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Immune system modulation via induction of tolerance to Dermatophagoides farinae and Dermatophagoides pteronyssinus allergens

Molecular classification
Other
01

Overview

Immune system modulation via induction of tolerance to Dermatophagoides farinae and Dermatophagoides pteronyssinus allergens is a therapeutic approach, not a molecule or receptor, that aims to suppress allergic symptoms by retraining the immune system to tolerate major house dust mite allergens. This is usually accomplished via allergen immunotherapy, which exposes patients to gradually increasing doses of purified allergens, promoting the expansion of regulatory T cells (Tregs), increased secretion of anti-inflammatory cytokines (IL-10, TGF-β), and a shift from IgE to IgG4 antibody responses, thereby reducing the activity of mast cells, basophils, and eosinophils responsible for allergic inflammation[2][6][7][10]. Patient response can be monitored by changes in these immunological markers and the occurrence or reduction of allergic symptoms.

Other names
Induction of allergen-specific immune toleranceAllergen immunotherapy for house dust miteTolerance induction to mite allergens
02

Mechanism of action

Induction of allergen-specific regulatory T cells (Treg), Immune deviation from Th2 to Th1 response, IgG4 antibody increase and IgE decrease, Suppression of mast cell, basophil, and eosinophil activation[2][6][7]

03

Biological functions

Immune responseImmune toleranceSuppression of allergic inflammation
04

Disease associations

AllergyAsthmaOther (e.g., atopic dermatitis)
05

Safety considerations

Anaphylaxis risk with immunotherapyLocal and systemic allergic reactionsLoss of tolerance upon missed doses[9]
06

Interacting drugs

House dust mite allergen extracts (standardized mite extracts such as for Dermatophagoides farinae and Dermatophagoides pteronyssinus)

1 more in the full profile.

07

Biomarkers

IL-10 levelTGF-β levelAllergen-specific IgG4Allergen-specific IgE (decrease)Treg cell frequency (CD4+CD25+FOXP3+ cells)[2][6][10]

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