Modern methods of allergen-specific immunotherapy in allergic rhinitis treatment

Cover Page


Cite item

Full Text

Abstract

The article presents the modern methods of allergen-specific immunotherapy in patients with allergic rhinitis. Allergen-specific immunotherapy - a method of treating allergic diseases, involves reducing the organism’s sensitivity to the allergen effects by repeated administration of allergen extract, starting with the minimum dose. Given the allergic rhinitis high prevalence, as well as its tendency to increase, strong interest in effective methods of its treatment is fully justified. Over the last 20 years, it has become clear that asthma and rhinitis are two types of manifestations of a single pathological process in the airways. It has been proven that allergic disease clinical features may change over time. In addition, patients with allergy are prone to multivalent sensitization. Currently none of the drugs used to relieve allergic rhinitis symptoms can not change the organism’s response to an allergen. Allergen-specific immunotherapy can reduce allergic disease symptoms severity, reduces the need in drugs use, decreases the chance of additional sensitization to other allergens, prevents the asthma development. This therapy has become one of the most widely used effective methods of atopic diseases treatment: seasonal and perennial rhinoconjunctivitis, atopic asthma. Allergen-specific immunotherapy can lead to a change in the immunological response to the relevant allergens in early stages, acting through regulatory cells. Current studies are aimed, on the one hand, at reducing the therapeutic allergovaccines ability to cause allergic reactions, on the other - to maintain or enhance their immunogenic properties. Achieving this goal is possible by changing the route of administration and delivery of therapeutic allergens (non-injection methods of allergen-specific immunotherapy), and using a variety of allergens modification techniques.

About the authors

N M Rakhmatullina

Kazan State Medical Academy; City Clinical Hospital №7

Author for correspondence.
Email: allergolog.kafedra@mail.ru

Yu V Pastushenko

Kazan State Medical Academy; City Clinical Hospital №7

Email: allergolog.kafedra@mail.ru

O R Trofimova

Kazan State Medical Academy; City Clinical Hospital №7

Email: allergolog.kafedra@mail.ru

N A Sibgatullina

Kazan State Medical Academy; City Clinical Hospital №7

Email: allergolog.kafedra@mail.ru

D G Akhmedzyanova

Kazan State Medical Academy; City Clinical Hospital №7

Email: allergolog.kafedra@mail.ru

G N Zakirov

Kazan State Medical Academy; City Clinical Hospital №7

Email: allergolog.kafedra@mail.ru

References

  1. Адо А.Д. Частная аллергология. М.: Медицина. 1976; 512 с.
  2. Аллергический ринит у детей: Рекомендации и алгоритм при детском аллергическом рините. Под ред. В.А. Ревякиной, М.: Оригинал-макет. 2015; 10-11.
  3. Балаболкин И.И. Аллерген-специфическая иммунотерапия детей с аллергическими заболеваниями. Фарматека. 2014; (s4-14): 21-26.
  4. Горячкина Л.А., Астафьева Н.Г. Специфическая иммунотерапия атопических заболеваний. РМЖ. 2002; (16): 721-724.
  5. Гущин И.С., Ильина Н.И., Польнер С.А. Аллергический ринит: Пособие для врачей. М.: Aventis Pharma. 2002; 72 с.
  6. Емельянов А.В., Дзюба О.Ф. Поллинозы: Методическое пособие с атласом. М. 2005; 76 с.
  7. Курбачева О.М. Аллерген-специфическая иммунотерапия. Рос. аллергол. ж. 2004; (2): 32-54.
  8. Курбачева О.М., Муажон Ф., Павлова К.С., Храбина М. Феномен перекрёстной реактивности аллергенов и аллерген-специфическая иммунотерапия. Рос. аллергол. ж. 2010; (1): 32-39.
  9. Курбачева О.М., Павлова К.С., Ильина Н.И. и др. Эффективность проведения аллерген-специфической иммунотерапии препаратом «Фосталь». Рос. аллергол. ж. 2009; 3: 58-64.
  10. Лапшин В.Ф., Уманец Т.Р. Специфическая иммунотерапия атопических заболеваний. Новости мед. и фармации. Аллергол. и иммунол. 2010; (322): 3.
  11. Ревякина В.А. Особенности поллиноза у детей в современных условиях. Леч. врач. 2012; (4): 12-15.
  12. Федеральные клинические рекомендации по диагностике и лечению аллергического ринита. М.: РААКИ. 2013; 28 с.
  13. Федеральные клинические рекомендации по проведению аллерген-специфической иммунотерапии. М.: РААКИ. 2013; 14 с.
  14. Хаитов Р.М. Клиническая аллергология. М.: МЕДпресс-информ. 2002; 623 с.
  15. Calderon M.A., Casale Th.B., Togias A. et. al. Allergen-specific immunotherapy for respiratory allergies: From meta-analesis to regukation and beyond. J. Allergy Clin. Immunol. 2011; 127: 30-38. http://dx.doi.org/10.1016/j.jaci.2010.08.024

Supplementary files

Supplementary Files
Action
1. JATS XML

© 2016 Rakhmatullina N.M., Pastushenko Y.V., Trofimova O.R., Sibgatullina N.A., Akhmedzyanova D.G., Zakirov G.N.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.





This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies