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Comparison of CD30L and OX40L Reveals CD30L as a Promising Therapeutic Target in Atopic Dermatitis. CD30L 和 OX40L 的比较揭示了 CD30L 是特应性皮炎的治疗靶点。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-26 DOI: 10.1111/all.16412
Rinkesh K Gupta, Daniela Salgado Figueroa, Ferhat Ay, Benjamin Causton, Shahla Abdollahi, Michael Croft
{"title":"Comparison of CD30L and OX40L Reveals CD30L as a Promising Therapeutic Target in Atopic Dermatitis.","authors":"Rinkesh K Gupta, Daniela Salgado Figueroa, Ferhat Ay, Benjamin Causton, Shahla Abdollahi, Michael Croft","doi":"10.1111/all.16412","DOIUrl":"https://doi.org/10.1111/all.16412","url":null,"abstract":"<p><strong>Background: </strong>Blocking IL-13 is highly efficacious in patients with Th2-biased atopic dermatitis (AD), and recent clinical data have highlighted that targeting the T cell costimulatory molecules OX40 and OX40L (TNFSF4) holds promise for future treatment of AD.</p><p><strong>Aim: </strong>We asked whether targeting another T cell costimulatory molecule, CD30L (TNFSF8), might also be a possible treatment option in AD.</p><p><strong>Methods: </strong>Single-cell RNA-seq data from human AD skin lesions was analyzed to identify pathogenic IL-13- or IL-22-producing T cells and assess expression of CD30 and its ligand in comparison to OX40 and its ligand. Additionally, a murine model of AD with repetitive exposure to house dust mite allergen was used to compare neutralizing antibodies against CD30L with those against IL-13 or OX40L.</p><p><strong>Results: </strong>Analysis of several scRNA-seq datasets from skin lesions of AD patients showed that transcripts for CD30 or CD30L were found expressed with OX40 or OX40L in the primary T cell populations that also expressed mRNA for IL13 and/or IL22. Suggesting that this could be therapeutically relevant, mice treated prophylactically with a blocking CD30L antibody were protected from developing maximal allergen-induced AD features, including epidermal and dermal thickening, immune cell infiltration, and expression of AD-related genes, similar to mice treated with a blocking IL-13 antibody. Moreover, therapeutic neutralization of CD30L in mice with experimental AD also reduced all of the pathological skin lesion features to a comparable extent as blocking OX40L.</p><p><strong>Conclusion: </strong>These data suggest that targeting the CD30-CD30L axis might hold promise as a future therapeutic intervention in human AD, similar to targeting the OX40-OX40L axis.</p>","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142714955","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}
引用次数: 0
Downregulation of Tight Junction Protein MAGI1 by Interferon-γ Contributes to Barrier Dysfunction in Chronic Rhinosinusitis With Nasal Polyps. 干扰素-γ对紧密连接蛋白MAGI1的下调导致伴有鼻息肉的慢性鼻炎患者的屏障功能障碍
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-23 DOI: 10.1111/all.16405
Jing Song, Chaoran Zhao, Enhao Wang, Jing Yuan, Chengshuo Wang, Ming Wang, Luo Zhang
{"title":"Downregulation of Tight Junction Protein MAGI1 by Interferon-γ Contributes to Barrier Dysfunction in Chronic Rhinosinusitis With Nasal Polyps.","authors":"Jing Song, Chaoran Zhao, Enhao Wang, Jing Yuan, Chengshuo Wang, Ming Wang, Luo Zhang","doi":"10.1111/all.16405","DOIUrl":"https://doi.org/10.1111/all.16405","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142692255","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}
引用次数: 0
Evaluation of oral immunotherapy in hazelnut allergy: Pediatric experience in Toulouse. 评估榛子过敏的口服免疫疗法:图卢兹的儿科经验
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-21 DOI: 10.1111/all.16385
N Casanovas, V Gruzelle, A Broue-Chabbert, R Pontcharraud, J Kamphuis, A Martin-Blondel, L Guilleminault, M Michelet
{"title":"Evaluation of oral immunotherapy in hazelnut allergy: Pediatric experience in Toulouse.","authors":"N Casanovas, V Gruzelle, A Broue-Chabbert, R Pontcharraud, J Kamphuis, A Martin-Blondel, L Guilleminault, M Michelet","doi":"10.1111/all.16385","DOIUrl":"https://doi.org/10.1111/all.16385","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142680145","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}
引用次数: 0
Endogenous Glucagon-Like Peptide-1 Receptor and Glucose-Dependent Insulinotropic Polypeptide Receptor Signaling Inhibits Aeroallergen-Induced Innate Airway Inflammation 内源性胰高血糖素样肽-1 受体和葡萄糖依赖性促胰岛素多肽受体信号传导抑制空气过敏原诱发的先天性气道炎症。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-19 DOI: 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 Jr.
