Immunological and clinical changes in allergic asthmatics following treatment with omalizumab.

作者: Oliver Noga , Gerald Hanf , Gert Kunkel

DOI: 10.1159/000070434

关键词:

摘要: IgE plays a key role in allergic asthma. We investigated whether omalizumab treatment of patients with moderate to severe asthma leads changes inflammatory mediators and clinical symptoms. This sub-study was conducted on 35 positive skin prick test (SPT) requiring daily administration beclomethasone dipropionate (500-1,000 microg), who participated multicentre, randomised, double-blind, placebo-controlled study. Omalizumab or placebo administered at 0.016 mg/kg/IgE every 4 weeks. Patients recorded peak expiratory flow, symptom score beta(2)-agonist use diaries spirometry performed each visit. beta(2)-Agonist SPT wheal reaction decreased significantly (p < 0.05). Circulating levels IL-5, IL-6, IL-8, IL-10, IL-13 s-ICAM were measured before after 16 weeks treatment. 0.01). IL-5 IL-8 the group compared baseline. The other circulating did not demonstrate any changes. Histamine release reduced Airway resistance 0.05) provocative concentration inducing 20% decrease FEV(1) before, weeks, 3 months completion Both parameters Peripheral eosinophil count These findings suggest that has potential as novel for

参考文章(26)
Sherry A. Sterbinsky, Daniel C. Adelman, Donald W. MacGlashan, Robert G. Hamilton, Bruce S. Bochner, Lawrence M. Lichtenstein, Paula M. Jardieu, Jane McKenzie-White, Alkis Togias, Down-regulation of Fc(epsilon)RI expression on human basophils during in vivo treatment of atopic patients with anti-IgE antibody. Journal of Immunology. ,vol. 158, pp. 1438- 1445 ,(1997)
C Heusser, Therapeutic potential of anti-IgE antibodies Current Opinion in Immunology. ,vol. 9, pp. 805- 813 ,(1997) , 10.1016/S0952-7915(97)80182-3
M. Solèr, J. Matz, R. Townley, R. Buhl, J. O'brien, H. Fox, J. Thirlwell, N. Gupta, G. Della Cioppa, The anti-IgE antibody omalizumab reduces exacerbations and steroid requirement in allergic asthmatics European Respiratory Journal. ,vol. 18, pp. 254- 261 ,(2001) , 10.1183/09031936.01.00092101
L P Boulet, K R Chapman, J Côté, S Kalra, R Bhagat, V A Swystun, M Laviolette, L D Cleland, F Deschesnes, J Q Su, A DeVault, R B Fick, D W Cockcroft, Inhibitory effects of an anti-IgE antibody E25 on allergen-induced early asthmatic response American Journal of Respiratory and Critical Care Medicine. ,vol. 155, pp. 1835- 1840 ,(1997) , 10.1164/AJRCCM.155.6.9196083
Robert L. Shields, Winifred R. Whether, Kimberly Zioncheck, Lori O’Connell, Brian Fendly, Leonard G. Presta, Deborah Thomas, Ricardo Saban, Paula Jardieu, Inhibition of allergic reactions with antibodies to IgE. International Archives of Allergy and Immunology. ,vol. 107, pp. 308- 312 ,(1995) , 10.1159/000237010
Peter J. Barnes, Anti-IgE Antibody Therapy for Asthma New England Journal of Medicine. ,vol. 341, pp. 2006- 2008 ,(1999) , 10.1056/NEJM199912233412610
Asher, Weiland, The International Study of Asthma and Allergies in Childhood (ISAAC) Clinical & Experimental Allergy. ,vol. 28, pp. 52- 66 ,(1998) , 10.1046/J.1365-2222.1998.028S5052.X
Thomas B. Casale, I.Leonard Bernstein, William W. Busse, Craig F. LaForce, David G. Tinkelman, Randall R. Stoltz, Robert J. Dockhorn, James Reimann, John Q. Su, Robert B. Fick Jr., Use of an anti-IgE humanized monoclonal antibody in ragweed-induced allergic rhinitis The Journal of Allergy and Clinical Immunology. ,vol. 100, pp. 110- 121 ,(1997) , 10.1016/S0091-6749(97)70202-1
Ellinor Ädelroth, Sabina Rak, Tari Haahtela, Gunbjörn Aasand, Leif Rosenhall, Olle Zetterstrom, Aidan Byrne, Kate Champain, Jackie Thirlwell, Giovanni Della Cioppa, Thomas Sandström, Recombinant humanized mAb-E25, an anti-IgE mAb, in birch pollen-induced seasonal allergic rhinitis. The Journal of Allergy and Clinical Immunology. ,vol. 106, pp. 253- 259 ,(2000) , 10.1067/MAI.2000.108310
J V Fahy, H E Fleming, H H Wong, J T Liu, J Q Su, J Reimann, R B Fick, H A Boushey, The effect of an anti-IgE monoclonal antibody on the early- and late-phase responses to allergen inhalation in asthmatic subjects. American Journal of Respiratory and Critical Care Medicine. ,vol. 155, pp. 1828- 1834 ,(1997) , 10.1164/AJRCCM.155.6.9196082