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毒液免疫疗法:更新综述。

Venom immunotherapy: an updated review.

机构信息

Servicio de Enfermedades del Sistema Inmune-Alergia, Hospital Universitario Príncipe de Asturias, Departamento de Medicina, Universidad de Alcalá, Carretera Alcalá-Meco S/N, 28805, Alcalá de Henares, Madrid, Spain,

出版信息

Curr Allergy Asthma Rep. 2014 Jul;14(7):449. doi: 10.1007/s11882-014-0449-1.

DOI:10.1007/s11882-014-0449-1
PMID:24934908
Abstract

Venom immunotherapy (VIT) is the most effective form of specific immunotherapy to date. Hitherto, several relevant queries remain unanswered, namely optimal doses, duration, and means of assessment. Important progress has been lately made in terms of diagnosis by means of component-resolved diagnosis. Moreover, basophil activation test results in patients with negative serum immunoglobulin E (IgE) and skin prick test confer this technique a promising future, although these outcomes shall be considered with caution. This review aims to unravel the important advances made on diagnosis, management, and prognosis and also focuses on several undetermined aspects of VIT.

摘要

毒液免疫疗法(VIT)是迄今为止最有效的特异性免疫疗法形式。迄今为止,仍有几个相关问题尚未得到解答,即最佳剂量、持续时间和评估方法。在通过成分解析诊断进行诊断方面最近取得了重要进展。此外,对于血清免疫球蛋白 E(IgE)和皮肤点刺试验均为阴性的患者,嗜碱性粒细胞激活试验结果为该技术提供了广阔的前景,尽管应谨慎考虑这些结果。本综述旨在阐明在诊断、管理和预后方面取得的重要进展,并重点介绍 VIT 的几个不确定方面。

相似文献

1
Venom immunotherapy: an updated review.毒液免疫疗法:更新综述。
Curr Allergy Asthma Rep. 2014 Jul;14(7):449. doi: 10.1007/s11882-014-0449-1.
2
Rush hymenoptera venom immunotherapy is efficacious and safe.速发型膜翅目毒液免疫疗法有效且安全。
J Investig Allergol Clin Immunol. 2006;16(4):232-8.
3
Epidemiology, diagnosis, and treatment of Hymenoptera venom allergy in mastocytosis patients.肥大细胞增多症患者蜂类毒液过敏的流行病学、诊断和治疗。
Immunol Allergy Clin North Am. 2014 May;34(2):365-81. doi: 10.1016/j.iac.2014.02.004. Epub 2014 Mar 15.
4
Venom immunotherapy in patients with allergic reactions to insect stings.虫咬过敏患者的毒液免疫疗法。
Expert Rev Clin Immunol. 2018 Jan;14(1):53-59. doi: 10.1080/1744666X.2018.1413350. Epub 2017 Dec 8.
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Mastocytosis and insect venom allergy: diagnosis, safety and efficacy of venom immunotherapy.肥大细胞增多症和昆虫毒液过敏:毒液免疫治疗的诊断、安全性和疗效。
Allergy. 2009 Sep;64(9):1237-45. doi: 10.1111/j.1398-9995.2009.02118.x. Epub 2009 Jul 21.
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Insect anaphylaxis: addressing clinical challenges.昆虫过敏:应对临床挑战。
Curr Opin Allergy Clin Immunol. 2011 Aug;11(4):332-6. doi: 10.1097/ACI.0b013e32834877ab.
7
Hymenoptera sensitivity: diagnosis and treatment.膜翅目昆虫敏感性:诊断与治疗
Allergy Asthma Proc. 2002 Nov-Dec;23(6):381-4.
8
When can immunotherapy for insect sting allergy be stopped?昆虫叮咬过敏的免疫疗法何时可以停止?
J Allergy Clin Immunol Pract. 2015 May-Jun;3(3):324-8; quiz 329-30. doi: 10.1016/j.jaip.2014.11.018.
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Basophil sensitivity in patients not responding to venom immunotherapy.对毒液免疫疗法无反应患者的嗜碱性粒细胞敏感性。
Int Arch Allergy Immunol. 2008;146(3):248-54. doi: 10.1159/000116361. Epub 2008 Feb 13.
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Stinging insect allergy: state of the art 2015.2015年蜂蛰昆虫过敏:最新进展
J Allergy Clin Immunol Pract. 2015 May-Jun;3(3):315-22; quiz 323. doi: 10.1016/j.jaip.2015.03.012.

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Pediatr Allergy Immunol. 2025 Sep;36(9):e70195. doi: 10.1111/pai.70195.
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Real-World Safety and Efficacy Clinical Data of an Improved Allergen-Specific Immunotherapy Product for the Treatment of Bee Venom Allergy.一种用于治疗蜂毒过敏的改良型变应原特异性免疫治疗产品的真实世界安全性和有效性临床数据。
Vaccines (Basel). 2023 May 13;11(5):979. doi: 10.3390/vaccines11050979.
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Venom immunotherapy and difficulties encountered before and during immunotherapy: Double sensitization, systemic reactions, treatment with omalizumab, and high dose VIT.

