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 after discontinuation. This is in contrast to the effects of antiallergic drugs that do not induce tolerance to offending allergens. Long-term effects of immunotherapy include a reduction in nasal symptoms, a decrease in the use of rescue medication and improvement in quality of life. These benefits are accompanied by immunological changes such as the induction of allergen-specific IgG antibodies with inhibitory activity for IgE-facilitated binding of allergen-IgE complexes to B cells. One study reported a reduction in the development of asthma in children with seasonal pollen-induced rhinitis. SUMMARY:Allergen immunotherapy induces clinical and immunological tolerance as defined by persistence of clinical benefit and associated long-term immunological parameters after discontinuation of treatment. These findings are largely confined to studies of subcutaneous and sublingual immunotherapy for seasonal pollinosis. Further studies are needed to address potential long-term clinical effects for other seasonal and perennial inhaled allergens in both children and adults, and to identify potential biomarkers of tolerance.

authors

Eifan AO,Shamji MH,Durham SR

doi

10.1097/ACI.0b013e32834cb994

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

586-93

issue

6

eissn

1528-4050

issn

1473-6322

journal_volume

11

pub_type

杂志文章,评审
  • Biological agents for severe asthma: the evolution of the at-home self-injection approach.

    abstract:PURPOSE OF REVIEW:New biological agents, in addition to the well-established omalizumab, have been nowadays introduced into clinical practice for severe asthma. This suggested the possibility of an at-home self-administration, as currently happening for other biological agents for immune-mediated diseases. RECENT FIND...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000656

    authors: Lombardi C,Bagnasco D,Passalacqua G

    更新日期:2020-08-01 00:00:00

  • Allergen immunotherapy: an update on protocols of administration.

    abstract:PURPOSE OF REVIEW:Allergen immunotherapy (AIT) is still the only causal treatment for allergic rhinitis and asthma. However, conventional subcutaneous AIT administration schedules are time-consuming and safety issues still play a role; for sublingual AIT, the best efficacy is still investigated and for food allergy the...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000220

    authors: Larenas-Linnemann D

    更新日期:2015-12-01 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

  • Asthma and rhinitis: what is the relationship?

    abstract:PURPOSE OF REVIEW:Asthma and rhinitis are commonly associated and they influence their respective control. New observations have contributed to better understand how to assess those conditions and how they influence each other. RECENT FINDINGS:Recent studies found that not only the intensity, but also the duration of ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328357cc32

    authors: Boulay ME,Morin A,Laprise C,Boulet LP

    更新日期:2012-10-01 00:00:00

  • Incorporating technology to advance asthma controller adherence.

    abstract:PURPOSE OF REVIEW:Technological innovations, including text messaging, smart phone applications, and electronic monitoring devices, aimed at improving asthma controller adherence are being rapidly introduced both into clinical care and directly marketed to patients. This review analyzes recent clinical trials implement...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000343

    authors: Anderson WC 3rd

    更新日期:2017-04-01 00:00:00

  • Childhood asthma may be a consequence of vitamin D deficiency.

    abstract:PURPOSE OF REVIEW:Vitamin D deficiency has been rediscovered as a public-health problem worldwide. It has been postulated that vitamin D deficiency may explain a portion of the asthma epidemic. The purpose of this review is to present the evidence for a role of vitamin D in asthma. RECENT FINDINGS:Both animal models a...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32832b36cd

    authors: Litonjua AA

    更新日期:2009-06-01 00:00:00

  • Gene therapy for adenosine deaminase deficiency.

    abstract:PURPOSE OF REVIEW:Gene therapy for severe combined immunodeficiency due to adenosine deaminase deficiency has moved from the early trials of safety and feasibility to recent studies demonstrating efficacy and clinical benefit. This review describes the latest advances in gene therapy trials for this condition using per...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200312000-00007

    authors: Aiuti A,Ficara F,Cattaneo F,Bordignon C,Roncarolo MG

    更新日期:2003-12-01 00:00:00

  • Genetically engineered negative signaling molecules in the immunomodulation of allergic diseases.

    abstract:PURPOSE OF REVIEW:This review summarizes current knowledge regarding the control of human mast cell and basophil signaling and recent developments using a new therapeutic platform consisting of a human bifunctional gamma and epsilon heavy chain (Fc gamma-Fc epsilon) protein to inhibit allergic reactivity. RECENT FINDI...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200412000-00015

    authors: Saxon A,Zhu D,Zhang K,Allen LC,Kepley CL

    更新日期:2004-12-01 00:00:00

  • Tear film assessments for the diagnosis of dry eye.

    abstract:PURPOSE OF REVIEW:Dry eye disease (DED) is a complex, multifactorial condition that is challenging to diagnose and monitor clinically. To date, diagnosis has consisted largely of self-reported symptom questionnaires and a collection of clinical tests including vital dye staining, estimation of tear breakup time and Sch...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000307

    authors: Dohlman TH,Ciralsky JB,Lai EC

    更新日期:2016-10-01 00:00:00

  • Advances in ocular allergy: basic mechanisms, clinical patterns and new therapies.

