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H2拮抗剂在IgE介导的I型超敏反应中的作用:目前的文献有哪些说法?

H2-antagonist in IgE-mediated type I hypersensitivity reactions: what literature says so far?

作者信息

Borro Matteo, Negrini Simone, Long Andrew, Chinthrajah Sharon, Murdaca Giuseppe

机构信息

Clinical Immunology Unit, Department of Internal Medicine, University of Genoa and Ospedale Policlinico San Martino, 16132, Genoa, Italy.

Sean N. Parker Center for Allergy and Asthma Research at Stanford University, Stanford University, Grant Building, S093, 300 Pasteur Dr., Stanford, CA, 94305-5101, USA.

出版信息

Clin Mol Allergy. 2021 Apr 13;19(1):4. doi: 10.1186/s12948-021-00143-y.

DOI:10.1186/s12948-021-00143-y
PMID:33849573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8042967/
Abstract

Histamine is a monoamine synthesized from the amino acid histidine that is well-known for its role in IgE-mediated anaphylaxis but has shown pleiotropic effects on the immune system, especially in order to promote inflammatory responses. H-receptor antagonist are common drugs used in mild/moderate allergic reactions whereas H-receptor antagonist are commonly administered in gastric ulcer but showed some properties in allergy too. The EAACI guidelines for diagnosis and treatment of anaphylactic reactions recommend their use as third-line therapy in adjunct to H-antagonists. The purpose of this article is to produce a complete summary of findings and evidence known so far about the usefulness of H-receptor antagonist in allergic reactons.

摘要

组胺是一种由氨基酸组氨酸合成的单胺,因其在IgE介导的过敏反应中的作用而闻名,但已显示出对免疫系统具有多效性作用,尤其是为了促进炎症反应。H受体拮抗剂是用于轻度/中度过敏反应的常用药物,而H受体拮抗剂通常用于治疗胃溃疡,但在过敏方面也有一些特性。欧洲变态反应和临床免疫学会(EAACI)关于过敏反应诊断和治疗的指南建议将其作为H拮抗剂辅助治疗的三线疗法。本文的目的是对迄今为止已知的关于H受体拮抗剂在过敏反应中的有用性的研究结果和证据进行完整总结。

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本文引用的文献

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Quality indicators for the acute and long-term management of anaphylaxis: a systematic review.过敏反应急性和长期管理的质量指标:一项系统评价
Clin Transl Allergy. 2017 May 24;7:15. doi: 10.1186/s13601-017-0151-1. eCollection 2017.
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Cholinergic urticaria: epidemiology, physiopathology, new categorization, and management.胆碱能性荨麻疹:流行病学、病理生理学、新分类和管理。
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Addition of lafutidine can improve disease activity and lead to better quality of life in refractory cholinergic urticaria unresponsive to histamine H1 antagonists.添加拉呋替丁可改善难治性胆碱能性荨麻疹的疾病活动度,并提高生活质量,这类荨麻疹对组胺H1拮抗剂无反应。
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Anti-Amoxicillin Immunoglobulin E, Histamine-2 Receptor Antagonist Therapy and Mast Cell Activation Syndrome Are Risk Factors for Amoxicillin Anaphylaxis.抗阿莫西林免疫球蛋白E、组胺-2受体拮抗剂治疗和肥大细胞活化综合征是阿莫西林过敏反应的危险因素。
Int Arch Allergy Immunol. 2015;166(4):280-6. doi: 10.1159/000380950. Epub 2015 May 6.
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