The effect of allergen-specific immunotherapy on offspring
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Updated: Mar 18, 2026

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Published on: May 31, 2021
Andrzej Bozek1, Jerzy Jarzab, Piotr Bednarski
1Clinical Department of Internal Diseases, Dermatology and Allergology, Medical University of Silesia, Zabrze, Poland.
Insights
Allergen-specific immunotherapy (ASIT) in parents significantly reduced allergy risk in their children. This suggests ASIT may be a key strategy for primary allergy prevention.
Area of Science:
- Immunology
- Allergy Research
- Pediatric Health
Background:
- Global rise in allergic disease incidence necessitates effective primary prevention strategies.
- Allergen-specific immunotherapy (ASIT) is a treatment for existing allergies.
Purpose of the Study:
- To investigate the impact of parental ASIT on allergy development in offspring.
- To assess ASIT's role in the primary prevention of allergies across generations.
Main Methods:
- Study included 194 children with at least one parent who underwent ASIT.
- Comparison group: children with allergic parents who did not receive ASIT.
- Allergy risk assessed via medical history, physical exams, skin-prick tests, and IgE levels.
Main Results:
- Children whose parents received ASIT exhibited significantly fewer allergic disease symptoms.
- Reduced odds of any allergic disease (OR 0.73) and asthma (OR 0.63) in children with ASIT-treated parents compared to controls.
- Parental ASIT demonstrated a protective effect against developing allergies in offspring.
Conclusions:
- Parental ASIT may offer a transgenerational benefit, reducing allergy risk in children.
- This desensitization phenomenon holds potential significance for primary allergy prevention strategies.
- Further research into ASIT's intergenerational effects is warranted.
Background:
The incidence of allergic diseases has increased worldwide. Thus, there is a need for effective primary prevention of allergies.
Objective:
The aim of the present study was to examine how allergen-specific immunotherapy (ASIT) affects the development of allergies in the generation of children whose parents were subjected to this method of treatment.
Methods:
A total of 194 children with at least one parent with allergy subjected to ASIT were enrolled. These patients were compared with control individuals without ASIT. Their risk of allergy, based on medical history, examination, allergy skin-prick tests, serum total immunoglobulin E and specific immunoglobulin E concentrations was assessed.
Results:
The children of parents subjected to immunotherapy showed significantly reduced clinical symptoms of allergic disease. The odds ratios (OR) of any allergic disease and asthma were significantly lower in children with one or both parents with allergy after ASIT compared with the children with parents with allergy and without ASIT: OR 0.73 (95% confidence interval [CI], 0.59-0.86) versus OR 1.85 (95% CI, 1.73-2.2) for any allergic disease and OR 0.63 (95% CI, 0.53-0.79) versus OR 1.36 (95% CI, 1.22-1.67) for asthma.
Conclusion:
The phenomenon of reducing the risk of allergies in children whose parents were desensitized might be important in the primary prevention of allergies.
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