Allergies are considered atopic diseases, or diseases that cause the immune system to create an abnormal amount of IgE antibodies when the body is exposed to an allergen. Allergies affect many people around the world, however many studies have shown a higher rate of allergy in developed countries when compared to developing countries. This discrepancy is hypothesized to be in part because of a decrease in parasitic infections, which have shown to have a protective effect for autoimmune-type diseases, like allergies. There are not many long-term, effective allergy treatments, however a promising allergen-specific immunotherapy technique uses a vaccine that targets B cell epitopes with the hope of increasing the amount of IgG antibodies as opposed to IgE specific antibodies to decrease the likelihood of an allergic reaction. This paper proposes a study that combines the protective effects of a parasite infection with a helminth infection and a B cell epitope vaccination, an already studied BM32 vaccine, to improve allergy symptoms of those with grass pollen allergy. This combination treatment will aim to decrease the number of symptomatic days, eosinophil count found at a scratch test site, and IgE antibodies found within the blood in grass pollen allergic people during peak grass pollen season.

The prevalence of allergic disease is expected to increase with climate change. Grasses, which have highly allergenic pollen, are widely distributed across the globe. Changes in production and allergen content of grass pollen have not been specifically investigated. We tested the effects of elevated carbon dioxide and ozone on growth, pollen and allergen production of Timothy grass (Phleum pratense L.). Timothy is also used as an agricultural forage crop so changes in plant productivity can also affect humans indirectly. Plants were fumigated in eight chambers at two concentrations of ozone (O3; 30 and 80 ppb) and carbon dioxide (CO2; 400 and 800 ppm) to simulate present and future projected levels. Destructive harvests were completed every three weeks to measure productivity. Pollen was collected in polyethylene bags placed around flowers and assessed for pollen number and concentration of the allergenic protein, Phl p 5. We found that elevated CO2 significantly increased the amount of pollen produced per flower regardless of O3 level. In addition, the amount of Phl p 5 allergen per flower was significantly increased in plants grown at elevated CO2 / low O3 conditions. We also found that plants grown in both elevated CO2 and elevated O3 increased the amount of pollen produced per weight of flower. The Phl p 5 allergen content per pollen grain was significantly reduced by elevated O3, as was flower length and weight. However, this was partially ameliorated by elevated CO2. Productivity was affected negatively by elevated O3 throughout the life cycle. CO2 increased shoot productivity during the intermediate stages of life and also ameliorated the negative impacts of elevated O3. We conclude that increasing levels of CO2 will cause a 2.5 times increase in Timothy grass pollen production thus increasing human airborne pollen exposure. Increases in pollen were likely a result of increased shoot biomass in the stages leading up to reproduction. If Timothy grass is a good model for other grasses, this portends for increased allergy suffering worldwide and an important health impact of global climate change.