PMID- 17000005 OWN - NLM STAT- MEDLINE DCOM- 20070315 LR - 20151119 IS - 0163-7258 (Print) IS - 0163-7258 (Linking) VI - 113 IP - 1 DP - 2007 Jan TI - Immunoglobulin E: role in asthma and allergic disease: lessons from the clinic. PG - 121-33 AB - The role of immunoglobulin E (IgE) in allergic asthmatic disease is well established. Allergen-specific IgE binds to its cognate receptors, thus triggering a series of cellular events. These events include presentation of antigen by dendritic cells and the degranulation of mast cells and basophils to release numerous factors that play an integral part in potentiating the disease symptoms. Studies in the mouse indicate that a reduction in IgE levels could lead to significant attenuation of the allergic inflammatory response associated with diseases such as asthma, making IgE a target for the development of new therapeutic agents. Omalizumab (Xolair), a recombinant humanised monoclonal anti-IgE antibody that blocks the interaction of IgE with its receptors, is the first anti-IgE agent to undergo clinical development. Several clinical studies have been performed in adults and children with moderate-to-severe allergic asthma to evaluate the efficacy and safety of this agent, but which have also enabled an insight into the role of IgE in human disease. IgE plays a significant role in a number of allergic conditions including allergic rhinitis and allergies to various substances. Recent data suggests that local IgE production may occur in mucosal tissues and that locally significant concentrations of IgE, not reflected by serum IgE concentrations, indicate that it may play a role in non-atopic as well as atopic disease. FAU - Owen, Charles E AU - Owen CE AD - Novartis Institutes for Biomedical Research, Wimblehurst Road, Horsham, West Sussex, RH12 5AB, United Kingdom. Charles.Owen@Novartis.Com LA - eng PT - Journal Article PT - Review DEP - 20060925 PL - England TA - Pharmacol Ther JT - Pharmacology & therapeutics JID - 7905840 RN - 0 (Anti-Allergic Agents) RN - 0 (Anti-Asthmatic Agents) RN - 0 (Antibodies, Anti-Idiotypic) RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Receptors, IgE) RN - 2P471X1Z11 (Omalizumab) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Animals MH - Anti-Allergic Agents/*therapeutic use MH - Anti-Asthmatic Agents/*therapeutic use MH - Antibodies, Anti-Idiotypic MH - Antibodies, Monoclonal/*therapeutic use MH - Antibodies, Monoclonal, Humanized MH - Asthma/*drug therapy/immunology MH - Clinical Trials as Topic/methods MH - Humans MH - Hypersensitivity/*drug therapy/immunology MH - Immunoglobulin E/*immunology MH - Omalizumab MH - Receptors, IgE/immunology MH - Research Design MH - Treatment Outcome RF - 93 EDAT- 2006/09/27 09:00 MHDA- 2007/03/16 09:00 CRDT- 2006/09/27 09:00 PHST- 2006/07/12 00:00 [received] PHST- 2006/07/18 00:00 [accepted] PHST- 2006/09/27 09:00 [pubmed] PHST- 2007/03/16 09:00 [medline] PHST- 2006/09/27 09:00 [entrez] AID - S0163-7258(06)00134-3 [pii] AID - 10.1016/j.pharmthera.2006.07.003 [doi] PST - ppublish SO - Pharmacol Ther. 2007 Jan;113(1):121-33. doi: 10.1016/j.pharmthera.2006.07.003. Epub 2006 Sep 25.