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免疫疗法在变应原免疫治疗中的应用比较。

A comparison of immunotherapy delivery methods for allergen immunotherapy.

机构信息

Allergy Center, An den Quellen 10, D-65183 Wiesbaden, Germany.

出版信息

Expert Rev Clin Immunol. 2013 May;9(5):465-74; quiz 475. doi: 10.1586/eci.13.25.

DOI:10.1586/eci.13.25
PMID:23634740
Abstract

BACKGROUND

Allergic diseases are among the most common diseases in humans. Besides allergen avoidance, allergen-specific immunotherapy is the only causative treatment option. During recent years, many innovations of this therapy have emerged.

METHODS

Selective literature research in Medline and PubMed, under the inclusion of national and international guidelines and Cochrane meta analyses.

RESULTS

In several meta-analyses, the clinical efficacy of subcutaneous immunotherapy (SCIT) has been largely demonstrated. Recently, major research activities in mucosal immunotherapies focused on the sublingual application route. There are well-documented clinical data on the efficacy and safety of this form of immunotherapy. New application routes as well as new immune-modifying agents such as virus-like particles or CpG-motifs have also been investigated.

CONCLUSION

SIT is accepted to be the only causative treatment option for allergies. New application routes and new immune-modifying agents will allow for different delivery methods in the future.

摘要

背景

过敏性疾病是人类最常见的疾病之一。除了避免过敏原外,过敏原特异性免疫疗法是唯一的病因治疗方法。近年来,这种疗法出现了许多创新。

方法

在 Medline 和 PubMed 中进行选择性文献研究,纳入国家和国际指南以及 Cochrane 荟萃分析。

结果

在几项荟萃分析中,皮下免疫疗法(SCIT)的临床疗效得到了充分证明。最近,黏膜免疫疗法的主要研究活动集中在舌下应用途径上。这种免疫疗法的疗效和安全性有充分的临床数据。新的应用途径以及新型免疫调节剂,如病毒样颗粒或 CpG 基序,也已被研究。

结论

SIT 被认为是过敏的唯一病因治疗方法。新的应用途径和新型免疫调节剂将允许未来采用不同的给药方法。

相似文献

1
A comparison of immunotherapy delivery methods for allergen immunotherapy.免疫疗法在变应原免疫治疗中的应用比较。
Expert Rev Clin Immunol. 2013 May;9(5):465-74; quiz 475. doi: 10.1586/eci.13.25.
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Allergen immunotherapy in allergic rhinitis: current use and future trends.变应性鼻炎的变应原免疫治疗:当前应用与未来趋势。
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Novel routes for allergen immunotherapy: safety, efficacy and mode of action.新型变应原免疫治疗途径:安全性、疗效和作用模式。
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Allergen-related approaches to immunotherapy.与变应原相关的免疫疗法方法。
Pharmacol Ther. 2009 Mar;121(3):273-84. doi: 10.1016/j.pharmthera.2008.11.007. Epub 2008 Dec 7.
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Subcutaneous allergen immunotherapy for allergic disease: examining efficacy, safety and cost-effectiveness of current and novel formulations.皮下变应原免疫治疗在变应性疾病中的应用:当前和新型制剂的疗效、安全性和成本效益评估。
Immunotherapy. 2012 Jun;4(6):601-16. doi: 10.2217/imt.12.36.
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Immunotherapy: The meta-analyses. What have we Learned?免疫疗法:荟萃分析。我们学到了什么?
Immunol Allergy Clin North Am. 2011 May;31(2):159-73, vii. doi: 10.1016/j.iac.2011.02.002.
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Novel ways for immune intervention in immunotherapy: mucosal allergy vaccines.免疫疗法中免疫干预的新方法:黏膜过敏疫苗
Immunol Allergy Clin North Am. 2006 May;26(2):283-306, vii-viii. doi: 10.1016/j.iac.2006.02.009.
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Impact of allergen immunotherapy in allergic asthma.变应原免疫疗法对过敏性哮喘的影响。
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[Role of allergen-specific immunotherapy (desensitization) for the treatment of allergies in Germany. Current situation].[德国变应原特异性免疫疗法(脱敏疗法)在过敏症治疗中的作用。现状]
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012 Mar;55(3):343-50. doi: 10.1007/s00103-011-1433-8.
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Basic science for the clinician: Mechanisms of sublingual and subcutaneous immunotherapy.临床医生的基础科学:舌下和皮下免疫疗法的机制
Ann Allergy Asthma Immunol. 2016 Aug;117(2):138-42. doi: 10.1016/j.anai.2016.06.027.

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Postepy Dermatol Alergol. 2020 Dec;37(6):943-947. doi: 10.5114/ada.2019.85365. Epub 2019 May 27.
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Twenty years' observation of subcutaneous pollen allergoid immunotherapy efficacy in adults.成人皮下花粉变应原免疫疗法疗效的二十年观察
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