AllergyPub Date : 2024-11-19DOI: 10.1111/all.16402
Shinji Toki, Masako Abney, Jian Zhang, Mark Rusznak, Christian M Warren, Dawn C Newcomb, Katherine N Cahill, Daniel J Drucker, Kevin D Niswender, Ray Stokes Peebles
{"title":"Endogenous Glucagon-Like Peptide-1 Receptor and Glucose-Dependent Insulinotropic Polypeptide Receptor Signaling Inhibits Aeroallergen-Induced Innate Airway Inflammation.","authors":"Shinji Toki, Masako Abney, Jian Zhang, Mark Rusznak, Christian M Warren, Dawn C Newcomb, Katherine N Cahill, Daniel J Drucker, Kevin D Niswender, Ray Stokes Peebles","doi":"10.1111/all.16402","DOIUrl":"https://doi.org/10.1111/all.16402","url":null,"abstract":"<p><strong>Background: </strong>Anti-inflammatory effects of incretin signaling through the glucagon-like peptide-1 receptor (GLP-1R) and the glucose-dependent insulinotropic polypeptide receptor (GIPR) in mice have been reported. Therefore, we hypothesized that signaling through the endogenous GLP-1R and the GIPR individually decreases allergic airway inflammation and that the combination of GLP-1R and GIPR signaling together additively inhibits allergen-induced lung and airway inflammation.</p><p><strong>Methods: </strong>WT (C57BL/6J), GLP-1R knockout (KO), GIPR KO, and GLP-1R/GIPR double KO (DKO) mice were challenged intranasally with Alternaria alternata extract (Alt-Ext) or vehicle to evaluate the impact of signaling through these receptors on the innate allergen-induced inflammatory response that is primarily driven by group 2 innate lymphoid cells (ILC2).</p><p><strong>Results: </strong>Alt-Ext-induced IL-33 release in the bronchoalveolar lavage fluid (BALF) was not different between the mouse strains, but thymic stromal lymphopoietin (TSLP) was significantly increased in GLP-1R/GIPR DKO mice challenged with Alt-Ext compared to the other strains. Furthermore, Alt-Ext-induced protein expression of IL-5, IL-13, CCL11, and CCL24 in the lung homogenates, the number of eosinophils, lymphocytes, and neutrophils in the BALF, and the number of lung GATA3+ ILC2 were significantly increased in GLP-1R/GIPR DKO mice compared to the other 3 strains. Furthermore, ICAM-1 expression on lung epithelial cells was increased in GLP-1R/GIPR DKO mice challenged with Alt-Ext compared to the other 3 strains.</p><p><strong>Conclusions: </strong>Deficiency of both GLP-1R and GIPR signaling together increased TSLP release, ILC2 activation, and early type 2 innate immune responses to aeroallergen exposure. Combined GLP-1R and GIPR signaling should be explored for the treatment of asthma.</p>","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-11-16DOI: 10.1111/all.16384
Bernardo Sousa-Pinto, Rafael José Vieira, Antonio Bognanni, Sara Gil-Mata, Renato Ferreira-da-Silva, André Ferreira, António Cardoso-Fernandes, Henrique Ferreira-Cardoso, Manuel Marques-Cruz, Vítor Henrique Duarte, João Castro-Teles, Miguel Campos-Lopes, Ana Teixeira-Ferreira, Nuno Lourenço-Silva, Ivan Chérrez-Ojeda, Anna Bedbrook, Ludger Klimek, Juan Jose Yepes Nuñez, Torsten Zuberbier, João A Fonseca, Holger J Schünemann, Jean Bousquet
{"title":"Efficacy and safety of intranasal medications for allergic rhinitis: Network meta-analysis.","authors":"Bernardo Sousa-Pinto, Rafael José Vieira, Antonio Bognanni, Sara Gil-Mata, Renato Ferreira-da-Silva, André Ferreira, António Cardoso-Fernandes, Henrique Ferreira-Cardoso, Manuel Marques-Cruz, Vítor Henrique Duarte, João Castro-Teles, Miguel Campos-Lopes, Ana Teixeira-Ferreira, Nuno Lourenço-Silva, Ivan Chérrez-Ojeda, Anna Bedbrook, Ludger Klimek, Juan Jose Yepes Nuñez, Torsten Zuberbier, João A Fonseca, Holger J Schünemann, Jean Bousquet","doi":"10.1111/all.16384","DOIUrl":"https://doi.org/10.1111/all.16384","url":null,"abstract":"<p><strong>Background: </strong>Intranasal antihistamines (INAH), corticosteroids (INCS), and their fixed combinations (INAH+INCS) are one of the cornerstones of the treatment of allergic rhinitis (AR). We performed a systematic review and network-meta-analysis comparing the efficacy and safety of INAH, INCS, and INAH+INCS in patients with AR.</p><p><strong>Methods: </strong>We searched four electronic bibliographic databases and three clinical trial databases for randomised controlled trials assessing the use of INAH, INCS, and INAH+INCS in adults with seasonal or perennial AR. We performed a network meta-analysis on the Total Nasal Symptom Score, Total Ocular Symptom Score, Rhinoconjunctivitis Quality-of-Life Questionnaire, development of adverse events, and withdrawals due to adverse events. Certainty of evidence was assessed using GRADE-NMA.</p><p><strong>Results: </strong>We included 167 primary studies, most of which assessed patients with seasonal AR. Among individual medications, azelastine-fluticasone, and fluticasone furoate were the most frequently highest-ranked interventions for efficacy outcomes, being regularly associated with clinically meaningful larger improvements when compared to other active treatments. Considering drug classes, INAH+INCS were the highest-ranked interventions for all outcomes in which they were assessed, followed in most cases by INCS. In 105 out of 184 comparisons in seasonal AR, and 28 out of 97 comparisons in perennial AR, certainty of evidence was considered \"high\" or \"moderate\".</p><p><strong>Conclusion: </strong>Intranasal medications for AR display clinically relevant differences in their efficacy, but all show a good safety profile. To our knowledge, this is the first network meta-analysis comparing INAH, INCS, and INAH+INCS in AR, providing relevant evidence for guideline developers and practising physicians on the most efficacious treatments.</p>","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-11-16DOI: 10.1111/all.16383
