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Updated: Jun 4, 2026

Sublingual Immunotherapy as an Alternative to Induce Protection Against Acute Respiratory Infections
Published on: August 30, 2014
Sublingual immunotherapy in patients with allergic rhinoconjunctivitis
Deborah Gentile1, David P Skoner
1Division of Allergy, Asthma, and Immunology, Department of Internal Medicine, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, USA. dgentile@wpahs.org
Sublingual immunotherapy (SLIT) is effective for allergic rhinitis. Recent US studies confirm the safety and efficacy of SLIT, offering new insights into its mechanisms.
Area of Science:
- Allergy and Immunology
- Immunotherapy
- Otolaryngology
Background:
- Sublingual immunotherapy (SLIT) is a recognized treatment for allergic rhinitis in Europe.
- SLIT is considered investigational in the United States, with prior European studies using different allergen products and methodologies.
- Existing evidence from Europe, while extensive, often lacks rigorous controlled, randomized, double-blinded trial designs.
Purpose of the Study:
- To review recent research on the efficacy, safety, and mechanisms of SLIT.
- To focus on studies involving ragweed and grass antigens.
- To evaluate the current state of SLIT research in the United States.
Main Methods:
- Systematic review of studies published within the past year.
- Focus on research pertaining to ragweed and grass allergens.
- Analysis of efficacy, safety, and mechanistic data from clinical trials.
Main Results:
- Recent US-based studies demonstrate the safety of SLIT for allergic rhinitis.
- These studies also confirm the efficacy of SLIT in US populations.
- Emerging data from US trials are beginning to elucidate the mechanisms underlying SLIT.
Conclusions:
- SLIT is a safe and effective treatment option for allergic rhinitis.
- US-specific research is crucial for the broader adoption of SLIT.
- Further investigation into SLIT mechanisms will optimize its clinical application.
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