    abstract::Ocular allergy presents unsolved mysteries in molecular and cellular mechanisms, and at the same time continues to challenge ophthalmologists daily in a wide array of disease forms. The recent understanding of the key role of the T helper type 2 cytokines, adhesion molecules and chemokines may provide future avenues f...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000011063.28808.cc

    authors: Solomon A,Pe'er J,Levi-Schaffer F

    更新日期:2001-10-01 00:00:00

  • Tissue remodeling in chronic rhinosinusitis.

    abstract:PURPOSE OF REVIEW:To summarize the current knowledge on remodeling in chronic sinus disease. RECENT FINDINGS:Chronic sinus disease is characterized by persistent inflammation of the nasal and paranasal mucosa and is currently classified into two major subgroups on the basis of the absence (CRSsNP) or presence (CRSwNP)...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834233ef

    authors: Van Bruaene N,Bachert C

    更新日期:2011-02-01 00:00:00

  • Prevention of baker's asthma.

    abstract:PURPOSE OF REVIEW:Baker's allergy and asthma continue to represent an important contributor of occupational asthma globally. This review identified recent studies related to the prevention of baker's allergy and asthma. RECENT FINDINGS:Studies with respect to regulatory exposure standards, workplace control measures a...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000612

    authors: Jeebhay MF,Baatjies R

    更新日期:2020-04-01 00:00:00

  • Hypersensitivity reactions to quinolones.

    abstract:PURPOSE OF REVIEW:The purpose of this review is to examine in detail the new advances in the pathomechanisms and diagnosis of immediate and nonimmediate hypersensitivity reactions to quinolones, as well as analyze cross-reactivity among different quinolones. RECENT FINDINGS:Hypersensitivity reactions to quinolones, es...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3283489bc3

    authors: Blanca-López N,Andreu I,Torres Jaén MJ

    更新日期:2011-08-01 00:00:00

  • Epidemiology of allergic conjunctivitis: clinical appearance and treatment patterns in a population-based study.

    abstract:PURPOSE OF REVIEW:To analyse the most recently published studies on the prevalence of allergic conjunctivitis alone or in association with allergic rhinitis, and the clinical and demographic aspects of the disease. RECENT FINDINGS:Allergic conjunctivitis or conjunctival symptoms are present in 30-71% of patients with ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000204

    authors: Leonardi A,Castegnaro A,Valerio AL,Lazzarini D

    更新日期:2015-10-01 00:00:00

  • New guidance on the regulation of allergen products: key aspects and outcomes.

    abstract:PURPOSE OF REVIEW:Key aspects and outcomes from the recently published guidance on the regulation of allergen products are summarized. RECENT FINDINGS:A new regulatory guideline has been published to enhance harmonized national approaches on the regulation of allergen products and thereby strengthen the availability o...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000687

    authors: Bonertz A,Mahler V,Vieths S

    更新日期:2020-12-01 00:00:00

  • Does acupuncture or Chinese herbal medicine have a role in the treatment of allergic rhinitis?

    abstract:PURPOSE OF REVIEW:Complementary medicines, including acupuncture and Chinese herbal medicine, are being used increasingly for the management of allergies such as allergic rhinitis. Until relatively recently, however, evidence for the efficacy and safety of these therapies in allergic conditions has been lacking. RECEN...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000225156.29780.36

    authors: Xue CC,Li CG,Hügel HM,Story DF

    更新日期:2006-06-01 00:00:00

  • Intravenous immunoglobulins in the treatment of severe drug eruptions.

    abstract:PURPOSE OF REVIEW:To present and discuss the rationale for using high-dose intravenous human immunoglobulins in the treatment of severe drug eruptions and the clinical results of recently published series. RECENT FINDINGS:In toxic epidermal necrolysis, intravenous human immunoglobulins were expected to inhibit the apo...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200308000-00006

    authors: Bachot N,Roujeau JC

    更新日期:2003-08-01 00:00:00

  • Evidence of adherence to allergen-specific immunotherapy.

    abstract:PURPOSE OF REVIEW:The main feature of allergen-specific immunotherapy is its capacity to modify the natural history of the disease, reducing the development of asthma and new sensitizations after 3-4 years of treatment. For this reason, adherence to the therapy is mandatory, as happens for all chronic medical treatment...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328332b8df

    authors: Senna G,Ridolo E,Calderon M,Lombardi C,Canonica GW,Passalacqua G

    更新日期:2009-12-01 00:00:00

  • The relationships between environmental bacterial exposure, airway bacterial colonization, and asthma.

    abstract:PURPOSE OF REVIEW:Recent application of advanced culture-independent molecular techniques for the identification of microorganisms has contributed to our knowledge on the role of early-life microbial exposure and colonization in health and disease. The purpose of this review is to present the current perspectives regar...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000036

    authors: Beigelman A,Weinstock GM,Bacharier LB

    更新日期:2014-04-01 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 importance of hapten-protein complex formation in the development of drug allergy.

