PMID- 36013290 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220830 IS - 2075-4426 (Print) IS - 2075-4426 (Electronic) IS - 2075-4426 (Linking) VI - 12 IP - 8 DP - 2022 Aug 21 TI - Intradermal Allergen Immunotherapy for Allergic Rhinitis: Current Evidence. LID - 10.3390/jpm12081341 [doi] LID - 1341 AB - Allergic rhinitis (AR) is an immunoglobulin E (IgE)-mediated inflammatory disease that is induced by allergen introduction to the nasal mucosa, which triggers an inflammatory response. The current treatments for AR include allergen avoidance and pharmacotherapy; however, allergen-specific immunotherapy (AIT) is the only treatment that can be employed to modify immunologic responses and to achieve a cure for allergic diseases. The current standard routes of AIT administration are the subcutaneous and sublingual routes. Alternatively, the dermis contains a high density of dermal dendritic cells that act as antigen-presenting cells, so intradermal administration may confer added advantages and increase the efficacy of AIT. Moreover, intradermal immunotherapy (IDIT) may facilitate a reduction in the allergen dosage and a shortening of the treatment duration. The aim of this review was to search and evaluate the current evidence specific to IDIT, including its modified formulations, such as allergoids and peptides. The results of this review reveal conflicting evidence that suggests that the overall benefit of IDIT remains unclear. As such, further clinical trials are needed to establish the clinical utility of IDIT, and to determine the optimal treatment-related protocols. FAU - Atipas, Kawita AU - Atipas K AD - Division of Rhinology and Allergy, Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. FAU - Kanjanawasee, Dichapong AU - Kanjanawasee D AUID- ORCID: 0000-0003-2681-2958 AD - Center of Research Excellence in Allergy & Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. AD - Biodesign Innovation Center, Department of Parasitology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. FAU - Tantilipikorn, Pongsakorn AU - Tantilipikorn P AUID- ORCID: 0000-0003-1995-4798 AD - Division of Rhinology and Allergy, Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. AD - Center of Research Excellence in Allergy & Immunology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand. LA - eng PT - Journal Article PT - Review DEP - 20220821 PL - Switzerland TA - J Pers Med JT - Journal of personalized medicine JID - 101602269 PMC - PMC9409804 OTO - NOTNLM OT - allergen immunotherapy OT - allergic rhinitis OT - alternatives OT - intradermal OT - intradermal immunotherapy COIS- The authors declare no conflict of interest. EDAT- 2022/08/27 06:00 MHDA- 2022/08/27 06:01 PMCR- 2022/08/21 CRDT- 2022/08/26 01:28 PHST- 2022/07/20 00:00 [received] PHST- 2022/08/11 00:00 [revised] PHST- 2022/08/17 00:00 [accepted] PHST- 2022/08/26 01:28 [entrez] PHST- 2022/08/27 06:00 [pubmed] PHST- 2022/08/27 06:01 [medline] PHST- 2022/08/21 00:00 [pmc-release] AID - jpm12081341 [pii] AID - jpm-12-01341 [pii] AID - 10.3390/jpm12081341 [doi] PST - epublish SO - J Pers Med. 2022 Aug 21;12(8):1341. doi: 10.3390/jpm12081341.