>4</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Weiner</surname><given-names>HL</given-names></name>, <name name-style="western"><surname>da Cunha</surname><given-names>AP</given-names></name>, <name name-style="western"><surname>Quintana</surname><given-names>F</given-names></name>, <name name-style="western"><surname>Wu</surname><given-names>H</given-names></name> (<year>2011</year>) <article-title>Oral tolerance</article-title>. <source>Immunol Rev</source> <volume>241</volume>: <fpage>241</fpage><lpage>259</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Burks1">
<label>5</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Burks</surname><given-names>AW</given-names></name>, <name name-style="western"><surname>Laubach</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Jones</surname><given-names>SM</given-names></name> (<year>2008</year>) <article-title>Oral tolerance, food allergy, and immunotherapy: implications for future treatment</article-title>. <source>J Allergy Clin Immunol</source> <volume>121</volume>: <fpage>1344</fpage><lpage>1350</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Brandtzaeg1">
<label>6</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Brandtzaeg</surname><given-names>P</given-names></name> (<year>2010</year>) <article-title>Food allergy: separating the science from the mythology</article-title>. <source>Nat Rev Gastroenterol Hepatol</source> <volume>7</volume>: <fpage>380</fpage><lpage>400</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Hamelmann1">
<label>7</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Hamelmann</surname><given-names>E</given-names></name>, <name name-style="western"><surname>Beyer</surname><given-names>K</given-names></name>, <name name-style="western"><surname>Gruber</surname><given-names>C</given-names></name>, <name name-style="western"><surname>Lau</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Matricardi</surname><given-names>PM</given-names></name>, <etal>et al</etal>. (<year>2008</year>) <article-title>Primary prevention of allergy: avoiding risk or providing protection</article-title>? <source>Clin Exp Allergy</source> <volume>38</volume>: <fpage>233</fpage><lpage>245</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-German1">
<label>8</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>German</surname><given-names>JB</given-names></name>, <name name-style="western"><surname>Walzem</surname><given-names>RL</given-names></name> (<year>2000</year>) <article-title>The health benefits of wine</article-title>. <source>Annu Rev Nutr</source> <volume>20</volume>: <fpage>561</fpage><lpage>593</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Soleas1">
<label>9</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Soleas</surname><given-names>GJ</given-names></name>, <name name-style="western"><surname>Diamandis</surname><given-names>EP</given-names></name>, <name name-style="western"><surname>Goldberg</surname><given-names>DM</given-names></name> (<year>2001</year>) <article-title>The world of resveratrol</article-title>. <source>Adv Exp Med Biol</source> <volume>492</volume>: <fpage>159</fpage><lpage>182</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Baur1">
<label>10</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Baur</surname><given-names>JA</given-names></name>, <name name-style="western"><surname>Sinclair</surname><given-names>DA</given-names></name> (<year>2006</year>) <article-title>Therapeutic potential of resveratrol: the in vivo evidence</article-title>. <source>Nat Rev Drug Discov</source> <volume>5</volume>: <fpage>493</fpage><lpage>506</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Baur2">
<label>11</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Baur</surname><given-names>JA</given-names></name>, <name name-style="western"><surname>Pearson</surname><given-names>KJ</given-names></name>, <name name-style="western"><surname>Price</surname><given-names>NL</given-names></name>, <name name-style="western"><surname>Jamieson</surname><given-names>HA</given-names></name>, <name name-style="western"><surname>Lerin</surname><given-names>C</given-names></name>, <etal>et al</etal>. (<year>2006</year>) <article-title>Resveratrol improves health and survival of mice on a high-calorie diet</article-title>. <source>Nature</source> <volume>444</volume>: <fpage>337</fpage><lpage>342</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Li1">
<label>12</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Li</surname><given-names>XM</given-names></name>, <name name-style="western"><surname>Schofield</surname><given-names>BH</given-names></name>, <name name-style="western"><surname>Huang</surname><given-names>CK</given-names></name>, <name name-style="western"><surname>Kleiner</surname><given-names>GI</given-names></name>, <name name-style="western"><surname>Sampson</surname><given-names>HA</given-names></name> (<year>1999</year>) <article-title>A murine model of IgE-mediated cow's milk hypersensitivity</article-title>. <source>J Allergy Clin Immunol</source> <volume>103</volume>: <fpage>206</fpage><lpage>214</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Murphy1">
<label>13</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Murphy</surname><given-names>KM</given-names></name>, <name name-style="western"><surname>Heimberger</surname><given-names>AB</given-names></name>, <name name-style="western"><surname>Loh</surname><given-names>DY</given-names></name> (<year>1990</year>) <article-title>Induction by antigen of intrathymic apoptosis of CD4<sup>+</sup>CD8<sup>+</sup>TCRlow thymocytes in vivo</article-title>. <source>Science</source> <volume>250</volume>: <fpage>1720</fpage><lpage>1723</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Gagliardi1">
