Rongrong Lv , Jie Shan , Anchi Sun , Zhiwei Xing , Qun Xu , Qianqian Shao , Hui Li
{"title":"Research progress of anti-IGE treatment for allergic rhinitis","authors":"Rongrong Lv , Jie Shan , Anchi Sun , Zhiwei Xing , Qun Xu , Qianqian Shao , Hui Li","doi":"10.1016/j.amjoto.2025.104646","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Allergic rhinitis (AR) is an inflammatory reaction of the nasal mainly mediated by Immunoglobulin E(IgE). It is one of the most common chronic diseases in the world. Patients with nasal discomfort, persistent nasal itching, sneezing, runny nose and so on as the main symptoms, it is a refractory allergic disease, will seriously reduce the quality of life of patients.</div></div><div><h3>Objective</h3><div>At present, the treatment of patients with allergic rhinitis is mainly to avoid contact with allergens, drug treatment and desensitization treatment. The serum IgE level of most patients is significantly increased. By introducing monoclonal antibodies into the gene-expression environment of IgE, the levels of free IgE can be effectively suppressed, resulting in a significant reduction in the incidence of AR. Therefore, this article will explore the mechanism and clinical application of this new anti-IgE drug, omalizumab.</div></div><div><h3>Conclusion</h3><div>Omalizumab can significantly relieve the condition of AR patients and reduce the dosage of corticosteroids and antihistamines, but its long-term efficacy and safety need further observation and analysis. Before use, the patient's status should be confirmed and the potential risks should be discussed with the patient in advance.</div></div>","PeriodicalId":7591,"journal":{"name":"American Journal of Otolaryngology","volume":"46 3","pages":"Article 104646"},"PeriodicalIF":1.8000,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Otolaryngology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0196070925000493","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Allergic rhinitis (AR) is an inflammatory reaction of the nasal mainly mediated by Immunoglobulin E(IgE). It is one of the most common chronic diseases in the world. Patients with nasal discomfort, persistent nasal itching, sneezing, runny nose and so on as the main symptoms, it is a refractory allergic disease, will seriously reduce the quality of life of patients.
Objective
At present, the treatment of patients with allergic rhinitis is mainly to avoid contact with allergens, drug treatment and desensitization treatment. The serum IgE level of most patients is significantly increased. By introducing monoclonal antibodies into the gene-expression environment of IgE, the levels of free IgE can be effectively suppressed, resulting in a significant reduction in the incidence of AR. Therefore, this article will explore the mechanism and clinical application of this new anti-IgE drug, omalizumab.
Conclusion
Omalizumab can significantly relieve the condition of AR patients and reduce the dosage of corticosteroids and antihistamines, but its long-term efficacy and safety need further observation and analysis. Before use, the patient's status should be confirmed and the potential risks should be discussed with the patient in advance.
变应性鼻炎(allergic rhinitis, AR)是一种主要由免疫球蛋白E(Immunoglobulin E, IgE)介导的鼻腔炎症反应。它是世界上最常见的慢性疾病之一。患者以鼻部不适、持续鼻痒、打喷嚏、流鼻涕等为主要症状,是一种难治性过敏性疾病,会严重降低患者的生活质量。目的目前对变应性鼻炎患者的治疗主要是避免接触过敏原、药物治疗和脱敏治疗。多数患者血清IgE水平明显升高。通过在IgE基因表达环境中引入单克隆抗体,可有效抑制游离IgE水平,从而显著降低AR的发生率。因此,本文将探讨抗IgE新药奥玛珠单抗的作用机制及临床应用。结论alizumab可显著缓解AR患者病情,减少皮质类固醇和抗组胺药用量,但其远期疗效和安全性有待进一步观察分析。使用前应确认患者的病情,并与患者事先讨论可能存在的风险。
期刊介绍:
Be fully informed about developments in otology, neurotology, audiology, rhinology, allergy, laryngology, speech science, bronchoesophagology, facial plastic surgery, and head and neck surgery. Featured sections include original contributions, grand rounds, current reviews, case reports and socioeconomics.