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Published on: May 31, 2021
Immunotherapy for mold allergy
1Department of Allergy and Immunology, Wilford Hall Medical Center, 59th Medical Group, 2200 Bergquist Drive Lackland Air Force Base, San Antonio, TX, USA, christopher.coop@us.af.mil.
Abstract:
The objective of this article is to review the available studies regarding mold immunotherapy. A literature search was conducted in MEDLINE to identify peer-reviewed articles related to mold immunotherapy using the following keywords: mold, allergy, asthma, and immunotherapy. In addition, references cited within these articles were also reviewed. Articles were selected based on their relevance to the topic. Allergic responses to inhaled mold antigens are a recognized factor in allergic rhinitis and asthma. There are significant problems with respect to the production of relevant allergen material for the diagnosis and treatment of mold allergy with immunotherapy. Mold allergens contain proteases and should not be mixed with other allergens for immunotherapy. Most of the immunotherapy studies focus on two molds, Alternaria and Cladosporium. There is a lack of randomized placebo-controlled trials when evaluating the efficacy of mold immunotherapy with trials only focusing on immunotherapy to Alternaria and Cladosporium. Additional studies are needed regarding mold allergy and immunotherapy focusing on which molds are important for causing allergic disease.
Insights
Mold immunotherapy shows promise for allergic rhinitis and asthma, but challenges remain in allergen production and study design. More research is needed to identify key mold allergens for effective treatment.
Area of Science:
- Immunology
- Allergology
- Environmental Health
Background:
- Inhaled mold antigens are significant triggers for allergic rhinitis and asthma.
- Effective diagnosis and treatment of mold allergy via immunotherapy face challenges.
- Mold allergens, containing proteases, require specific handling and cannot be mixed with other allergens.
Purpose of the Study:
- To review existing studies on mold immunotherapy.
- To identify challenges in mold allergen production for immunotherapy.
- To assess the current state of research on mold immunotherapy efficacy.
Main Methods:
- Conducted a literature search in MEDLINE using keywords: mold, allergy, asthma, and immunotherapy.
- Reviewed peer-reviewed articles and cited references for relevance.
- Selected articles based on their direct relation to mold immunotherapy.
Main Results:
- Most immunotherapy studies focus on Alternaria and Cladosporium molds.
- There is a notable lack of randomized, placebo-controlled trials for mold immunotherapy efficacy.
- Challenges exist in producing standardized and relevant mold allergen materials.
Conclusions:
- Mold immunotherapy requires further investigation due to limitations in current research.
- Additional studies are essential to identify specific molds responsible for allergic diseases.
- Standardized allergen production and robust clinical trials are needed to advance mold immunotherapy.
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