<label>14</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Gagliardi</surname><given-names>MC</given-names></name>, <name name-style="western"><surname>Sallusto</surname><given-names>F</given-names></name>, <name name-style="western"><surname>Marinaro</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Langenkamp</surname><given-names>A</given-names></name>, <name name-style="western"><surname>Lanzavecchia</surname><given-names>A</given-names></name>, <etal>et al</etal>. (<year>2000</year>) <article-title>Cholera toxin induces maturation of human dendritic cells and licences them for Th2 priming</article-title>. <source>Eur J Immunol</source> <volume>30</volume>: <fpage>2394</fpage><lpage>2403</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Blzquez1">
<label>15</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Blázquez</surname><given-names>AB</given-names></name>, <name name-style="western"><surname>Berin</surname><given-names>MC</given-names></name> (<year>2008</year>) <article-title>Gastrointestinal dendritic cells promote Th2 skewing via OX40L</article-title>. <source>J Immunol</source> <volume>180</volume>: <fpage>4441</fpage><lpage>4450</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Bagley1">
<label>16</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Bagley</surname><given-names>KC</given-names></name>, <name name-style="western"><surname>Abdelwahab</surname><given-names>SF</given-names></name>, <name name-style="western"><surname>Tuskan</surname><given-names>RG</given-names></name>, <name name-style="western"><surname>Fouts</surname><given-names>TR</given-names></name>, <name name-style="western"><surname>Lewis</surname><given-names>GK</given-names></name> (<year>2002</year>) <article-title>Cholera toxin and heat-labile enterotoxin activate human monocyte-derived dendritic cells and dominantly inhibit cytokine production through a cyclic AMP-dependent pathway</article-title>. <source>Infect Immun</source> <volume>70</volume>: <fpage>5533</fpage><lpage>5539</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-ElaSala1">
<label>17</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Ela Sala</surname><given-names>A</given-names></name>, <name name-style="western"><surname>He</surname><given-names>J</given-names></name>, <name name-style="western"><surname>Laricchia-Robbio</surname><given-names>L</given-names></name>, <name name-style="western"><surname>Gorini</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Iwasaki</surname><given-names>A</given-names></name>, <etal>et al</etal>. (<year>2009</year>) <article-title>Cholera toxin inhibits IL-12 production and CD8α+ dendritic cell differentiation by cAMP-mediated inhibition of IRF8 function</article-title>. <source>J Exp Med</source> <volume>206</volume>: <fpage>1227</fpage><lpage>1235</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Negri1">
<label>18</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Negri</surname><given-names>DR</given-names></name>, <name name-style="western"><surname>Pinto</surname><given-names>D</given-names></name>, <name name-style="western"><surname>Vendetti</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Patrizio</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Sanchez</surname><given-names>M</given-names></name>, <etal>et al</etal>. (<year>2009</year>) <article-title>Cholera toxin and Escherichia coli heat-labile enterotoxin, but not their nontoxic counterparts, improve the antigen-presenting cell function of human B lymphocytes</article-title>. <source>Infect Immun</source> <volume>77</volume>: <fpage>1924</fpage><lpage>1935</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Wei1">
<label>19</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Wei</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Shinkura</surname><given-names>R</given-names></name>, <name name-style="western"><surname>Doi</surname><given-names>Y</given-names></name>, <name name-style="western"><surname>Maruya</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Fagarasan</surname><given-names>S</given-names></name>, <etal>et al</etal>. (<year>2011</year>) <article-title>Mice carrying a knock-in mutation of <italic>Aicda</italic> resulting in a defect in somatic hypermutation have impaired gut homeostasis and compromised mucosal defense</article-title>. <source>Nat Immunol</source> <volume>12</volume>: <fpage>264</fpage><lpage>270</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Singh1">
<label>20</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Singh</surname><given-names>A</given-names></name>, <name name-style="western"><surname>Holvoet</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Mercenier</surname><given-names>A</given-names></name> (<year>2011</year>) <article-title>Dietary polyphenols in the prevention and treatment of allergic diseases</article-title>. <source>Clin Exp Allergy</source> <volume>41</volume>: <fpage>1346</fpage><lpage>1359</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Sharma1">
<label>21</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Sharma</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Chopra</surname><given-names>K</given-names></name>, <name name-style="western"><surname>Kulkarni</surname><given-names>SK</given-names></name>, <name name-style="western"><surname>Agrewala</surname><given-names>JN</given-names></name> (<year>2007</year>) <article-title>Resveratrol and curcumin suppress immune response through CD28/CTLA-4 and CD80 co-stimulatory pathway</article-title>. <source>Clin Exp Immunol</source> <volume>147</volume>: <fpage>155</fpage><lpage>163</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Morinaga1">
