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Related Experiment Videos

Immunotherapy in allergic rhinitis.

A G Palma-Carlos1, A Spinola-Santos, M B Ferreira

  • 11st Medical Clinic, University Faculty of Medicine, Immuno-Allergology Unit and Hematology, Immunology Center (CHIUL), Lisbon.

Allergie Et Immunologie
|January 5, 2002
PubMed
Summary
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Allergen specific immunotherapy (IT) effectively treats allergic rhinitis by reducing symptoms and inflammation. This study confirms IT’s efficacy using various methods, including nasal challenges and antibody response analysis.

Area of Science:

  • Immunology
  • Allergy Research
  • Otorhinolaryngology

Background:

  • Allergen specific immunotherapy (IT) is a primary treatment for allergic rhinitis.
  • Non-invasive routes like oromucosal and nasal administration have gained acceptance, particularly in children.
  • WHO has validated these newer IT administration methods.

Purpose of the Study:

  • To evaluate the efficacy of allergen specific immunotherapy (IT) in treating allergic rhinitis.
  • To assess IT's impact on clinical symptoms, inflammation markers, and specific antibody responses.
  • To validate IT's effectiveness through various assessment methods.

Main Methods:

  • Nasal and oromucosal administration of allergen specific immunotherapy (IT).
  • Assessment of clinical symptom and pharmacological scores.

Related Experiment Videos

  • Measurement of soluble adhesion molecules (sVCAM-1, sICAM-1) in nasal lavage.
  • Evaluation of specific IgE immunoblotting patterns for house dust mites.
  • Analysis of tryptase and eosinophil cationic protein (ECP) in nasal lavage after allergen challenge.
  • Main Results:

    • Nasal and oromucosal IT significantly decreased mean symptom and pharmacological scores in seasonal and perennial allergic rhinitis.
    • A reduction in soluble VCAM-1 (sVCAM-1) levels indicated decreased eosinophilic inflammation.
    • Immunoblotting showed a decrease or disappearance of specific IgE bands for D. pteronyssinus after oromucosal IT.
    • IT led to reduced tryptase and ECP levels in nasal lavage post-allergen challenge.

    Conclusions:

    • Allergen specific immunotherapy (IT) effectively reduces clinical symptoms and markers of allergic inflammation in allergic rhinitis.
    • IT demonstrates efficacy in modulating specific IgE responses and improving tolerance to allergen challenges.
    • The study confirms the overall usefulness and effectiveness of IT in managing allergic rhinitis.