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Allergy2018; 73(10); 1989-1999; doi: 10.1111/all.13464

Allergen immunotherapy in people, dogs, cats and horses – differences, similarities and research needs.

Abstract: In human patients with seasonal allergic rhinoconjunctivitis sensitized to grass pollen, the first successful allergen immunotherapy (AIT) was reported in 1911. Today, immunotherapy is an accepted treatment for allergic asthma, allergic rhinitis and hypersensitivities to insect venom. AIT is also used for atopic dermatitis and recently for food allergy. Subcutaneous, epicutaneous, intralymphatic, oral and sublingual protocols of AIT exist. In animals, most data are available in dogs where subcutaneous AIT is an accepted treatment for atopic dermatitis. Initiating a regulatory response and a production of "blocking" IgG antibodies with AIT are similar mechanisms in human beings and dogs with allergic diseases. Although subcutaneous immunotherapy is used for atopic dermatitis in cats, data for its efficacy are sparse. There is some evidence for successful treatment of feline asthma with AIT. In horses, most studies evaluate the effect of AIT on insect hypersensitivity with conflicting results although promising pilot studies have demonstrated the prophylaxis of insect hypersensitivity with recombinant antigens of biting midges (Culicoides spp.). Optimizing AIT using allergoids, peptide immunotherapy, recombinant allergens and new adjuvants with the different administration types of allergen extracts will further improve compliance and efficacy of this proven treatment modality.
Publication Date: 2018-05-27 PubMed ID: 29675865DOI: 10.1111/all.13464Google Scholar: Lookup
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Summary

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Allergen immunotherapy (AIT) is a common treatment for allergies in humans and can also be effective in dogs, cats, and horses. This article analyzes how these treatments work in different species, indicates where more research is needed, and looks at how AIT could be further improved.

Allergen Immunotherapy: An Overview

  • Allergen immunotherapy (AIT), which entails exposing patients to gradually larger doses of an allergen, was first successfully used in humans in 1911. Nowadays, it is widely used to treat a variety of allergies, including allergic asthma, rhinitis, insect venom hypersensitivity, atopic dermatitis, and recently, food allergies.
  • A few different AIT protocols exist, such as subcutaneous (under the skin), epicutaneous (on the skin), intralymphatic (into the lymphatic system), oral, and sublingual (under the tongue) methods.
  • In animals, the most data about AIT exists for dogs. The principles behind these treatments are fairly similar to those used in humans, involving the initiation of a regulatory response and the production of “blocking” IgG antibodies.

AIT in Different Animal Species

  • The majority of animals studied for AIT effectiveness are dogs where subcutaneous AIT is recognized as a treatment for atopic dermatitis, a chronic inflammatory skin disease.
  • While subcutaneous immunotherapy is also used to treat atopic dermatitis in cats, there is not as much data available on its efficacy. Evidence does suggest that AIT can successfully treat feline asthma, though.
  • Research on horses indicates varied success with AIT for insect hypersensitivity. However, there are promising results from pilot studies that used recombinant antigens of biting midges (Culicoides spp.) to prevent insect hypersensitivity.

The Future of AIT

  • Therapies are constantly being refined, and this includes allergen immunotherapies. Currently, researchers are looking at how they can optimize these treatments using allergoids (modified allergens), peptide immunotherapy, recombinant allergens (genetically engineered), and new adjuvants (substances that enhance the body’s immune response).
  • By investigating different types of allergen administration and new adjuvants, it is hoped that the compliance and efficacy of this treatment modality can be improved.

Cite This Article

APA
Mueller RS, Jensen-Jarolim E, Roth-Walter F, Marti E, Janda J, Seida AA, DeBoer D. (2018). Allergen immunotherapy in people, dogs, cats and horses – differences, similarities and research needs. Allergy, 73(10), 1989-1999. https://doi.org/10.1111/all.13464

Publication

ISSN: 1398-9995
NlmUniqueID: 7804028
Country: Denmark
Language: English
Volume: 73
Issue: 10
Pages: 1989-1999

Researcher Affiliations

Mueller, R S
  • Centre for Clinical Veterinary Medicine, LMU Munich, Munich, Germany.
Jensen-Jarolim, E
  • The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, Vienna, Austria.
  • Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University, Vienna, Austria.
Roth-Walter, F
  • The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, Vienna, Austria.
Marti, E
  • Department of Clinical Research and Veterinary Public Health, University of Bern, Bern, Switzerland.
Janda, J
  • Faculty of Science, Charles University, Prague, Czech Republic.
Seida, A A
  • Immunology and Microbiology Department, Faculty of Veterinary Medicine, Cairo University, Giza, Egypt.
DeBoer, D
  • School of Veterinary Medicine, University of Wisconsin, Madison, WI, USA.

MeSH Terms

  • Adjuvants, Immunologic
  • Allergens / immunology
  • Animals
  • Arthropod Venoms / immunology
  • Cats
  • Dermatitis, Atopic / immunology
  • Desensitization, Immunologic / methods
  • Desensitization, Immunologic / veterinary
  • Dogs
  • Horses
  • Humans
  • Hypersensitivity / classification
  • Models, Animal

Grant Funding

  • EAACI
  • F4606-B28 / Austrian Science Fund FWF Grants
  • 310030-160196/1 / Swiss National Science Foundation

Citations

This article has been cited 21 times.
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