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Related Experiment Video

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Cultivate Primary Nasal Epithelial Cells from Children and Reprogram into Induced Pluripotent Stem Cells
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Immunotherapy and Asthma in Children.

Maria A Tosca1, Amelia Licari2, Roberta Olcese1

  • 1Department of Pediatrics, Allergy Center, Istituto Giannina Gaslini (IRCCS), Genoa, Italy.

Frontiers in Pediatrics
|September 7, 2018
PubMed
Summary

Allergen immunotherapy (AIT) is the only disease-modifying treatment for IgE-mediated allergies, improving allergic rhinitis and asthma symptoms. It offers long-lasting effects and may prevent disease progression in children.

Keywords:
allergen immunotherapyallergic rhinitisasthmasubcutaneous immunotherapysublingual immunotherapy

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Area of Science:

  • Immunology
  • Allergy and Clinical Immunology
  • Pediatric Allergy

Background:

  • Allergen immunotherapy (AIT) is the sole disease-modifying treatment for IgE-mediated allergic diseases.
  • AIT demonstrates efficacy in improving allergic rhinitis and asthma, including symptom reduction and enhanced quality of life.
  • Long-lasting effects are observed post-treatment, with recent studies supporting its use in allergic asthma.

Purpose of the Study:

  • To provide an updated overview of AIT clinical indications.
  • To focus on pediatric asthma treatment with AIT.
  • To explore mechanisms of tolerance and predictive biomarkers for AIT response.

Main Methods:

  • Review of current clinical studies and guidelines on Allergen Immunotherapy.
  • Analysis of immunological tolerance mechanisms induced by AIT.
  • Identification of potential biomarkers for predicting treatment response.

Main Results:

  • Current asthma guidelines recommend sublingual immunotherapy for house dust mite allergy in adults and adolescents.
  • AIT can reduce the risk of allergic rhinitis progression to asthma in children.
  • AIT may prevent new allergic sensitizations, indicating a potential preventive role.

Conclusions:

  • Allergen immunotherapy is a valuable treatment for allergic diseases, with established efficacy and safety.
  • Its role in pediatric asthma and prevention of allergy progression is increasingly recognized.
  • Further research into biomarkers could personalize AIT and optimize treatment outcomes.