PMID- 33729907 OWN - NLM STAT- MEDLINE DCOM- 20220301 LR - 20220301 IS - 1744-8409 (Electronic) IS - 1744-666X (Linking) VI - 17 IP - 5 DP - 2021 May TI - The use of nasal allergen vs allergen exposure chambers to evaluate allergen immunotherapy. PG - 461-470 LID - 10.1080/1744666X.2021.1905523 [doi] AB - INTRODUCTION: Allergen-specific immunotherapy (AIT) is the only disease-modifying treatment option for allergic rhinitis (AR) patients with persistent moderate-severe AR for whom traditional pharmacotherapies are ineffective. The nasal allergen challenge (NAC) and allergen exposure chamber (AEC) are two translational models of AR that can be used to investigate the properties, safety, and efficacy of AIT. AREAS COVERED: Peer-reviewed, human-centered articles utilizing AEC or NAC models to investigate AIT between 2010 and 2020 were curated from PubMed, EMBASE, and OVID Medline databases. AECs have been used to evaluate traditional subcutaneous and sublingual administrations of AIT, including cross-protective effects and different dosing regimens. More recently, the effectiveness of novel AIT formulations has been evaluated. NACs are another model used to study AIT, including using novel intralymphatic routes of administration. It is an especially powerful and versatile tool to determine if basic science and animal model findings are clinically translatable. EXPERT OPINION: The AEC and NAC models both produce clinically relevant and reproducible results. AECs are more effective for studying many participants but are limited because they require a specialized facility. As more AIT therapies and new formulations are developed over time, the versatility of the NAC will be especially useful. FAU - Hossenbaccus, Lubnaa AU - Hossenbaccus L AD - Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Canada. AD - Allergy Research Unit, Kingston Health Sciences Centre - KGH Site, Kingston, Canada. FAU - Ellis, Anne K AU - Ellis AK AD - Department of Biomedical and Molecular Sciences, Queen's University, Kingston, Canada. AD - Allergy Research Unit, Kingston Health Sciences Centre - KGH Site, Kingston, Canada. AD - Department of Medicine, Queen's University, Kingston, Canada. LA - eng PT - Journal Article DEP - 20210408 PL - England TA - Expert Rev Clin Immunol JT - Expert review of clinical immunology JID - 101271248 RN - 0 (Allergens) SB - IM MH - Administration, Sublingual MH - *Allergens/therapeutic use MH - Animals MH - Desensitization, Immunologic/methods MH - Humans MH - Nasal Provocation Tests MH - *Rhinitis, Allergic/drug therapy OTO - NOTNLM OT - Allergen immunotherapy OT - allergic rhinitis OT - environmental exposure chamber OT - nasal allergen challenge EDAT- 2021/03/18 06:00 MHDA- 2022/03/03 06:00 CRDT- 2021/03/17 17:20 PHST- 2021/03/18 06:00 [pubmed] PHST- 2022/03/03 06:00 [medline] PHST- 2021/03/17 17:20 [entrez] AID - 10.1080/1744666X.2021.1905523 [doi] PST - ppublish SO - Expert Rev Clin Immunol. 2021 May;17(5):461-470. doi: 10.1080/1744666X.2021.1905523. Epub 2021 Apr 8.