An update on immunotherapy for food allergy.

Abstract:

PURPOSE OF REVIEW:Recent investigation has resulted in significant advances toward definitive therapeutic options for food allergy. In this review, we will explore novel immunotherapeutic interventions for the active treatment of food allergy. RECENT FINDINGS:Because the injection route for allergen immunotherapy to foods has been associated with an unacceptable risk of severe anaphylactic reactions, use of mucosally targeted therapeutic strategies is of significant interest for food allergy. Allergen-specific immunotherapeutic approaches such as oral, sublingual, epicutaneous, and peptide immunotherapy have demonstrated efficacy in increasing threshold dose and inducing immunologic changes associated with both desensitization and oral tolerance in animal and human trials. More global immunomodulatory strategies, such as Traditional Chinese Medicine and anti-IgE therapy have been shown to effectively target the allergic response, and clinical trials are ongoing to determine the efficacy and safety in human food allergy. SUMMARY:The advent of therapies that target the mucosal immune response to promote oral tolerance have shown great promise in the treatment of food hypersensitivity. However, there is still significant risk of adverse reactions associated with these therapeutic strategies and further study is needed to carefully advance these therapeutic modalities toward general clinical implementation.

authors

Scurlock AM,Jones SM

doi

10.1097/ACI.0b013e32833fd5eb

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

587-93

issue

6

eissn

1528-4050

issn

1473-6322

journal_volume

10

pub_type

杂志文章,评审
  • The role of the gut mucosal immunity in the development of tolerance against allergy to food.

    abstract:PURPOSE OF REVIEW:To provide an overview on the role of gut mucosal immunity in the development of tolerance against allergy to food. RECENT FINDINGS:The gastrointestinal tract, through innate and specific immunologic factors, acts as a defense against ingested antigens. In addition to the mucous membrane integrity an...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32833982ab

    authors: Chahine BG,Bahna SL

    更新日期:2010-06-01 00:00:00

  • Nitric oxide in allergic airway inflammation.

    abstract:PURPOSE OF REVIEW:Exhaled nitric oxide has been proposed as a useful noninvasive marker of airway inflammation in asthma. Great efforts have been made to standardize the methodology for exhaled nitric oxide measurement in both children and adults. As a consequence there is now an opportunity to establish the precise re...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200304000-00007

    authors: Payne DN

    更新日期:2003-04-01 00:00:00

  • Mastocytosis and Hymenoptera venom allergy.

    abstract:PURPOSE OF REVIEW:Mastocytosis is a rare disease characterized by increased mast cells in skin and/or internal organs. We evaluate the impact of mastocytosis on diagnosis and treatment of Hymenoptera venom allergy. RECENT FINDINGS:Patients with Hymenoptera venom allergy who suffer from mastocytosis develop life-threat...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000235903.10548.63

    authors: Ruëff F,Placzek M,Przybilla B

    更新日期:2006-08-01 00:00:00

  • How does exercise cause asthma attacks?

    abstract:PURPOSE OF REVIEW:To remind readers that evaporative water loss from the airway surface is the stimulus for exercise-induced bronchoconstriction. To emphasize that recruitment of the peripheral airways determines severity of exercise-induced bronchoconstriction. To draw attention to the potential for injury of the epit...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000199797.02423.78

    authors: Anderson SD

    更新日期:2006-02-01 00:00:00

  • The value of mucosal allergen challenge for the diagnosis of food allergy.

    abstract:PURPOSE OF REVIEW:The incidence of food allergy is increasing. Correct diagnosis is dependent on food challenges, which are not always performed, but more often based on history, skin prick test and specific IgE, leading to possible misdiagnoses. Mucosal provocation tests have been proposed as possible new diagnostic t...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32836093f6

    authors: Kvenshagen BK,Jacobsen M

    更新日期:2013-06-01 00:00:00

  • Component-resolved diagnosis in anaphylaxis.

