PMID- 28806766 OWN - NLM STAT- MEDLINE DCOM- 20171009 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 8 DP - 2017 TI - Sublingual immunotherapy (SLIT) for house dust mites does not prevent new allergen sensitization and bronchial hyper-responsiveness in allergic rhinitis children. PG - e0182295 LID - 10.1371/journal.pone.0182295 [doi] LID - e0182295 AB - INTRODUCTION: The aim of this study is to identify the effects of sublingual immunotherapy (SLIT) on immunologic parameters and bronchial-hyper-responsiveness in children with allergic rhinitis to house-dust mite (HDM), through long-term follow-up cohort. METHODS: Among the Allergic Rhinitis Cohort Study for Kids, pediatric patients who visited the hospital for rhinitis symptoms and proven allergy to HDM through skin prick test were studied. In this cohort, 37 patients received SLIT more than 3-years (SLIT group), and 184 patients received only pharmacologic therapy (non-SLIT group) were included in this study. The results of skin prick test, eosinophil percent and count, total immunoglobulin E (IgE), and bronchial provocation test at initial and 3-year followed-up were compared in the two groups. RESULTS: After 3 year follow-up, only the serum eosinophil percent decreased more significantly in SLIT group than that in the non-SLIT group. New-sensitization rate other than HDM between SLIT and non-SLIT group did not show any significant differences. The distribution of sensitized allergen other than HDM showed increasing tendency after 3 years in both groups. Older age and a small number of sensitized allergen affected the improvement of bronchial hyper-responsiveness regardless of SLIT. CONCLUSION: HDM SLIT in allergic rhinitis children for 3 years in Korea does not affect prevention of new sensitization and poly-sensitization rate increment, and improvement of bronchial hyper-responsiveness. FAU - Lim, Jae Hyun AU - Lim JH AD - Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea. FAU - Kim, Jin Youp AU - Kim JY AD - Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea. FAU - Han, Doo Hee AU - Han DH AD - Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea. FAU - Lee, Chul Hee AU - Lee CH AD - Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea. FAU - Hong, Seung-No AU - Hong SN AD - Department of Otorhinolaryngology-Head and Neck Surgery, Korea University College of Medicine, Korea University Ansan Hospital, Ansan, Korea. FAU - Wee, Jee Hye AU - Wee JH AD - Department of Otorhinolaryngology-Head and Neck Surgery, Bundang Jesaeng General Hospital, Deajin Medical Center, Seongnam, Korea. FAU - Park, Sue K AU - Park SK AD - Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea. AD - Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea. AD - Cancer Research Institute, Seoul National University, Seoul, Korea. FAU - Rhee, Chae-Seo AU - Rhee CS AUID- ORCID: 0000-0002-1361-8585 AD - Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea. AD - Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul, Korea. AD - Sensory Organ Research Center, Seoul National University Medical Research Center, Seoul, Korea. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20170814 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Allergens) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Animals MH - Bronchial Hyperreactivity/blood/complications/*immunology/*therapy MH - Child MH - Child, Preschool MH - Female MH - Follow-Up Studies MH - Humans MH - *Immunization MH - Incidence MH - Male MH - Pyroglyphidae/*immunology MH - Rhinitis, Allergic/blood/complications/*immunology/*therapy MH - Skin Tests MH - *Sublingual Immunotherapy MH - Treatment Outcome PMC - PMC5555666 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2017/08/15 06:00 MHDA- 2017/10/11 06:00 PMCR- 2017/08/14 CRDT- 2017/08/15 06:00 PHST- 2017/05/16 00:00 [received] PHST- 2017/07/14 00:00 [accepted] PHST- 2017/08/15 06:00 [entrez] PHST- 2017/08/15 06:00 [pubmed] PHST- 2017/10/11 06:00 [medline] PHST- 2017/08/14 00:00 [pmc-release] AID - PONE-D-17-18758 [pii] AID - 10.1371/journal.pone.0182295 [doi] PST - epublish SO - PLoS One. 2017 Aug 14;12(8):e0182295. doi: 10.1371/journal.pone.0182295. eCollection 2017.