Peanut immunotherapy
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  • 作者:Katherine Anagnostou (1)
    Andrew Clark (2)

    1. Department of Paediatric Allergy
    ; Guy鈥檚 and St Thomas鈥?Hospitals NHS Foundation Trust ; Westminster Bridge Road ; London ; UK
    2. Department of Medicine
    ; University of Cambridge ; Addenbrooke鈥檚 Hospital ; Box 157 ; Cambridge ; CB2 0QQ ; UK
  • 关键词:Allergy ; Peanut ; Immunotherapy
  • 刊名:Clinical and Translational Allergy
  • 出版年:2014
  • 出版时间:December 2014
  • 年:2014
  • 卷:4
  • 期:1
  • 全文大小:288 KB
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    23. Burks, AW, Jones, SM, Wood, RA, Fleischer, DM, Sicherer, SH, Lindblad, RW, Stablein, D, Henning, AK, Vickery, BP, Liu, AH, Scurlock, AM, Shreffler, WG, Plaut, M, Sampson, HA (2012) Oral immunotherapy for treatment of egg allergy in children. N Engl J Med 367: pp. 233-243 CrossRef
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    27. Anagnostou, K, Clark, A, King, Y, Islam, S, Deighton, J, Ewan, P (2011) Efficacy and safety of high-dose peanut oral immunotherapy with factors predicting outcome. Clin Exp Allergy 41: pp. 1273-1281 CrossRef
    28. Jones, SM, Pons, L, Roberts, JL, Scurlock, AM, Perry, TT, Kulis, M, Shreffler, WG, Steele, P, Henry, KA, Adair, M, Francis, JM, Durham, S, Vickery, BP, Zhong, X, Burks, AW (2009) Clinical efficacy and immune regulation with peanut oral immunotherapy. J Allergy Clin Immunol 124: pp. 292-300, 300.e1-97 CrossRef
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    30. Anagnostou, K, Islam, S, King, Y, Foley, L, Pasea, L, Bond, S, Palmer, C, Deighton, J, Ewan, P, Clark, A (2014) Assessing the efficacy of oral immunotherapy for the desensitisation of peanut allergy in children (STOP II): a phase 2 randomised controlled trial. Lancet 6736: pp. 1-8
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    39. Vickery, BP, Scurlock, AM, Kulis, M, Steele, PH, Kamilaris, J, Berglund, JP, Burk, C, Hiegel, A, Carlisle, S, Christie, L, Perry, TT, Pesek, RD, Sheikh, S, Virkud, Y, Smith, PB, Shamji, MH, Durham, SR, Jones, SM, Burks, AW (2014) Sustained unresponsiveness to peanut in subjects who have completed peanut oral immunotherapy. J Allergy Clin Immunol 133: pp. 468-475 CrossRef
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    41. Varshney, P, Jones, SM, Pons, L, Kulis, M, Steele, PH, Kemper, AR, Steele, P, Hiegel, A, Kamilaris, J, Carlisle, S, Yue, X, Kulis, M, Pons, L, Vickery, B, Burks, AW (2009) Oral immunotherapy (OIT) induces clinical tolerance in peanut-allergic children. J Allergy Clin Immunol 123: pp. S174-S174 CrossRef
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  • 刊物主题:Allergology; Immunology; Molecular Medicine;
  • 出版者:BioMed Central
  • ISSN:2045-7022
文摘
Peanut allergy is common and can be a cause of severe, life-threatening reactions. It is rarely outgrown like other food allergies, such as egg and milk. Peanut allergy has a significant effect on the quality of life of sufferers and their families, due to dietary and social restrictions, but mainly stemming from fear of accidental peanut ingestion. The current management consists of strict avoidance, education and provision of emergency medication, but a disease- modifying therapy is needed for peanut allergy. Recent developments involve the use of immunotherapy, which has shown promise as an active form of treatment. Various routes of administration are being investigated, including subcutaneous, oral, sublingual and epicutaneous routes. Other forms of treatment, such as the use of vaccines and anti-IgE molecules, are also under investigation. So far, results from immunotherapy studies have shown good efficacy in achieving desensitisation to peanut with a good safety profile. However, the issue of long-term tolerance has not been fully addressed yet and larger, phase III studies are required to further investigate safety and efficacy. An assessment of cost/benefit ratio is also required prior to implementing this form of treatment. The use of immunotherapy for peanut allergy is not currently recommended for routine clinical use and should not be attempted outside specialist allergy units.

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