Fowler Joshua, Lieberman Jay
Department of Pediatrics, Division of Pulmonology and Allergy/Immunology, University of Tennessee Health Science Center (UTHSC), Memphis, TN, United States.
Front Allergy. 2023 Jul 14;4:1154541. doi: 10.3389/falgy.2023.1154541. eCollection 2023.
The incidence of IgE-mediated food allergy (FA) has continued to increase over the years which places substantial burden on patient health and quality of life. With no cure for this disease, the mainstay of management has been allergen avoidance. However, there have been advancements in FA treatment in recent years with multiple clinical trials utilizing novel and innovative therapeutic strategies. A landmark event came in 2020 with the first drug approval for food allergy with the approval of a product for peanut oral immunotherapy. In addition to oral immunotherapy, different delivery systems of immunotherapy (SLIT, EPIT) are being studied in addition to probiotics, biologic agents - used as monotherapy and as an adjunct, and modified allergens has taken place with the hope to further enhance existing therapeutic options. The hope through these continued developments is for therapies to emerge that will provide a more comprehensive benefit to this patient population.
多年来,IgE介导的食物过敏(FA)发病率持续上升,给患者健康和生活质量带来了沉重负担。由于这种疾病无法治愈,主要的治疗方法一直是避免接触过敏原。然而,近年来FA治疗取得了进展,多项临床试验采用了新颖创新的治疗策略。2020年出现了一个里程碑事件,一种用于花生口服免疫治疗的产品获批,这是首个获批用于食物过敏的药物。除了口服免疫治疗外,免疫治疗的不同给药系统(舌下免疫治疗、鼻腔免疫治疗)以及益生菌、生物制剂(用作单一疗法和辅助疗法)正在研究中,并且已经出现了改良过敏原,希望进一步增加现有的治疗选择。通过这些持续的发展,人们希望能出现对这一患者群体有更全面益处的疗法。