{"title":"Endogenous Glucagon-Like Peptide-1 Receptor and Glucose-Dependent Insulinotropic Polypeptide Receptor Signaling Inhibits Aeroallergen-Induced Innate Airway Inflammation","authors":"Shinji Toki,&nbsp;Masako Abney,&nbsp;Jian Zhang,&nbsp;Mark Rusznak,&nbsp;Christian M. Warren,&nbsp;Dawn C. Newcomb,&nbsp;Katherine N. Cahill,&nbsp;Daniel J. Drucker,&nbsp;Kevin D. Niswender,&nbsp;Ray Stokes Peebles Jr.","doi":"10.1111/all.16402","DOIUrl":"10.1111/all.16402","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>WT (C57BL/6J), GLP-1R knockout (KO), GIPR KO, and GLP-1R/GIPR double KO (DKO) mice were challenged intranasally with <i>Alternaria alternata</i> 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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":122,"journal":{"name":"Allergy","volume":"79 12","pages":"3373-3384"},"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}
引用次数: 0
Prevalence Survey on Oral Allergy Syndrome in Patients With Seasonal Allergic Rhinitis in Yamanashi, Japan. 日本山梨县季节性过敏性鼻炎患者口腔过敏综合征患病率调查。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-18 DOI: 10.1111/all.16398
Ayumi Shimamura, Hiroki Ishii, Tomokazu Matsuoka, Daisuke Watanabe, Takaaki Yonaga, Keisuke Masuyama, Daiju Sakurai
{"title":"Prevalence Survey on Oral Allergy Syndrome in Patients With Seasonal Allergic Rhinitis in Yamanashi, Japan.","authors":"Ayumi Shimamura, Hiroki Ishii, Tomokazu Matsuoka, Daisuke Watanabe, Takaaki Yonaga, Keisuke Masuyama, Daiju Sakurai","doi":"10.1111/all.16398","DOIUrl":"https://doi.org/10.1111/all.16398","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":" ","pages":""},"PeriodicalIF":12.6,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142646428","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}
引用次数: 0
Efficacy and safety of intranasal medications for allergic rhinitis: Network meta-analysis. 鼻内药物治疗过敏性鼻炎的有效性和安全性:网络荟萃分析。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-16 DOI: 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}
引用次数: 0
Tracing the evolutionary pathway of IgG4: Implications for immune tolerance and regulation. 追溯 IgG4 的进化途径:对免疫耐受和调节的影响。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-16 DOI: 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}
引用次数: 0
IL-33 Sensitizes Mast Cells to PIEZO1 Stimulation Leading to Degranulation IL-33 使肥大细胞对 Piezo1 刺激敏感,从而导致脱颗粒。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-15 DOI: 10.1111/all.16397
Yoshiaki Kobayashi, Kent Sakai, Nguyen Quoc Vuong Tran, Kayoko Ishimaru, Takuya Sato, Yuki Nakamura, Daiki Nakagomi, Satoshi Tanaka, Schuichi Koizumi, Atsuhito Nakao
{"title":"IL-33 Sensitizes Mast Cells to PIEZO1 Stimulation Leading to Degranulation","authors":"Yoshiaki Kobayashi,&nbsp;Kent Sakai,&nbsp;Nguyen Quoc Vuong Tran,&nbsp;Kayoko Ishimaru,&nbsp;Takuya Sato,&nbsp;Yuki Nakamura,&nbsp;Daiki Nakagomi,&nbsp;Satoshi Tanaka,&nbsp;Schuichi Koizumi,&nbsp;Atsuhito Nakao","doi":"10.1111/all.16397","DOIUrl":"10.1111/all.16397","url":null,"abstract":"&lt;p&gt;PIEZO1 is a mechanosensitive calcium-permeable ion channel that converts mechanical stimuli into biological signals [&lt;span&gt;1&lt;/span&gt;]. PIEZO1 plays important roles in innate immune cells including monocytes and natural killer cells [&lt;span&gt;2, 3&lt;/span&gt;]. However, the role of &lt;i&gt;Piezo1&lt;/i&gt; in mast cells remains unexplored. Mast cells release histamine in response to mechanical stimuli such as pressure, which triggers itching in a subset of patients with chronic inducible urticaria [&lt;span&gt;4&lt;/span&gt;]. We therefore investigated the connection between PIEZO1 and mast cells.