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The Multifaceted B Cell Response in Allergen Immunotherapy

Rodrigo Jiménez-Saiz1, Sarita U Patil2

  • 1Department of Biochemistry and Molecular Biology, Chemistry School, Complutense University, Madrid, Spain.

Current Allergy and Asthma Reports
|October 7, 2018
PubMed

While allergen immunotherapy (AIT) for IgE-mediated diseases holds curative potential, the considerable heterogeneity in clinical outcomes may relate to the complex mechanisms of tolerance. The regulation of humoral immunity by AIT contributes to the suppression of allergic responses. Recent findings have revealed novel roles for IgA and IgG antibodies in the induction of tolerance. These mechanisms synergize with their ability to block allergen-IgE binding and mediate inhibitory signaling of effector cells of the allergic response. In addition, the regulatory activity of B cells in AIT extends beyond IL-10 secretion and induction of IgG4. Here, we review the evolution of the B cell response during AIT with special emphasis on the novel protective mechanisms entailing humoral immunity.

Keywords:
Allergen immunotherapyAllergyB cell immunityB regulatory cellsBlocking IgG antibodiesIgA response

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