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Bet v 1aF1-Alum + Bet v 1aF2-Alum is a combination vaccine formulation designed for allergen-specific immunotherapy (AIT) targeting birch pollen allergy. The active components are recombinant hypoallergenic fragments of the major birch pollen allergen, Bet v 1 (specifically, fragments F1 and F2), each adsorbed to aluminum hydroxide (alum) as an adjuvant. This approach aims to induce immune tolerance by shifting the immune response away from IgE-mediated hypersensitivity toward a more tolerogenic or Th1-biased profile. Recombinant fragment-based vaccines like these offer improved safety and standardization compared to natural extract-based therapies, reducing the risk of severe allergic reactions while effectively modifying disease progression in patients with birch pollen allergy[1][8]. The mechanism involves induction of blocking IgG antibodies against key IgE epitopes on Bet v 1 and modulation of T cell responses[2][3].
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