PMID- 36452016 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 2233-8276 (Print) IS - 2233-8268 (Electronic) IS - 2233-8276 (Linking) VI - 12 IP - 4 DP - 2022 Oct TI - Mechanisms and biomarkers of successful allergen-specific immunotherapy. PG - e45 LID - 10.5415/apallergy.2022.12.e45 [doi] LID - e45 AB - Allergen-specific immunotherapy (AIT) is considered the only curative treatment for allergic diseases mediated by immunoglobulin E (IgE). Currently, the route of administration depends both on the different types of causal allergens and on its effectiveness and safety profile. Several studies have reported the mechanisms and changes in humoral and cellular response underlying AIT; however, the full picture remains unknown. Knowledge of who can benefit from this type of treatment is urgently needed due to the patient safety risks and costs of AIT. In vivo or in vitro biomarkers have become a strategy to predict clinical outcomes in precision medicine. There are currently no standardized biomarkers that allow determining successful responses to AIT, however, some studies have found differences between responders and nonresponders. In addition, different candidates have been postulated that may have the potential to become biomarkers. In this review, we aim to summarize the findings to date related to biomarkers in different IgE-mediated allergic diseases (respiratory, food, and venom allergy) with the potential to define who will benefit from AIT. CI - Copyright (c) 2022. Asia Pacific Association of Allergy, Asthma and Clinical Immunology. FAU - Lopez, Juan-Felipe AU - Lopez JF AUID- ORCID: 0000-0002-9993-9530 AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Bel Imam, Manal AU - Bel Imam M AUID- ORCID: 0000-0002-7352-7204 AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Satitsuksanoa, Pattraporn AU - Satitsuksanoa P AUID- ORCID: 0000-0001-9540-7759 AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Lems, Sophieke AU - Lems S AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Yang, Minglin AU - Yang M AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Hwang, Yu-Kyoung AU - Hwang YK AUID- ORCID: 0000-0002-8025-7134 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. FAU - Losol, Purevsuren AU - Losol P AUID- ORCID: 0000-0001-7620-1077 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. AD - Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul National University, Seoul, Korea. FAU - Choi, Jun-Pyo AU - Choi JP AUID- ORCID: 0000-0001-8925-1786 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. FAU - Kim, Sae-Hoon AU - Kim SH AUID- ORCID: 0000-0002-2572-5302 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. AD - Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul National University, Seoul, Korea. FAU - Chang, Yoon-Seok AU - Chang YS AUID- ORCID: 0000-0003-3157-0447 AD - Department of Internal Medicine, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea. AD - Institute of Allergy and Clinical Immunology, Seoul National University Medical Research Center, Seoul National University, Seoul, Korea. FAU - Akdis, Mubeccel AU - Akdis M AUID- ORCID: 0000-0003-0554-9943 AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - Akdis, Cezmi A AU - Akdis CA AUID- ORCID: 0000-0001-8020-019X AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. FAU - van de Veen, Willem AU - van de Veen W AUID- ORCID: 0000-0001-9951-6688 AD - Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland. LA - eng PT - Journal Article PT - Review DEP - 20221031 PL - Netherlands TA - Asia Pac Allergy JT - Asia Pacific allergy JID - 101561954 PMC - PMC9669467 OTO - NOTNLM OT - Allergen-specific immunotherapy OT - Allergy OT - Biomarkers OT - IgE OT - Regulatory T cells OT - regulatory B cells COIS- Conflict of Interest: The authors have no financial conflicts of interest. EDAT- 2022/12/02 06:00 MHDA- 2022/12/02 06:01 PMCR- 2022/10/01 CRDT- 2022/12/01 02:34 PHST- 2022/10/29 00:00 [received] PHST- 2022/10/30 00:00 [accepted] PHST- 2022/12/01 02:34 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/02 06:01 [medline] PHST- 2022/10/01 00:00 [pmc-release] AID - 10.5415/apallergy.2022.12.e45 [doi] PST - epublish SO - Asia Pac Allergy. 2022 Oct 31;12(4):e45. doi: 10.5415/apallergy.2022.12.e45. eCollection 2022 Oct.