Adjuvant Therapies in Food Immunotherapy

Immunol Allergy Clin North Am. 2018 Feb;38(1):89-101. doi: 10.1016/j.iac.2017.09.008. Epub 2017 Oct 26.

Abstract

Finding an effective curative treatment for food allergy is a research priority. Although oral immunotherapy (OIT) is effective at inducing desensitization, the temporary nature of this effect and high rates of adverse reactions have highlighted a need for novel strategies to improve tolerance induction and safety. One such strategy is the use of an adjuvant together with food immunotherapy to either suppress allergic reactions and/or modulate the underlying allergic immune response. In particular, the use of bacterial adjuvants seems to be a promising means of enhancing OIT-induced sustained unresponsiveness and warrants further investigation.

Keywords: Adjuvants; Bacterial adjuvants; Food allergy; Interferon gamma; Omalizumab; Probiotics.

Publication types

  • Review

MeSH terms

  • Adjuvants, Immunologic / therapeutic use*
  • Administration, Oral
  • Antigens, Bacterial / therapeutic use*
  • Desensitization, Immunologic / methods*
  • Food Hypersensitivity / immunology
  • Food Hypersensitivity / therapy*
  • Humans
  • Immune Tolerance
  • Interferon-gamma / therapeutic use
  • Omalizumab / therapeutic use*
  • Probiotics / therapeutic use

Substances

  • Adjuvants, Immunologic
  • Antigens, Bacterial
  • Omalizumab
  • Interferon-gamma