    abstract:PURPOSE OF REVIEW:Component-resolved diagnosis (CRD) is an advanced tool capable of aiding the clinician in fine tuning the diagnosis of the causal allergens of a reaction with the added value of providing information of severity risk, potential cross-reactivity, and subsequently, guiding management measures. This revi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000261

    authors: Cardona V,Ansotegui IJ

    更新日期:2016-06-01 00:00:00

  • Hypersensitivity reactions to beta-lactams in children.

    abstract:PURPOSE OF REVIEW:To present the most recent evidence on beta-lactam hypersensitivity reactions in children. RECENT FINDINGS:Drug provocation tests (DPTs) are the gold standard when investigating beta-lactam allergy in children and evidence is increasingly supporting DPTs without skin tests as a safe approach when eva...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000453

    authors: Graham F,Tsabouri S,Caubet JC

    更新日期:2018-08-01 00:00:00

  • An overview on safety of monoclonal antibodies.

    abstract:PURPOSE OF REVIEW:Biological agents have been a treatment option for many chronic immune-mediated diseases as well as oncological conditions. The issue of infusion reactions is of particular importance and at least in some cases related to the immunogenicity of these drugs with the production of antidrug antibodies. In...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000315

    authors: Matucci A,Nencini F,Pratesi S,Maggi E,Vultaggio A

    更新日期:2016-12-01 00:00:00

  • Risk factors associated with irreversible airflow limitation in asthma.

    abstract:PURPOSE OF REVIEW:Irreversible airflow limitation develops in some patients with asthma and is related to poorer prognosis. This paper reviews recent literature on natural course, risk factors, and potential mechanisms of persistent airflow limitation in asthma. RECENT FINDINGS:The natural course of persistent airflow...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3282f3b5b5

    authors: ten Brinke A

    更新日期:2008-02-01 00:00:00

  • Long-term clinical and immunological effects of allergen immunotherapy.

    abstract:PURPOSE OF REVIEW:The present review updates current findings on long-term clinical and immunological outcomes after cessation of allergen immunotherapy for allergic respiratory disease. RECENT FINDINGS:Recent studies have shown that allergen immunotherapy has sustained disease-modifying effects that persist for years...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834cb994

    authors: Eifan AO,Shamji MH,Durham SR

    更新日期:2011-12-01 00:00:00

  • 'New' contact allergens.

    abstract:PURPOSE OF REVIEW:Due to the continuously changing environmental conditions, it is necessary to regularly monitor and update the spectrum of contact allergens that elicit contact dermatitis. New contact allergens and known contact allergens with currently increasing importance need to be identified for diagnostic and p...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3282a64241

    authors: Brasch J

    更新日期:2007-10-01 00:00:00

  • Bacterial lysates in food allergy prevention.

    abstract:PURPOSE OF REVIEW:In the concept of food allergy prevention, no successful strategy could be identified until now. Although interventional trials using probiotics, prebiotics, hydrolyzed formula and bacterial lysates early in infancy were found to reduce the incidence of atopic dermatitis, no effect on food sensitizati...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328360ede9

    authors: Lau S

    更新日期:2013-06-01 00:00:00

  • Flavoring-related bronchiolitis obliterans.

    abstract:PURPOSE OF REVIEW:In 2000, inhalation of butter flavoring vapors was first associated with clinical bronchiolitis obliterans among workers in microwave popcorn production. Toxicologic and epidemiologic studies in the succeeding 5 years have intervention and research implications. RECENT FINDINGS:Irreversible obstructi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3280298235

    authors: Kreiss K

    更新日期:2007-04-01 00:00:00

  • Asthma/obstructive pulmonary disease overlap: update on definition, biomarkers, and therapeutics.

