4.7 Article

Immune mechanisms of oral immunotherapy

Journal

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY
Volume 141, Issue 2, Pages 491-498

Publisher

MOSBY-ELSEVIER
DOI: 10.1016/j.jaci.2017.12.979

Keywords

Oral immunotherapy; immune mechanisms; desensitization; sustained unresponsiveness; basophils; T cells; B cells; mast cells; antibodies

Funding

  1. National Institutes of Health (NIH)
  2. Sanofi
  3. American Academy of Allergy, Asthma & Immunology Foundation
  4. Food Allergy Research & Education (FARE)
  5. National Institute of Allergy and Infectious Diseases (NIAID)
  6. Astellas
  7. Aimmune
  8. Anaptys Bio
  9. Immune Tolerance Network
  10. Aimmune Therapeutics
  11. NIH/NIAID
  12. FARE
  13. American College of Allergy, Asthma Immunology

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Oral immunotherapy (OIT) has demonstrated reproducibly successful desensitization in patients with food allergy completing clinical trials and, in some studies, sustained unresponsiveness. These clinical outcomes have been associated with characteristic modifications in the allergen-specific immune response, but a detailed synthesis of OIT's mechanisms of action is lacking. In this rostrum we review the current evidence regarding the human immune response to OIT, explore possible mechanisms, and identify knowledge gaps for future research.

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