Huseyn Babayev, Ali Sahin, Sena Ardicli, Mubeccel Akdis, Cezmi A Akdis
{"title":"Tracing the evolutionary pathway of IgG4: Implications for immune tolerance and regulation.","authors":"Huseyn Babayev, Ali Sahin, Sena Ardicli, Mubeccel Akdis, Cezmi A Akdis","doi":"10.1111/all.16383","DOIUrl":"https://doi.org/10.1111/all.16383","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142643444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-11-15DOI: 10.1111/all.16399
Jie Ma, Debra J Palmer, Donna Geddes, Ching Tat Lai, Susan L Prescott, Nina D'Vaz, Philip Vlaskovsky, Lisa F Stinson
{"title":"Human Milk Microbiome Is Associated With Allergic Diseases in Early Childhood.","authors":"Jie Ma, Debra J Palmer, Donna Geddes, Ching Tat Lai, Susan L Prescott, Nina D'Vaz, Philip Vlaskovsky, Lisa F Stinson","doi":"10.1111/all.16399","DOIUrl":"10.1111/all.16399","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-11-14DOI: 10.1111/all.16370
M Jutel, C Vogelberg, K Duwensee, D Troyke, L Klimek
{"title":"One-strength dose escalation of house dust mite depot product for subcutaneous immunotherapy is safe and tolerable.","authors":"M Jutel, C Vogelberg, K Duwensee, D Troyke, L Klimek","doi":"10.1111/all.16370","DOIUrl":"https://doi.org/10.1111/all.16370","url":null,"abstract":"<p><strong>Background: </strong>Allergen immunotherapy (AIT) aims at modulating the immune response by administration of allergen preparations at regular intervals over several years (1). For subcutaneous AIT (SCIT), the treatment is initiated with a dose escalation phase followed by a maintenance dose administration. Over the last decade, there has been a trend towards shortening dose escalation regimens to increase patient adherence. This open-label, phase II trial aimed to investigate the safety and tolerability of a house dust mites (HDMs) SCIT product when used in a newly designed one-strength dose escalation scheme.</p><p><strong>Method: </strong>Patients, aged 12-65, suffering from HDM-allergic rhinitis/rhinoconjunctivitis ± asthma were included. Patients were randomized to the one-strength (6 injections from the highest strength 3) or the Standard dose escalation regimen (14 injections from strengths 1 to 3) using the HDMs-SCIT product. All adverse events were reported. Tolerability was assessed on the Likert scale.</p><p><strong>Results: </strong>One hundred and forty-three patients were randomized, 79 adults and 64 adolescents. In total, the one-strength regimen caused more adverse drug reactions (ADRs) than the Standard regimen (p = .0457). With both regimens most ADRs were local reactions which occurred more often in the one-strength group (p = .0393). But there was no significant difference in the number of patients affected by systemic or serious ADRs between both regimens. No relevant differences occurred between the two age groups and no other risks were observed for adolescents compared to adults.</p><p><strong>Conclusion: </strong>The safety and tolerability of both regimens can be considered comparable, as most ADRs were local reactions, primarily rated as mild in intensity. Nevertheless, the one-strength regimen caused more ADRs. Reducing the number of injections from 14 to 6 while using only one strength offers the potential to improve patient adherence which further might increase clinical efficacy. Future trials could confirm this hypothesis.</p>","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142612921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-10-15DOI: 10.1038/d41573-024-00169-2
Asher Mullard
{"title":"New eyes on the infectious disease prize","authors":"Asher Mullard","doi":"10.1038/d41573-024-00169-2","DOIUrl":"10.1038/d41573-024-00169-2","url":null,"abstract":"Jeanne Marrazzo, the director of the NIAID, discusses post-COVID pandemic preparedness, H5N1 avian flu and the tension between infectious disease protection versus profit. Jeanne Marrazzo, the director of the NIAID, discusses post-COVID pandemic preparedness, H5N1 avian flu and the tension between infectious disease protection versus profit.","PeriodicalId":122,"journal":{"name":"Allergy","volume":"23 11","pages":"808-809"},"PeriodicalIF":122.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142435975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-10-14DOI: 10.1038/d41573-024-00170-9
Asher Mullard
{"title":"Protein degraders push into novel target space","authors":"Asher Mullard","doi":"10.1038/d41573-024-00170-9","DOIUrl":"10.1038/d41573-024-00170-9","url":null,"abstract":"Clinic-ready molecular glues and heterobifunctional PROTAC drugs are taking targeted protein degradation into uncharted territory. Clinic-ready molecular glues and heterobifunctional PROTAC drugs are taking targeted protein degradation into uncharted territory.","PeriodicalId":122,"journal":{"name":"Allergy","volume":"23 11","pages":"799-802"},"PeriodicalIF":122.7,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142431491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
AllergyPub Date : 2024-10-10DOI: 10.1038/d41573-024-00166-5
Paul Verdin
{"title":"FDA new drug approvals in Q3 2024","authors":"Paul Verdin","doi":"10.1038/d41573-024-00166-5","DOIUrl":"10.1038/d41573-024-00166-5","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":"23 11","pages":"806-806"},"PeriodicalIF":122.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142397726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}