PMID- 16899204 OWN - NLM STAT- MEDLINE DCOM- 20061222 LR - 20191110 IS - 1529-7322 (Print) IS - 1529-7322 (Linking) VI - 6 IP - 5 DP - 2006 Sep TI - Mite immunotherapy. PG - 413-9 AB - Dermatophagoides pteronyssinus and D. farinae are the most common house dust mites and are among the most common sources of indoor allergens worldwide. These species are very common in humid regions, where most allergic individuals are sensitized to house dust mites. Specific immunotherapy with mite extracts has demonstrated clinical benefits in several double-blind, placebo-controlled trials that are included in recent reviews of subcutaneous immunotherapy, including pediatric and adult patients with rhinoconjunctivitis and or asthma. Most successful studies of mite immunotherapy have used native allergen extracts adsorbed onto aluminum hydroxide, or chemically modified mite-allergen extracts. Several studies have also shown efficacy using sublingual immunotherapy in pediatric and adult patients with asthma and/or rhinitis. Additionally, the efficacy of subcutaneous immunotherapy has been demonstrated in patients with atopic dermatitis, although more double-blind, placebo-controlled studies are needed. Based on several studies, it cannot be concluded that mite immunotherapy is more dangerous or safer than immunotherapy with grasses, epithelia, or animal epithelia. Because the delivery of high doses of allergen carries with it the risk for immunoglobulin E (IgE)-mediated events, several methods have been developed to reduce specific IgE binding to mite-allergen extracts. An important challenge for future mite immunotherapy modalities is the delivery of relatively high doses without a significant risk for severe reactions. FAU - Fernandez-Caldas, Enrique AU - Fernandez-Caldas E AD - Laboratorios LETI, SL, Calle del Sol,5, 28760 Tres Cantos, Madrid, Spain. efernandez@leti.com FAU - Iraola, Victor AU - Iraola V FAU - Boquete, Manuel AU - Boquete M FAU - Nieto, Antonio AU - Nieto A FAU - Casanovas, Miguel AU - Casanovas M LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Allergy Asthma Rep JT - Current allergy and asthma reports JID - 101096440 RN - 0 (Allergens) RN - 0 (Antigens, Dermatophagoides) SB - IM MH - Allergens/therapeutic use MH - Animals MH - Antigens, Dermatophagoides/adverse effects/*therapeutic use MH - Clinical Trials as Topic MH - Cross Reactions MH - *Desensitization, Immunologic/adverse effects MH - Humans MH - Pyroglyphidae/*immunology MH - Respiratory Hypersensitivity/therapy RF - 77 EDAT- 2006/08/11 09:00 MHDA- 2006/12/23 09:00 CRDT- 2006/08/11 09:00 PHST- 2006/08/11 09:00 [pubmed] PHST- 2006/12/23 09:00 [medline] PHST- 2006/08/11 09:00 [entrez] AID - 10.1007/s11882-996-0015-6 [doi] PST - ppublish SO - Curr Allergy Asthma Rep. 2006 Sep;6(5):413-9. doi: 10.1007/s11882-996-0015-6.