    abstract:PURPOSE OF REVIEW:Asthma/chronic obstructive pulmonary disease overlap (ACO) continues to be a poorly understood condition. This review discusses newly proposed criteria and potential biomarkers in ACO, to aid in diagnosis and research studies, and prudent therapeutic approaches. RECENT FINDINGS:A global expert panel ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000596

    authors: Generoso A,Oppenheimer J

    更新日期:2020-02-01 00:00:00

  • Metropolitan endotoxin exposure, allergy and asthma.

    abstract:PURPOSE OF REVIEW:To review the role of metropolitan endotoxin exposure in asthma and allergy, emphasizing recently published articles (i.e. April 2002-June 2003). RECENT FINDINGS:In infants and toddlers in metropolitan communities, higher endotoxin levels in house dust are associated with less atopy and increased whe...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200310000-00002

    authors: Song BJ,Liu AH

    更新日期:2003-10-01 00:00:00

  • Autoimmune lymphoproliferative syndrome.

    abstract:PURPOSE OF REVIEW:The autoimmune lymphoproliferative syndrome is a recently identified human disorder of lymphocyte apoptosis that has provided important information about Fas-mediated lymphocyte apoptosis. In this review we summarize current information regarding the diagnosis, management and underlying molecular basi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200412000-00005

    authors: Oliveira JB,Fleisher T

    更新日期:2004-12-01 00:00:00

  • Professional cleaning and asthma.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to summarize the recent evidence on the effect of cleaning jobs on asthma, based on case reports and series of occupational asthma among cleaners, and epidemiological studies on the relationship between different characteristics of cleaning and asthma risk, as well as to ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000216849.64828.55

    authors: Jaakkola JJ,Jaakkola MS

    更新日期:2006-04-01 00:00:00

  • Mammalian milk allergy: clinical suspicion, cross-reactivities and diagnosis.

    abstract:PURPOSE OF REVIEW:Cow's milk allergy affects 2-3% of young children, the economic impact of which necessitates search for simple diagnostic tools and affordable milk substitutes. This review examines recent studies on the diagnosis of cow's milk allergy as well as on the allergenicity of milk from other mammalian speci...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0b013e32832b3f33

    authors: Järvinen KM,Chatchatee P

    更新日期:2009-06-01 00:00:00

  • Genetic and nongenetic factors that may predispose individuals to allergic drug reactions.

    abstract:PURPOSE OF REVIEW:Defining predisposition to allergic drug reactions has largely focussed on HLA associations, but other genetic and nongenetic factors are also likely to be involved. RECENT FINDINGS:Polymorphic genetic variants in cytokine genes, including IL-10, and co-signalling pathways, including CTLA4, have been...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000459

    authors: Gibson A,Ogese M,Pirmohamed M

    更新日期:2018-08-01 00:00:00

  • Asthma: personalized and precision medicine.

    abstract:PURPOSE OF REVIEW:In this review, we herein describe the progress in management of severe asthma, evolving from a 'blockbuster approach' to a more personalized approach targeted to the utilization of endotype-driven therapies. RECENT FINDINGS:Severe asthma characterization in phenotypes and endotypes, by means of spec...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000416

    authors: Canonica GW,Ferrando M,Baiardini I,Puggioni F,Racca F,Passalacqua G,Heffler E

    更新日期:2018-02-01 00:00:00

  • Immunological mechanisms of epidermal damage in toxic epidermal necrolysis.

    abstract:PURPOSE OF REVIEW:The purpose of the present review is to introduce recent findings on the pathomechanisms of toxic epidermal necrolysis (TEN), which is characterized by widespread epidermal detachment due to keratinocyte apoptosis. RECENT FINDINGS:In the mechanism of epidermal damage, the roles of drug metabolites, c...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328355b865

    authors: Tohyama M,Hashimoto K

    更新日期:2012-08-01 00:00:00

  • Inner-city asthma: special considerations for management.

