Promising Use of the New Biologics in the Management of Drug-Induced Hypersensitivity Reactions: Preliminary Approaches

Author:

Calogiuri Gianfranco1ORCID,Brockow Knut2ORCID,Nettis Eustachio3ORCID,Macchia Luigi3ORCID,Foti Caterina4ORCID,Vacca Angelo5ORCID

Affiliation:

1. Pneumology and Allergy Department, Hospital Sacro Cuore, Gallipoli, Lecce, Italy

2. Department of Dermatology and Allergology Biederstein, Technische Universität München, Munich, Germany

3. Section of Allergy and Clinical Immunology, Dept. of Internal Medicine, University of Bari, Bari, Italy

4. Department of Biomedical Science and Human Oncology, Dermatological Clinic, University of Bari, Bari, Italy

5. Department of Internal Medicine and Clinical Oncology, University of Bari Medical School, Bari, Italy

Abstract

Biologics are an innovative class of drugs that can selectively influence immunological responses at a cellular level. Although their use is usually restricted to some specific diseases, such as autoimmune pathologies and tumors, their “off-label” administration has increased widely in the last years. Drug treatment may induce hypersensitivity reactions which currently lack any gold standard therapy but maybe a future field of application for biologics. Agents like anti-IgE (Omalizumab) and Tumor Necrosis Factor-α inhibitors might be used in immediate-type and cell-mediated hypersensitivity caused by medications, respectively, and the first trials in that direction are being reported in the literature. In fact, the refined immunological mechanisms involved in the pathogenesis of drug hypersensitivity might respond successfully to this new class of drugs.

Publisher

Bentham Science Publishers Ltd.

Subject

Immunology and Allergy,Endocrinology, Diabetes and Metabolism

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