Molecular allergology and its impact in specific allergy diagnosis and therapy

Allergy. 2021 Dec;76(12):3642-3658. doi: 10.1111/all.14969. Epub 2021 Jun 22.

Abstract

Progressive knowledge of allergenic structures resulted in a broad availability of allergenic molecules for diagnosis. Component-resolved diagnosis allowed a better understanding of patient sensitization patterns, facilitating allergen immunotherapy decisions. In parallel to the discovery of allergenic molecules, there was a progressive development of a regulation framework that affected both in vitro diagnostics and Allergen Immunotherapy products. With a progressive understanding of underlying mechanisms associated to Allergen immunotherapy and an increasing experience of application of molecular diagnosis in daily life, we focus in analyzing the evidences of the value provided by molecular allergology in daily clinical practice, with a focus on Allergen Immunotherapy decisions.

Keywords: allergen immunotherapy; component-resolved diagnosis; food allergy; major allergen; respiratory allergy.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Allergens
  • Desensitization, Immunologic / methods
  • Humans
  • Hypersensitivity* / diagnosis
  • Hypersensitivity* / therapy
  • Immunoglobulin E*

Substances

  • Allergens
  • Immunoglobulin E