Immunotherapy in allergic diseases - improved understanding and innovation for enhanced effectiveness.

Abstract:

:Allergen immunotherapy leads to tolerance through multiple mechanisms that include tolerogenic dendritic cells and T and B regulatory cells. These induced cellular populations produce mediators to skew the immune response to a tolerogenic milieu that, among others, results in IgG4 blocking antibodies formation and lowered FcE receptors. All lead in decreased effector responses from mast cells, eosinophils, and basophils thus limiting the allergic inflammation. Clinically, this results in better allergic rhinitis control and, of importance, asthma prevention. Newer approaches include modified allergens, second generation adjuvants/carriers and routes of administration, all aiming to increased efficacy with parallel no compromise of safety.

journal_name

Curr Opin Immunol

authors

Mitsias DI,Xepapadaki P,Makris M,Papadopoulos NG

doi

10.1016/j.coi.2020.02.005

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

1-8

eissn

0952-7915

issn

1879-0372

pii

S0952-7915(20)30021-2

journal_volume

66

pub_type

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