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Application of Biochip Microfluidic Technology to Detect Serum Allergen-specific Immunoglobulin E sIgE
Published on: April 21, 2019
Biomarkers and immune cells in allergen-specific immunotherapy: toward objective evaluation
Chengzhi Huang1, Zhiyuan Tang2
1Department of Otorhinolaryngology - Head and Neck Surgery, Shenzhen University General Hospital, Shenzhen, China.
Background:
Allergen-specific immunotherapy (AIT) is the only intervention capable of modifying the natural course of allergic diseases by inducing long-term immune tolerance. Its clinical efficacy depends on complex regulations of humoral and cellular immunity, yet objective assessment remains hindered by the absence of standardized biomarkers.
Summary:
This review summarizes recent advances in the immunological mechanisms of AIT and highlights emerging biomarkers-including allergen-specific immunoglobulin G4, regulatory T and B cells, and innate lymphoid cells-that may provide objective measures of efficacy and support individualized treatment strategies.
Key Messages:
(1) AIT uniquely modifies the natural history of allergic diseases; (2) current evaluation relies on subjective measures, highlighting the urgent need for standardized and clinically applicable biomarkers; (3) molecular markers and immune cell subsets offer promising tools for bridging mechanistic insights with clinical endpoints, supporting real-time monitoring and precision-guided optimization of AIT.
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