How molecular allergology can shape the management of allergic airways diseases

Autor: Davide Caimmi, Pascal Demoly, Enrica Manca, Elena Carboni
Přispěvatelé: Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Sorbonne Université (SU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Università degli Studi di Foggia - University of Foggia, Università degli Studi 'Magna Graecia' di Catanzaro [Catanzaro, Italie] (UMG)
Rok vydání: 2020
Předmět:
Allergen immunotherapy
Allergy
MESH: Allergens
MESH: Asthma
Immunology
MESH: Molecular Diagnostic Techniques
Disease
Cross Reactions
Immunologic Tests
Immunoglobulin E
medicine.disease_cause
[SDV.MHEP.PSR]Life Sciences [q-bio]/Human health and pathology/Pulmonology and respiratory tract
MESH: Cross Reactions
03 medical and health sciences
0302 clinical medicine
Allergen
medicine
Humans
Immunology and Allergy
030212 general & internal medicine
MESH: Desensitization
Immunologic

[SDV.IMM.ALL]Life Sciences [q-bio]/Immunology/Allergology
Sensitization
MESH: Treatment Outcome
Asthma
[SDV.MHEP.PED]Life Sciences [q-bio]/Human health and pathology/Pediatrics
MESH: Humans
biology
business.industry
MESH: Immunoglobulin E
Allergens
medicine.disease
Rhinitis
Allergic

3. Good health
Treatment Outcome
medicine.anatomical_structure
Molecular Diagnostic Techniques
030228 respiratory system
Desensitization
Immunologic

MESH: Immunologic Tests
MESH: Rhinitis
Allergic

biology.protein
Personalized medicine
business
Zdroj: Current Opinion in Allergy and Clinical Immunology
Current Opinion in Allergy and Clinical Immunology, Lippincott, Williams & Wilkins, 2020, 20 (2), pp.149-154. ⟨10.1097/ACI.0000000000000630⟩
ISSN: 1473-6322
1528-4050
DOI: 10.1097/aci.0000000000000630
Popis: International audience; In allergy, personalized medicine passes through the assessment of molecular allergens sensitization profiles. Such technique may help to better diagnose and treat patients suffering from allergic respiratory diseases.Recent findings: Different laboratory tests are available today to assess sensitization to molecular allergens, from singleplex assays, to unspecific, screening multiplex assays, mainly performed through microarrays or macroarrays. It is important to collect both results from specific IgE toward allergen extracts and toward molecular allergens, to collect the most complete information on the patient's profile, and therefore to highlight genuine sensitization, and exclude cross-reaction and sensitization because of pan-allergens. Being able to know the exact molecular sensitization profile of the patient, also helps predicting the possible evolution of the disease, and targeting the most appropriate allergen immunotherapy treatment to prescribe.Summary: Even though a cost-effective analysis of running multiple assays in allergic patients has not been performed yet, such technique proved to be more efficient in detecting the appropriate treatment in each patient and in analyzing the true sensitization profile in patients suffering from allergic rhinitis, conjunctivitis, and asthma.
Databáze: OpenAIRE