    abstract:PURPOSE OF REVIEW:Asthma is prevalent in inner-city populations, exhibiting significant morbidity and mortality. This review focuses on the consequential findings of recent literature, providing insight into onset of asthma, complicating factors, prediction of exacerbations, and novel treatment strategies. RECENT FIND...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000254

    authors: Dutmer CM,McGraw MD,Liu AH

    更新日期:2016-04-01 00:00:00

  • Epidemiology of insect-venom anaphylaxis.

    abstract:PURPOSE OF REVIEW:Knowledge of the epidemiology, natural history and risk factors of insect-venom allergy is crucial for improving the clinical management of allergic patients. This review focuses on the recent research on these aspects of Hymenoptera-sting anaphylactic reactions. RECENT FINDINGS:The latest data from ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32830638c5

    authors: Bilò BM,Bonifazi F

    更新日期:2008-08-01 00:00:00

  • Predictors of asthma control: what can we modify?

    abstract:PURPOSE OF REVIEW:One strategy to improve asthma control is to identify risk factors for uncontrolled asthma in epidemiologic studies and then consider those risk factors as potential targets for intervention. This article reviews predictors of impairment based on validated tools and predictors of severe asthma exacerb...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32835335ac

    authors: Schatz M

    更新日期:2012-06-01 00:00:00

  • The prevalence and current opinion of treatment of allergic rhinitis in elite athletes.

    abstract:PURPOSE:The aim of this review is to highlight the prevalence of allergic rhinitis in athletes and the impact this condition may have on their athletic performance. Furthermore, the optimal management of medical conditions in the elite athlete forms an important part of protecting the health of the athlete. RECENT FIN...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3283445852

    authors: Dijkstra HP,Robson-Ansley P

    更新日期:2011-04-01 00:00:00

  • Exposure and sensitization in infants and children.

    abstract::The complex relationship between allergen exposure, atopic sensitization and asthma in individuals and in populations has recently been a subject of controversy. A number of studies have demonstrated that allergen exposure in sensitized asthmatic individuals increases the severity of disease. A simple dose-response re...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000010997.12990.aa

    authors: Custovic A,Woodcock A

    更新日期:2001-04-01 00:00:00

  • Ant allergy in Asia and Australia.

    abstract:PURPOSE OF REVIEW:Anaphylaxis due to ant sting is increasingly being recognized as a significant problem. Severe allergic reactions to ants are well described in the south-eastern United States, but have only been recognized in recent years as being important in other parts of the world. There are many different ant sp...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000136761.51195.01

    authors: Shek LP,Ngiam NS,Lee BW

    更新日期:2004-08-01 00:00:00

  • Choices in IgG replacement therapy for primary immune deficiency diseases: subcutaneous IgG vs. intravenous IgG and selecting an optimal dose.

    abstract:PURPOSE OF REVIEW:Subcutaneous IgG (SCIG) is becoming more popular, but there is still uncertainty about efficacy and optimal dosing. This review discusses recent pharmacokinetic studies and applications of SCIG therapy, and its efficacy in the context of emerging understanding of the relationship between dosing and ef...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834c22da

    authors: Berger M

    更新日期:2011-12-01 00:00:00

  • Medication non-adherence and asthma treatment cost.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to describe the impact of asthma treatment non-adherence on patients and the healthcare system, and to outline areas of responsibility towards improved adherence. RECENT FINDINGS:The average cost of healthcare expenses for each person in the United States in 2002 was 544...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200406000-00009

    authors: Bender BG,Rand C

    更新日期:2004-06-01 00:00:00

  • Biologic therapy for atopic asthma and beyond.

    abstract:PURPOSE OF REVIEW:Most asthma patients are easily managed with a standard combination of therapies consisting of inhaled controller and reliever drugs, but there remains a large unmet need at the severe end of the disease spectrum. For these patients, development of safer and more effective therapies for asthmatic pati...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000012

    authors: Caruso M,Crisafulli E,Lizzio R,Polosa R

    更新日期:2013-12-01 00:00:00