Specific Immunotherapy in Children: The Evidence

M. La Rosa, E. Lionetti, S. Leonardi, A. Salpietro, L. Bianchi, C. Salpietro, Miraglia M. Del Giudice, Giorgio Ciprandi, G. L. Marseglia

Research output: Contribution to journalArticle

Abstract

Specific immunotherapy (SIT) is the only treatment able to not only act on the symptoms of allergy but also act on the causes. At present, SIT may be administered in two forms: subcutaneous (SCIT) and sublingual immunotherapy (SLIT). SCIT represents the standard modality of treatment while SLIT has recently been introduced into clinical practice and today represents an accepted alternative to SCIT. The main advantages of SIT that are lacking with drug treatment are long-lasting clinical effects and alteration of the natural course of the disease. This prevents the new onset of asthma in patients with allergic rhinitis and the onset of new sensitizations. The mechanism of action of both routes is similar; they modify peripheral and mucosal Th2-responses into a prevalent Th1-polarization with subsequent reduction of the allergic inflammatory reaction. Both have long-term effects for years after they have been discontinued, although for SLIT these evidences are insufficient To date several guidelines have defined indications, contraindications, side-effects, and clinical aspect for SCIT and SLIT. New forms of immunotherapy, allergen products and approaches to food allergy and atopic eczema represents the future of SIT.

Original languageEnglish
Pages (from-to)69-78
Number of pages10
JournalInternational Journal of Immunopathology and Pharmacology
Volume24
DOIs
Publication statusPublished - Oct 1 2011

Keywords

  • allergy
  • Specific immunotherapy
  • subcutaneous immunotherapy

ASJC Scopus subject areas

  • Pharmacology
  • Immunology
  • Immunology and Allergy

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    La Rosa, M., Lionetti, E., Leonardi, S., Salpietro, A., Bianchi, L., Salpietro, C., Del Giudice, M. M., Ciprandi, G., & Marseglia, G. L. (2011). Specific Immunotherapy in Children: The Evidence. International Journal of Immunopathology and Pharmacology, 24, 69-78. https://doi.org/10.1177/03946320110240S413