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Allergo Journal

, Volume 27, Issue 6, pp 22–30 | Cite as

Comparison of sublingual immunotherapy and oral immunotherapy in peanut allergy

  • Wenming Zhang
  • Sayantani B. Sindher
  • Vanitha Sampath
  • Kari Nadeau
Mini-Review Sublingual and oral immunotherapy in peanut allergy

Abstract

The prevalence of food allergy has been increasing over the past few decades at an alarming rate with peanut allergy affecting about 2 % of children. Both oral immunotherapy (OIT) and sublingual immunotherapy (SLIT) have shown promise as a treatment option for peanut allergy. Immunotherapy induces desensitization and reduces the risk of reaction during accidental ingestion and may also enable those who are successfully desensitized to include the food allergen in their diet. OIT has been very well studied and has been found to be more efficacious than SLIT with an acceptable safety profile. However, SLIT is associated with fewer side effects. Studies indicate that a combination of SLIT and OIT may together induce a significant increase in challenge thresholds with fewer adverse events. More head-to-head clinical trials that directly compare OIT and SLIT as well as SLIT and OIT combination studies are warranted.

Abbrevations

AIT

Allergen-specific immunotherapy

BHR

Bronchial hyper-responsiveness

Bregs

B regulatory cells

DBPCFC

Double-blind placebo-controlled food challenge

FA

Food allergy

OIT

Oral immunotherapy

PPOIT

Probiotic with peanut OIT

SLIT

Sublingual immunotherapy

SU

Sustained unresponsiveness

Th

T-helper

Tregs

Regulatory T cells

Schlüsselwörter

oral immunotherapy sublingual immunotherapy peanut allergy food allergy 

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2018

Authors and Affiliations

  • Wenming Zhang
    • 1
    • 2
  • Sayantani B. Sindher
    • 1
    • 2
  • Vanitha Sampath
    • 1
    • 2
  • Kari Nadeau
    • 1
    • 2
    • 3
  1. 1.Sean N. Parker Center for Allergy and Asthma ResearchStanford UniversityStanfordUSA
  2. 2.Division of Pulmonary and Critical Care MedicineStanford UniversityStanfordUSA
  3. 3.Division of Allergy, Immunology and Rheumatology, Department of MedicineStanford UniversityStanfordUSA

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