PMID- 22885888 OWN - NLM STAT- MEDLINE DCOM- 20130109 LR - 20220129 IS - 1473-6322 (Electronic) IS - 1528-4050 (Print) IS - 1473-6322 (Linking) VI - 12 IP - 5 DP - 2012 Oct TI - Safety of engineered allergen-specific immunotherapy vaccines. PG - 555-63 LID - 10.1097/ACI.0b013e328357ca53 [doi] AB - PURPOSE OF REVIEW: The purpose of the review is to summarize and comment on recent developments regarding the safety of engineered immunotherapy vaccines. RECENT FINDINGS: In the last 2 years, several studies were published in which allergy vaccines were developed on the basis of chemical modification of natural allergen extracts, the engineering of allergen molecules by recombinant DNA technology and synthetic peptide chemistry, allergen genes, new application routes and conjugation with immune modulatory molecules. Several studies exemplified the general applicability of hypoallergenic vaccines on the basis of recombinant fusion proteins consisting of nonallergenic allergen-derived peptides fused to allergen-unrelated carrier molecules. These vaccines are engineered to reduce both, immunoglobulin E (IgE) as well as allergen-specific T cell epitopes in the vaccines, and thus should provoke less IgE and T-cell-mediated side-effects. They are made to induce allergen-specific IgG antibodies against the IgE-binding sites of allergens with the T-cell help of the carrier molecule. SUMMARY: Several interesting examples of allergy vaccines with potentially increased safety profiles have been published. The concept of fusion proteins consisting of allergen-derived hypoallergenic peptides fused to allergen-unrelated proteins that seems to be broadly applicable for a variety of allergens appears to be of particular interest because it promises not only to reduce side-effects but also to increase efficacy and convenience of allergy vaccines. FAU - Focke-Tejkl, Margarete AU - Focke-Tejkl M AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Medical University of Vienna, Vienna, Austria. FAU - Valenta, Rudolf AU - Valenta R LA - eng GR - F 4605/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United States TA - Curr Opin Allergy Clin Immunol JT - Current opinion in allergy and clinical immunology JID - 100936359 RN - 0 (Allergens) RN - 0 (Vaccines, DNA) SB - IM MH - Allergens/administration & dosage/*adverse effects/*genetics/immunology MH - Animals MH - Cats MH - Clinical Trials as Topic MH - Desensitization, Immunologic/*adverse effects/methods MH - Genetic Engineering/adverse effects/methods MH - Humans MH - Hypersensitivity, Immediate/*therapy MH - Treatment Outcome MH - Vaccines, DNA/administration & dosage/*adverse effects/genetics/immunology PMC - PMC4594771 MID - EMS65104 OID - NLM: EMS65104 EDAT- 2012/08/14 06:00 MHDA- 2013/01/10 06:00 PMCR- 2015/10/06 CRDT- 2012/08/14 06:00 PHST- 2012/08/14 06:00 [entrez] PHST- 2012/08/14 06:00 [pubmed] PHST- 2013/01/10 06:00 [medline] PHST- 2015/10/06 00:00 [pmc-release] AID - 10.1097/ACI.0b013e328357ca53 [doi] PST - ppublish SO - Curr Opin Allergy Clin Immunol. 2012 Oct;12(5):555-63. doi: 10.1097/ACI.0b013e328357ca53.