<label>22</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Morinaga</surname><given-names>N</given-names></name>, <name name-style="western"><surname>Yahiro</surname><given-names>K</given-names></name>, <name name-style="western"><surname>Noda</surname><given-names>M</given-names></name> (<year>2010</year>) <article-title>Resveratrol, a natural polyphenolic compound, inhibits cholera toxin-induced cyclic AMP accumulation in Vero cells</article-title>. <source>Toxicon</source> <volume>56</volume>: <fpage>29</fpage><lpage>35</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Masilamani1">
<label>23</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Masilamani</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Wei</surname><given-names>J</given-names></name>, <name name-style="western"><surname>Bhatt</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Paul</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Yakir</surname><given-names>S</given-names></name>, <etal>et al</etal>. (<year>2011</year>) <article-title>Soybean isoflavones regulate dendritic cell function and suppress allergic sensitization to peanut</article-title>. <source>J Allergy Clin Immunol</source> <volume>128</volume>: <fpage>1242</fpage><lpage>1250.e1</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Zuercher1">
<label>24</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Zuercher</surname><given-names>AW</given-names></name>, <name name-style="western"><surname>Holvoet</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Weiss</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Mercenier</surname><given-names>A</given-names></name> (<year>2010</year>) <article-title>Polyphenol-enriched apple extract attenuates food allergy in mice</article-title>. <source>Clin Exp Allergy</source> <volume>40</volume>: <fpage>942</fpage><lpage>950</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Patel1">
<label>25</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Patel</surname><given-names>KR</given-names></name>, <name name-style="western"><surname>Scott</surname><given-names>E</given-names></name>, <name name-style="western"><surname>Brown</surname><given-names>VA</given-names></name>, <name name-style="western"><surname>Gescher</surname><given-names>AJ</given-names></name>, <name name-style="western"><surname>Steward</surname><given-names>WP</given-names></name>, <etal>et al</etal>. (<year>2011</year>) <article-title>Clinical trials of resveratrol</article-title>. <source>Ann N Y Acad Sci</source> <volume>1215</volume>: <fpage>161</fpage><lpage>169</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Nakamura1">
<label>26</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Nakamura</surname><given-names>Y</given-names></name>, <name name-style="western"><surname>Harama</surname><given-names>D</given-names></name>, <name name-style="western"><surname>Shimokawa</surname><given-names>N</given-names></name>, <name name-style="western"><surname>Hara</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Suzuki</surname><given-names>R</given-names></name>, <etal>et al</etal>. (<year>2011</year>) <article-title>Circadian clock gene Period2 regulates a time-of-day-dependent variation in cutaneous anaphylactic reaction</article-title>. <source>J Allergy Clin Immunol</source> <volume>127</volume>: <fpage>1038</fpage><lpage>1045</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Kanada1">
<label>27</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Kanada</surname><given-names>S</given-names></name>, <name name-style="western"><surname>Nishiyama</surname><given-names>C</given-names></name>, <name name-style="western"><surname>Nakano</surname><given-names>N</given-names></name>, <name name-style="western"><surname>Suzuki</surname><given-names>R</given-names></name>, <name name-style="western"><surname>Maeda</surname><given-names>K</given-names></name>, <etal>et al</etal>. (<year>2011</year>) <article-title>Critical role of transcription factor PU.1 in the expression of CD80 and CD86 on dendritic cells</article-title>. <source>Blood</source> <volume>117</volume>: <fpage>2211</fpage><lpage>2222</lpage>.</mixed-citation>
</ref>
<ref id="pone.0044338-Nakamura2">
<label>28</label>
<mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Nakamura</surname><given-names>Y</given-names></name>, <name name-style="western"><surname>Miyata</surname><given-names>M</given-names></name>, <name name-style="western"><surname>Ohba</surname><given-names>T</given-names></name>, <name name-style="western"><surname>Ando</surname><given-names>T</given-names></name>, <name name-style="western"><surname>Hatsushika</surname><given-names>K</given-names></name>, <etal>et al</etal>. (<year>2008</year>) <article-title>Cigarette smoke extract induces thymic stromal lymphopoietin expression, leading to T(H)2-type immune responses and airway inflammation</article-title>. <source>J Allergy Clin Immunol</source> <volume>122</volume>: <fpage>1208</fpage><lpage>1214</lpage>.</mixed-citation>
</ref>
</ref-list>
</back>
</article>
journal.pone.0044338.g001.png
journal.pone.0044338.g002.png
journal.pone.0044338.g003.png
journal.pone.0044338.g004.png
journal.pone.0044338.g005.png
journal.pone.0044338.s001.png
journal.pone.0044338.s002.png

Please sign in to comment on this gist.

Something went wrong with that request. Please try again.