本文引用的文献

1
Component resolution reveals additional major allergens in patients with honeybee venom allergy.成分解析揭示了蜜蜂毒液过敏患者的其他主要过敏原。
J Allergy Clin Immunol. 2014 May;133(5):1383-9, 1389.e1-6. doi: 10.1016/j.jaci.2013.10.060. Epub 2014 Jan 17.
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Gene expression analysis in allergology: the prediction of Hymenoptera venom allergy severity and treatment efficacy.变应原学中的基因表达分析:预测蜂类毒液过敏严重程度和治疗效果。
Clin Transl Allergy. 2013 Oct 27;3(1):35. doi: 10.1186/2045-7022-3-35.
3
Advances in diagnosis and management of insect sting allergy.
毒液免疫治疗及免疫治疗前和治疗中遇到的困难:双重致敏、全身性反应、奥马珠单抗治疗和高剂量 VIT。
Turk J Med Sci. 2022 Aug;52(4):1223-1234. doi: 10.55730/1300-0144.5427. Epub 2022 Aug 10.
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The efficacy of oral and subcutaneous antigen-specific immunotherapy in murine cow's milk- and peanut allergy models.口服和皮下抗原特异性免疫疗法在小鼠牛奶和花生过敏模型中的疗效。
Clin Transl Allergy. 2017 Sep 29;7:35. doi: 10.1186/s13601-017-0170-y. eCollection 2017.
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[Insect venom allergies : Update 2016 for otorhinolaryngologists].[昆虫毒液过敏:2016年耳鼻喉科医生的最新资讯]
HNO. 2016 Dec;64(12):927-942. doi: 10.1007/s00106-016-0274-z.
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VenomKB, a new knowledge base for facilitating the validation of putative venom therapies.毒液知识库(VenomKB),一个有助于验证潜在毒液疗法的新知识库。
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Stinging insect allergy: current perspectives on venom immunotherapy.蜂蜇昆虫过敏:毒液免疫疗法的当前观点
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8
Facing Hymenoptera Venom Allergy: From Natural to Recombinant Allergens.直面膜翅目毒液过敏:从天然过敏原到重组过敏原
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9
Quo vadis venomics? A roadmap to neglected venomous invertebrates.毒液组学何去何从?被忽视的有毒无脊椎动物研究路线图。
Toxins (Basel). 2014 Dec 19;6(12):3488-551. doi: 10.3390/toxins6123488.
昆虫叮咬过敏的诊断与管理进展
Ann Allergy Asthma Immunol. 2013 Aug;111(2):84-9. doi: 10.1016/j.anai.2013.05.026.
4
Clinical effectiveness of hymenoptera venom immunotherapy: a prospective observational multicenter study of the European academy of allergology and clinical immunology interest group on insect venom hypersensitivity.蜂毒免疫治疗的临床疗效:变应原免疫治疗临床实践指南欧洲专家组关于昆虫毒液过敏的前瞻性观察性多中心研究。
PLoS One. 2013 May 20;8(5):e63233. doi: 10.1371/journal.pone.0063233. Print 2013.
5
Clinical routine utility of basophil activation testing for diagnosis of hymenoptera-allergic patients with emphasis on individuals with negative venom-specific IgE antibodies.变应原特异性 IgE 抗体阴性的蜂类过敏患者中变应原激活试验的临床常规应用
Int Arch Allergy Immunol. 2013;161(4):363-8. doi: 10.1159/000348500. Epub 2013 May 14.
6
Update on allergy immunotherapy: American Academy of Allergy, Asthma & Immunology/European Academy of Allergy and Clinical Immunology/PRACTALL consensus report.变应原免疫治疗更新:美国过敏、哮喘和免疫学学会/欧洲过敏和临床免疫学学会/PRACTALL 共识报告。
J Allergy Clin Immunol. 2013 May;131(5):1288-96.e3. doi: 10.1016/j.jaci.2013.01.049. Epub 2013 Mar 14.
7
Simultaneous intradermal testing with hymenoptera venoms is safe and more efficient than sequential testing.同时进行蜂毒液皮内试验比序贯试验更安全、更有效。
Allergy. 2013 Apr;68(4):542-4. doi: 10.1111/all.12123. Epub 2013 Feb 14.
8
The putative serine protease inhibitor Api m 6 from Apis mellifera venom: recombinant and structural evaluation.蜜蜂毒液中假定的丝氨酸蛋白酶抑制剂 Api m 6:重组和结构评估。
J Investig Allergol Clin Immunol. 2012;22(7):476-84.
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New directions in immunotherapy.免疫疗法新方向。
Curr Allergy Asthma Rep. 2013 Apr;13(2):178-95. doi: 10.1007/s11882-012-0335-7.
10
Systemic mastocytosis as a risk factor for severe Hymenoptera sting-induced anaphylaxis.系统性肥大细胞增多症作为严重膜翅目昆虫叮咬所致过敏反应的一个危险因素。
J Allergy Clin Immunol. 2013 Feb;131(2):614-5. doi: 10.1016/j.jaci.2012.10.052. Epub 2012 Dec 28.