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Asthma Health Article

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Author Info: Marshall G. Letcher MA, The Gale Group Inc., Gale, Detroit, Gale Encyclopedia of Genetic Disorders Part I, 2002
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Allergy shots

Allergy shots, also known as allergen immunotherapy, are recommended for people who suffer from atopic asthma when their daily routine makes it difficult for them to avoid contact with suspect allergens, such as dust mites, pet dander, and grass pollen. A series of shots with gradually increasing amounts of allergen may be given over a number of months or even years. The shots are actually vaccines containing various allergens, such as pollen or dust mites. This increased exposure to the allergen seems to desensitize the body's immune system to these allergy triggers. Allergy shots can diminish the severity of asthma symptoms and also lower the dosages of other asthma medications that patients must take to keep their asthma under control.

In more detail, research studies suggest that allergy shots work by modifying the behavior of the important Th1 and Th2 cells of the immune system. Immunotherapy might activate Th1 cells (which produce "normal" immune responses) and depress the activity of Th2 cells, which release substances that stimulate plasma cells to make the IgE antibody.

Medical research and experimental treatments

A new experimental procedure involves injecting "anti-IgE" substances that combine with IgE in the blood. This prevents IgE from stimulating the release of histamine from mast cells. It is hoped that anti-IgE treatments would reduce the amount of corticosteroid use by asthmatic patients. So far, this form of treatment provides only temporary relief and scientists are actively searching for more effective anti-IgE medications.

Future research may lead to the development of genetic screening tests that can identify children who may be at risk for developing asthma. Such at-risk children could then be placed in early intervention programs that would be designed to help them avoid specific situations that could set off their immune systems and produce typical asthma symptoms.

A number of major gene therapy research projects are now focusing on developing new techniques for controlling the activity of genes involved in producing symptoms of asthma. Researchers want to figure out how to shut off or reduce the intensity of typical symptoms of asthma without impairing normal body function.

Currently, no cure exists for asthma. However, medical research is continuing its quest to gain a better understanding of the physiological and genetic basis of asthma. New medications are providing more effective long term and short term control of asthma symptoms.

BOOKS

Berger, William E. Allergies and Asthma for Dummies. IDG Books Worldwide, 2000.

Brynie, Faith Hickman. 101 Questions About Your Immune System You Felt Defenseless to Answer . . . Until Now. Twenty-First Century Books, 2000.

DeSalvo, Louise A. Breathless: An Asthma Journal. Beacon Press, 1997.

Peacock, Judith. Asthma. LifeMatters, 2000.

Simpson, Carolyn. Everything You Need To Know About Asthma. First edition. Rosen Pub. Group, 1998.

Sompayrac, Lauren. How The Immune System Works. Blackwell Science, 1999.

Welch, Michael J. American Academy of Pediatrics Guide to Your Child's Allergies and Asthma: Breathing Easy and Bringing Up Healthy Active Children. Villard Books, 2000.

PERIODICALS

"Asthmatic Youngsters May Not Get Optimal Therapy." Journal of Allergy and Clinical Immunology 106 (2000): 1108–1114.

"Asthma in the Workplace." Book review. The New England Journal of Medicine 342 (April 13, 2000): 15.

Borish, Larry. "Genetics of allergy and asthma." Annals of Allergy 82 (May 1999): 413.

"Clearing the Air: Asthma and Indoor Air Exposures." Book review. The New England Journal of Medicine 343 (December 14, 2000): 24.

"Day Care, Siblings, and Asthma—Please, Sneeze on My Child." The New England Journal of Medicine 343 (August 24, 2000): 8.

Folkerts, Gert, Gerhard Walzl, and Peter J.M. Openshaw. "Do common childhood infections 'teach' the immune system not to be allergic?" Immunology Today 21, no. 3 (2000): 118–120.

Gergen, Peter J. "Remembering the Patient." Archives of Pediatrics & Adolescent Medicine (American Medical Association) 154 (October 2000): 10.

Herz, Udo, Paige Lacy, Harald Renz, and Klaus Erb. "The influence of infections on the development and severity of allergic disorders." Current Opinion in Immunology 12, no. 6 (2000): 632–640.

"Health: A Breath of Hope." Berkeley Lab research review 23 (Fall 2000): 3.

Illi, S., E. von Mutius, S. Lau, R. Bergmann, B. Niggemann, C. Sommerfeld, and U. Wahn. "Early childhood infectious diseases and the development of asthma up to school age: a birth cohort study." British Medical Journal 322 (February 17, 2001): 390–395.

Johnston, Sebastian L., and Peter J. M. Openshaw. "The protective effect of childhood infections—The next challenge is to mimic safely this protection against allergy and asthma." British Medical Journal 322 (February 17, 2001): 376–377.

O'Callaghan C., and P.W. Barry. "Asthma drug delivery devices for children." British Medical Journal 320 (March 11, 2000): 7236-664.

"Program and Abstracts from the AAAAI 57th Annual Meeting: March 16–March 21, 2001." The Journal of Allergy and Clinical Immunology 107 (February 2001, part 2): 2.

"Siblings, Day-Care Attendance, and the Risk of Asthma and Wheezing." The New England Journal of Medicine 343, no. 26 (December 28, 2000).

"Treatment of Allergic Asthma with Monoclonal Anti-IgE Antibody." The New England Journal of Medicine 342 (April 27, 2000): 17.

Walker, Christoph, and Claudia Zuany-Amorim. "New trends in immunotherapy to prevent atopic diseases." Review. Trends in Pharmacological Sciences 22, no. 2 (2001): 84–90.

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