    abstract:PURPOSE OF REVIEW:Drug allergy is an adverse drug reaction that is immune-mediated. Immune activation can occur when drugs or haptens bind covalently to proteins and then act as antigens. The purpose of this review is to summarize the recent data on the formation of hapten-protein complexes and to assess the importance...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0000000000000078

    authors: Faulkner L,Meng X,Park BK,Naisbitt DJ

    更新日期:2014-08-01 00:00:00

  • Farm animal models of organic dust exposure and toxicity: insights and implications for respiratory health.

    abstract:PURPOSE OF REVIEW:Modern food animal production is a major contributor to the global economy, owing to advanced intensive indoor production facilities aimed at increasing market readiness and profit. Consequences of these advances are accumulation of dusts, gases, and microbial products that diminish air quality within...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章

    doi:10.1097/ACI.0000000000000143

    authors: McClendon CJ,Gerald CL,Waterman JT

    更新日期:2015-04-01 00:00:00

  • Mechanisms of intrinsic asthma.

    abstract:PURPOSE OF REVIEW:The phenomenon of intrinsic or nonatopic asthma continues to raise questions about the possible role of IgE-mediated mechanisms in asthma pathogenesis. With the current availability of anti-IgE therapy for asthma, clarification of this issue has never been more timely and relevant. RECENT FINDINGS:Th...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200402000-00011

    authors: Corrigan C

    更新日期:2004-02-01 00:00:00

  • Factors controlling smooth muscle proliferation and airway remodelling.

    abstract::It is clear that airway smooth muscle plays an important role in the hyperresponsiveness and remodelling that occur in the asthmatic airway. This is by virtue of its roles as a contractile cell, a cell that undergoes proliferation as part of the inflammatory response, a cell that actively participates in the inflammat...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/00130832-200202000-00008

    authors: Black JL,Johnson PR

    更新日期:2002-02-01 00:00:00

  • A review of the genetic epidemiology of resistance to parasitic disease and atopic asthma: common variants for common phenotypes?

    abstract:PURPOSE OF REVIEW:An inverse relationship between resistance to certain parasitic diseases and measures of atopy and asthma has long been observed. A possible explanation is that genetic determinants which confer protection against detrimental worm burdens are the same determinants involved in atopic asthma. The focus ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000182543.37724.7b

    authors: Barnes KC,Grant AV,Gao P

    更新日期:2005-10-01 00:00:00

  • Cord blood stem cell transplantation in primary immune deficiencies.

    abstract:PURPOSE OF REVIEW:Umbilical cord haematopoietic stem cell transplantation for primary immunodeficiencies is examined with other developments in treatment. Cord blood biology is reviewed, and advantages and disadvantages of umbilical cord blood stem cell transplantation for primary immunodeficiencies discussed. Clinical...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3282f1d6b6

    authors: Gennery AR,Cant AJ

    更新日期:2007-12-01 00:00:00

  • Component-resolved diagnostics in food allergy.

    abstract:PURPOSE OF REVIEW:The purpose of this paper is to review and discuss recent studies on component-resolved diagnostics in food allergy, involving panels of pure allergen molecules or arrays of peptides derived from allergen sequences, and to summarize the reporting of new food allergens during the past 2 years. RECENT ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/01.all.0000225166.90768.d6

    authors: Lidholm J,Ballmer-Weber BK,Mari A,Vieths S

    更新日期:2006-06-01 00:00:00

  • Omenn syndrome does not live by V(D)J recombination alone.

    abstract:PURPOSE OF REVIEW:During the past decade, easy access to sequence analyses has allowed us to increase our understanding of the pathogenesis of severe combined immunodeficiencies. Here, we describe the expanding clinical and immunological spectrum associated with Omenn syndrome phenotype. In particular, we review the ce...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e32834c311a

    authors: Marrella V,Maina V,Villa A

    更新日期:2011-12-01 00:00:00

  • Corneal angiogenesis and lymphangiogenesis.

    abstract:PURPOSE OF REVIEW:The purpose of the present review is to describe new antilymphangiogenic treatment strategies and recent findings on strain-dependency of corneal lymphangiogenesis and the interdependency between blood and lymphatic vessel growth. RECENT FINDINGS:Studies on mice have revealed that apart from haemangi...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e328357b4a2

    authors: Regenfuss B,Bock F,Cursiefen C

    更新日期:2012-10-01 00:00:00

  • Toxic epidermal necrolysis: the year in review.

    abstract:PURPOSE OF REVIEW:Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening severe adverse drug reactions. Once thought to be idiosyncratic and unpredictable, there has been significant progress made in the understanding of the pathomechanism and pharmacogenetics of such reactions. These ...

    journal_title:Current opinion in allergy and clinical immunology

    pub_type: 杂志文章,评审

    doi:10.1097/ACI.0b013e3283630cc2

    authors: Lee HY,Chung WH

    更新日期:2013-08-01 00:00:00