&lt;/p&gt;&lt;p&gt;First, we examined &lt;i&gt;Piezo1&lt;/i&gt; mRNA expression in mouse bone marrow–derived mast cells (BMMCs) in the presence or absence of various stimuli. We found that IL-33, SCF, and IgE significantly upregulated &lt;i&gt;Piezo1&lt;/i&gt; mRNA expression compared with that in the control (Figure 1A). Notably, IL-33 caused an approximately 20-fold increase in Piezo1 mRNA levels. Consistent with these findings, analysis of IL-33–induced gene expression patterns in BMMCs from a Gene Expression Omnibus dataset (GSE96695) identified &lt;i&gt;Piezo1&lt;/i&gt; as one of the top upregulated genes (Figure S1). &lt;i&gt;Piezo1&lt;/i&gt; mRNA levels also increased in mouse connective tissue–type mast cells (CTMCs) stimulated with IL-33 (Figure S2A), and IL-33 stimulation upregulated PIEZO1 protein expression in BMMCs (Figure 1B). These findings suggest that IL-33 induces PIEZO1 expression in mouse mast cells.&lt;/p&gt;&lt;p&gt;We then assessed the functional role of IL-33–induced PIEZO1 in mast cells. We measured intracellular Ca&lt;sup&gt;2+&lt;/sup&gt; levels in response to stimulation with Yoda1, a specific PIEZO1 activator [&lt;span&gt;5&lt;/span&gt;], in IL-33–pretreated or IL-33–untreated BMMCs. Yoda1 increased intracellular Ca&lt;sup&gt;2+&lt;/sup&gt; levels in IL-33–pretreated, but not in IL-33–untreated BMMCs (Figure 1C). Consistently, Yoda1 stimulation induced degranulation responses in IL-33–pretreated, but not in IL-33–untreated BMMCs, as determined by measuring β-hexosaminidase release and CD63 expression, which were reduced by siRNA-mediated &lt;i&gt;Piezo1&lt;/i&gt; knockdown (Figure 1D–F and Figure S3). In addition, Yoda1 stimulation induced the release of histamine, prostaglandin D2 (PGD2), leukotrienes (LTC4/D4/E4), and cytokines (IL-4 and IL-13) in IL-33–pretreated, but not in IL-33–untreated BMMCs (Figure 1G and Figure S4). The release of both β-hexosaminidase and histamine was suppressed by EGTA, a calcium chelator (Figure 1D,G), suggesting that Ca&lt;sup&gt;2+&lt;/sup&gt; influx via PIEZO1 plays a role in these responses. Similar results were obtained in CTMCs (Figure S2B,C). IL-33 also upregulated PIEZO1 in human mast cells (huMCs) derived from CD34&lt;sup&gt;+&lt;/sup&gt; stem cells isolated from human peripheral blood (Figure 1H and Figure S5A). Furthermore, IL-33–pretreated, but not IL-33–untreated huMCs increased CD63 expression upon Yoda1 stimulation (Figure 1I and Figure S5B). These findings suggest that IL-33 induction of PIEZO1 in mast cells leads to degranulation and the release of ","PeriodicalId":122,"journal":{"name":"Allergy","volume":"79 12","pages":"3517-3520"},"PeriodicalIF":12.6,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/all.16397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142637952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human Milk Microbiome Is Associated With Allergic Diseases in Early Childhood 母乳微生物群与幼儿期过敏性疾病有关
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-15 DOI: 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,&nbsp;Debra J. Palmer,&nbsp;Donna Geddes,&nbsp;Ching Tat Lai,&nbsp;Susan L. Prescott,&nbsp;Nina D'Vaz,&nbsp;Philip Vlaskovsky,&nbsp;Lisa F. Stinson","doi":"10.1111/all.16399","DOIUrl":"10.1111/all.16399","url":null,"abstract":"","PeriodicalId":122,"journal":{"name":"Allergy","volume":"79 12","pages":"3509-3511"},"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}
引用次数: 0
One-strength dose escalation of house dust mite depot product for subcutaneous immunotherapy is safe and tolerable. 用于皮下免疫疗法的屋尘螨去势产品的单剂量升级是安全和可耐受的。
IF 12.6 1区 医学
Allergy Pub Date : 2024-11-14 DOI: 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}
引用次数: 0
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