PMID- 32249442 OWN - NLM STAT- MEDLINE DCOM- 20210514 LR - 20231110 IS - 1398-9995 (Electronic) IS - 0105-4538 (Print) IS - 0105-4538 (Linking) VI - 76 IP - 1 DP - 2021 Jan TI - Past, present, and future of allergen immunotherapy vaccines. PG - 131-149 LID - 10.1111/all.14300 [doi] AB - Allergen-specific immunotherapy (AIT) is an allergen-specific form of treatment for patients suffering from immunoglobulin E (IgE)-associated allergy; the most common and important immunologically mediated hypersensitivity disease. AIT is based on the administration of the disease-causing allergen with the goal to induce a protective immunity consisting of allergen-specific blocking IgG antibodies and alterations of the cellular immune response so that the patient can tolerate allergen contact. Major advantages of AIT over all other existing treatments for allergy are that AIT induces a long-lasting protection and prevents the progression of disease to severe manifestations. AIT is cost effective because it uses the patient s own immune system for protection and potentially can be used as a preventive treatment. However, broad application of AIT is limited by mainly technical issues such as the quality of allergen preparations and the risk of inducing side effects which results in extremely cumbersome treatment schedules reducing patient s compliance. In this article we review progress in AIT made from its beginning and provide an overview of the state of the art, the needs for further development, and possible technical solutions available through molecular allergology. Finally, we consider visions for AIT development towards prophylactic application. CI - (c) 2020 The Authors. Allergy published by European Academy of Allergy and Clinical Immunology and John Wiley & Sons Ltd. FAU - Dorofeeva, Yulia AU - Dorofeeva Y AUID- ORCID: 0000-0001-5304-2042 AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. FAU - Shilovskiy, Igor AU - Shilovskiy I AUID- ORCID: 0000-0001-5343-4230 AD - National Research Center, Institute of immunology, FMBA of Russia, Moscow, Russian Federation. FAU - Tulaeva, Inna AU - Tulaeva I AUID- ORCID: 0000-0002-5825-2687 AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. AD - Department of Clinical Immunology and Allergy, Laboratory of Immunopathology, Sechenov First Moscow State Medical University, Moscow, Russian Federation. FAU - Focke-Tejkl, Margarete AU - Focke-Tejkl M AUID- ORCID: 0000-0003-3433-5071 AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. FAU - Flicker, Sabine AU - Flicker S AUID- ORCID: 0000-0003-4768-8693 AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. FAU - Kudlay, Dmitriy AU - Kudlay D AD - National Research Center, Institute of immunology, FMBA of Russia, Moscow, Russian Federation. FAU - Khaitov, Musa AU - Khaitov M AD - National Research Center, Institute of immunology, FMBA of Russia, Moscow, Russian Federation. FAU - Karsonova, Antonina AU - Karsonova A AD - Department of Clinical Immunology and Allergy, Laboratory of Immunopathology, Sechenov First Moscow State Medical University, Moscow, Russian Federation. FAU - Riabova, Ksenja AU - Riabova K AD - Department of Clinical Immunology and Allergy, Laboratory of Immunopathology, Sechenov First Moscow State Medical University, Moscow, Russian Federation. FAU - Karaulov, Alexander AU - Karaulov A AD - Department of Clinical Immunology and Allergy, Laboratory of Immunopathology, Sechenov First Moscow State Medical University, Moscow, Russian Federation. FAU - Khanferyan, Roman AU - Khanferyan R AD - Department of Immunology and Allergy, Russian People's Friendship University, Moscow, Russian Federation. FAU - Pickl, Winfried F AU - Pickl WF AUID- ORCID: 0000-0003-0430-4952 AD - Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. FAU - Wekerle, Thomas AU - Wekerle T AD - Section of Transplantation Immunology, Department of Surgery, Medical University of Vienna, Vienna, Austria. FAU - Valenta, Rudolf AU - Valenta R AUID- ORCID: 0000-0001-5944-3365 AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria. AD - National Research Center, Institute of immunology, FMBA of Russia, Moscow, Russian Federation. AD - Department of Clinical Immunology and Allergy, Laboratory of Immunopathology, Sechenov First Moscow State Medical University, Moscow, Russian Federation. LA - eng GR - P 29991/FWF_/Austrian Science Fund FWF/Austria PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200429 PL - Denmark TA - Allergy JT - Allergy JID - 7804028 RN - 0 (Allergens) RN - 0 (Vaccines) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens MH - Desensitization, Immunologic MH - Humans MH - *Hypersensitivity/therapy MH - Immunoglobulin E MH - *Vaccines PMC - PMC7818275 OTO - NOTNLM OT - allergen OT - allergen-specific immunotherapy OT - allergy OT - molecular allergy vaccines COIS- W. Pickl holds stocks of Biomay AG and receives honoraria from Novartis and Pfizer. Dr Wekerle reports personal fees from Astellas, personal fees from Chiesi, personal fees from Therakos, grants from TEVA, outside the submitted work. Rudolf Valenta has received research grants from Viravaxx (Vienna, Austria) and serves as consultant for this company. The other authors declare that they have no competing interests. EDAT- 2020/04/07 06:00 MHDA- 2021/05/15 06:00 PMCR- 2021/01/21 CRDT- 2020/04/07 06:00 PHST- 2020/02/03 00:00 [received] PHST- 2020/02/25 00:00 [revised] PHST- 2020/03/15 00:00 [accepted] PHST- 2020/04/07 06:00 [pubmed] PHST- 2021/05/15 06:00 [medline] PHST- 2020/04/07 06:00 [entrez] PHST- 2021/01/21 00:00 [pmc-release] AID - ALL14300 [pii] AID - 10.1111/all.14300 [doi] PST - ppublish SO - Allergy. 2021 Jan;76(1):131-149. doi: 10.1111/all.14300. Epub 2020 Apr 29.