PMID- 37348229 OWN - NLM STAT- MEDLINE DCOM- 20230726 LR - 20230726 IS - 1878-1705 (Electronic) IS - 1567-5769 (Linking) VI - 121 DP - 2023 Aug TI - Aiming to IgE: Drug development in allergic diseases. PG - 110495 LID - S1567-5769(23)00818-4 [pii] LID - 10.1016/j.intimp.2023.110495 [doi] AB - The incidence of allergic disease significantly increases in recent decades, causing it become a major public health problem all over the world. The common allergic diseases such as allergic dermatitis, allergy rhinitis, allergic asthma and food allergy are mediated, at least in part, by immunoglobulin E (IgE), and so IgE acts as a central role in allergic diseases. IgE can interact with its high-affinity receptor (FcepsilonRâ… ) which is primarily expressed on tissue-resident mast cells and circulating basophils, initiating intracellular signal transduction and then causing the activation and degranulation of mast cells and basophils. On the other hand, IgE interaction with its low-affinity receptor (CD23), can regulate various IgE-mediated immune responses including IgE-allergen complex presentation, IgE synthesis, the growth and differentiation of both B and T cells, and the secretion of pro-inflammatory mediators. With the deeper mechanism research for allergic diseases, new therapeutic strategies for interfering IgE are developed and receive a great attention. In this review, we summarize a current profile of therapeutic strategies for interfering IgE in allergic diseases. Besides, we suggest that targeting memory B cells (including long-lived plasma cells and (or) IgE(+) memory B cells) may help to completely control allergic diseases, and highlight that the development of drugs synergistically aiming to multiple targets can be a better choice for improving treatment efficacy which results from allergic diseases as the systemic disorders caused by an impaired immune system. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Ling, Xiao-Jing AU - Ling XJ AD - Department of Pharmacy, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China. FAU - Wei, Ji-Fu AU - Wei JF AD - Department of Pharmacy, Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research & The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China. Electronic address: weijifu@njmu.edu.cn. FAU - Zhu, Ying AU - Zhu Y AD - Department of Blood Transfusion, Ganzhou Key Laboratory of Anesthesiology, Anesthesia and Surgery Center, First Affiliated Hospital of Gannan Medical University, Ganzhou, China. Electronic address: pink-shadow@gmu.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20230620 PL - Netherlands TA - Int Immunopharmacol JT - International immunopharmacology JID - 100965259 RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Receptors, IgE) SB - IM MH - Humans MH - Immunoglobulin E MH - *Rhinitis, Allergic MH - Basophils MH - *Asthma/drug therapy MH - Receptors, IgE MH - Drug Development MH - Mast Cells OTO - NOTNLM OT - Allergy diseases OT - Challenge OT - Drug development OT - IgE OT - Therapeutic strategies COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/06/23 01:10 MHDA- 2023/07/26 06:43 CRDT- 2023/06/22 18:04 PHST- 2023/05/06 00:00 [received] PHST- 2023/06/09 00:00 [accepted] PHST- 2023/07/26 06:43 [medline] PHST- 2023/06/23 01:10 [pubmed] PHST- 2023/06/22 18:04 [entrez] AID - S1567-5769(23)00818-4 [pii] AID - 10.1016/j.intimp.2023.110495 [doi] PST - ppublish SO - Int Immunopharmacol. 2023 Aug;121:110495. doi: 10.1016/j.intimp.2023.110495. Epub 2023 Jun 20.