Target intelligence / Profile preview

Immune System (modulation via exposure to specific allergens)

Molecular classification
Immune System Component, Cellular Pathway, Cytokine Network
01

Overview

The immune system can be modulated by exposure to specific allergens, which are typically harmless substances that trigger an exaggerated immune response in susceptible individuals. This process is central to the development and management of allergic diseases, where the immune system's recognition and reaction to these allergens can be altered through various mechanisms, including immunotherapy and controlled allergen exposure. Controlled exposure to allergens aims to shift the immune response from a pathogenic Th2/IgE-dominated profile toward a more regulated or tolerant state, often involving increased regulatory T cell activity or IgG4 production.

Other names
Allergen ImmunotherapyAllergen-specific immunotherapySubcutaneous immunotherapySublingual immunotherapy
02

Mechanism of action

Gradual exposure to increasing doses of specific allergens to induce immune tolerance. This involves shifting the immune response from a Th2/IgE-dominated profile to a more regulated state, often involving increased regulatory T cell activity or IgG4 production. Mechanisms include: altered cytokine production, induction of Tregs, B cell isotype switching, and reduced mast cell and basophil reactivity.

03

Biological functions

Immune responseTolerance inductionHypersensitivity regulationAntigen presentationT cell differentiationB cell activationAntibody productionMast cell degranulation
04

Disease associations

Allergic rhinitisHay feverAllergic asthmaFood allergyAtopic dermatitis
05

Safety considerations

Anaphylaxis (risk of severe allergic reaction)Local injection site reactionsExacerbation of allergic symptomsEosinophilic esophagitis (in some cases of oral immunotherapy)
06

Interacting drugs

Allergen extracts (various)

3 more in the full profile.

07

Biomarkers

Allergen-specific IgE levelsAllergen-specific IgG4 levelsRegulatory T cell (Treg) populationsCytokine profiles (e.g., IL-4, IL-5, IL-10, IFN-γ)Skin prick test reactivityNasal allergen challenge response

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