Evidence map›Paper›PMID 39158477›Full record

ReviewImmunological reviews2024

Therapeutic monoclonal antibodies in allergy: Targeting IgE, cytokine, and alarmin pathways.

Alexander Eggel, Luke F Pennington, Theodore S Jardetzky

Abstract readReview
In one paragraph

Review in Immunological reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Bridging Rare to Common Diseases: Precision Medicine and the Transforming Landscape of Pediatric Allergy and Immunology.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. [Allergens induce activation of blood CCR3Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  20. Using Biologics in the Prevention of Anaphylaxis.Current allergy and asthma reports · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Alexander EggelDepartment for BioMedical Research, University of Bern, Bern, Switzerland.ORCID https://orcid.org/0000-0001-8746-3339
Luke F PenningtonExcellergy Inc., San Jose, California, USA.ORCID https://orcid.org/0000-0002-7947-8714
Theodore S JardetzkyDepartment of Structural Biology, Stanford University School of Medicine, Stanford, California, USA.ORCID https://orcid.org/0000-0002-3664-0072

Funding

Accelerated dissociation of IgE receptor complexesR01AI115469 · NIAID · STANFORD UNIVERSITY · PI Theodore S Jardetzky · 2017 to 2026
$3.8M
NIAID NIH HHS R01 AI115469NIH HHS R01AI115469Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung 310030_219361
6 · The paper itself

Abstract

The etiology of allergy is closely linked to type 2 inflammatory responses ultimately leading to the production of allergen-specific immunoglobulin E (IgE), a key driver of many allergic conditions. At a high level, initial allergen exposure disrupts epithelial integrity, triggering local inflammation via alarmins including IL-25, IL-33, and TSLP, which activate type 2 innate lymphoid cells as well as other immune cells to secrete type 2 cytokines IL-4, IL-5 and IL-13, promoting Th2 cell development and eosinophil recruitment. Th2 cell dependent B cell activation promotes the production of allergen-specific IgE, which stably binds to basophils and mast cells. Rapid degranulation of these cells upon allergen re-exposure leads to allergic symptoms. Recent advances in our understanding of the molecular and cellular mechanisms underlying allergic pathophysiology have significantly shaped the development of therapeutic intervention strategies. In this review, we highlight key therapeutic targets within the allergic cascade with a particular focus on past, current and future treatment approaches using monoclonal antibodies. Specific targeting of alarmins, type 2 cytokines and IgE has shown varying degrees of clinical benefit in different allergic indications including asthma, chronic spontaneous urticaria, atopic dermatitis, chronic rhinosinusitis with nasal polyps, food allergies and eosinophilic esophagitis. While multiple therapeutic antibodies have been approved for clinical use, scientists are still working on ways to improve on current treatment approaches. Here, we provide context to understand therapeutic targeting strategies and their limitations, discussing both knowledge gaps and promising future directions to enhancing clinical efficacy in allergic disease management.

Indexed as

AlarminsAntibodies, MonoclonalCytokinesHypersensitivityImmunoglobulin EAnimalsHumansMolecular Targeted TherapySignal TransductionTh2 CellsAlarminsAntibodies, MonoclonalCytokinesImmunoglobulin EallergydupilumabIgEmepolizumabomalizumabreslizumabtezepelumabtherapeutic antibodies

Identifiers

PMID39158477
PMCPMC11659931

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.