2018
DOI: 10.1016/j.anai.2018.06.026
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Mechanisms of allergen-specific immunotherapy

Abstract: Although the complex nature of AIT mechanisms is becoming more clear, the need to discover reliable biomarkers to define patients likely to respond to the treatment is emerging.

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Cited by 107 publications
(37 citation statements)
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“…There is mounting evidence showing that IL-31 is correlated with the itchy pathophysiology of atopic dermatitis, cutaneous T-cell lymphoma, uremic pruritus, allergic contact dermatitis and chronic urticaria [21,22]. In the current study, For t 2-specific IgE, the For t 2 specific IgG1/IgG2a ratio, IL-4, IL-13 and skin inflammation were all reduced following administration of the DNA vaccine, there was also an increase in For t 2-specific IgG2a, as one would expect to see in a successful allergen specific immunotherapy [23,24]. In addition to this, allergen-induced intra-dermal IL-31 production was significantly reduced following the administration of DNA vaccine therapy.…”
Section: Discussionsupporting
confidence: 63%
“…There is mounting evidence showing that IL-31 is correlated with the itchy pathophysiology of atopic dermatitis, cutaneous T-cell lymphoma, uremic pruritus, allergic contact dermatitis and chronic urticaria [21,22]. In the current study, For t 2-specific IgE, the For t 2 specific IgG1/IgG2a ratio, IL-4, IL-13 and skin inflammation were all reduced following administration of the DNA vaccine, there was also an increase in For t 2-specific IgG2a, as one would expect to see in a successful allergen specific immunotherapy [23,24]. In addition to this, allergen-induced intra-dermal IL-31 production was significantly reduced following the administration of DNA vaccine therapy.…”
Section: Discussionsupporting
confidence: 63%
“…AIT exposes the allergic individual to small but increasing doses of the allergenic protein, resulting in desensitization or lowered allergen reactivity. The main goal of AIT is to achieve sustained immune unresponsiveness to the food allergen (5,40,41). There are different routes by which AIT can be administered such as SCIT (subcutaneous immunotherapy), SLIT (sublingual immunotherapy), OIT (Oral Immunotherapy), IDIT (intradermal immunotherapy), EPIT (epicutaneous immunotherapy) LNIT (local nasal immunotherapy) and ILIT (intralymphatic immunotherapy) depending on the types of allergens (40,42).…”
Section: Mechanisms Of Allergic Reactions and Current Immunotherapeutmentioning
confidence: 99%
“…In fact, AIT induces a protective immunity in allergic patients based on the modification of cellular and humoral responses to the disease causing allergen (7). Besides the inhibition of IgE binding to their specific allergen, the immune deviation from a TH2 to TH1 response, and the decreases in numbers of effector cells in target organs, the generation and maintenance of allergen-specific regulatory T and B cells and the involvement of their suppressive cytokines are essential for the induction of allergen tolerance (8)(9)(10). Beyond doubt the improvement of allergic symptoms is further caused by AIT-induced IgG antibodies found in serum and nasal secretions (8,(11)(12)(13)(14).…”
Section: Introductionmentioning
confidence: 99%