Food Allergen Immunotherapy in the Treatment of Patients with IgE-Mediated Food Allergy

The prevalence of allergic diseases, including food allergy, is increasing, especially in developed countries. Implementation of an elimination diet is not a sufficient therapeutic strategy in patients with food allergy, whose quality of life is significantly impaired. In recent years, new effective...

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Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2024-01, Vol.60 (1), p.121
Main Authors: Turkalj, Mirjana, Miletić Gospić, Adrijana, Višekruna Džidić, Ivona, Banić, Ivana
Format: Article
Language:English
Subjects:
Allergens
Animals
B cells
Cattle
Cytokines
Dendritic cells
Desensitization, Immunologic
Diet
Female
Food allergies
food allergy
Food Hypersensitivity - therapy
Humans
IgE-mediated food allergy
Immunoglobulin E
Immunoglobulins
Immunotherapy
Lymphatic system
Milk
OIT
oral immunotherapy
Patients
Quality of Life
SLIT
sublingual immunotherapy
Sustainable development
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Summary:The prevalence of allergic diseases, including food allergy, is increasing, especially in developed countries. Implementation of an elimination diet is not a sufficient therapeutic strategy in patients with food allergy, whose quality of life is significantly impaired. In recent years, new effective therapeutic strategies have been developed, such as the application of oral, sublingual, and epicutaneous immunotherapy. Oral immunotherapy is the most often applied strategy because of its effectiveness and ease of application, with an acceptable safety profile. The effectiveness of oral immunotherapy in patients with egg, cow's milk, and peanut allergy has been proven both in terms of raising of the threshold and the development of tolerance, and in some patients, the development of sustainable unresponsiveness. Although oral immunotherapy is an effective treatment for food allergy, several limitations, including a long duration and a significant rate of reported adverse events, reduces its success. Therefore, new therapeutic options, such as treatment with biologicals, either as combinations with food allergen immunotherapy or as monotherapy with the aim of improving the efficacy and safety of treatment, are being investigated.
ISSN:1648-9144
1010-660X
1648-9144
DOI:10.3390/medicina60010121