Clinical Utility of Rush Venom Immunotherapy: Current Status

Vianney Gruzelle,1 Claire Mailhol,2,3 David W Waters,4 Laurent Guilleminault2,4 1Department of Paediatric Pneumology and Allergology, University Hospital Centre of Toulouse, Toulouse, France; 2Department of Respiratory Medicine and Allergic Diseases, University Hospital Centre of Toulouse, Toulouse,...

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Main Authors: Gruzelle V, Mailhol C, Waters DW, Guilleminault L
Format: Article
Language:English
Published: Dove Medical Press 2020-01-01
Series:Journal of Asthma and Allergy
Subjects:
Online Access:https://www.dovepress.com/clinical-utility-of-rush-venom-immunotherapy-current-status-peer-reviewed-article-JAA
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author Gruzelle V
Mailhol C
Waters DW
Guilleminault L
author_facet Gruzelle V
Mailhol C
Waters DW
Guilleminault L
author_sort Gruzelle V
collection DOAJ
description Vianney Gruzelle,1 Claire Mailhol,2,3 David W Waters,4 Laurent Guilleminault2,4 1Department of Paediatric Pneumology and Allergology, University Hospital Centre of Toulouse, Toulouse, France; 2Department of Respiratory Medicine and Allergic Diseases, University Hospital Centre of Toulouse, Toulouse, France; 3Mastocytosis Reference Centre and Dermatology Department, University Hospital Centre of Toulouse, Toulouse, France; 4Center for Pathophysiology Toulouse Purpan, INSERM U1043, CNRS UMR 5282, Toulouse III University, Toulouse, FranceCorrespondence: Laurent GuilleminaultDepartment of Respiratory Medicine and Allergic Diseases Hôpital Larrey, 24 Chemin De Pouvourville, Toulouse TSA 30030, FranceTel +335 67 77 18 50Fax +335 67 77 14 72Email guilleminault.l@chu-toulouse.frwwAbstract: Hymenoptera venom allergy (HVA) is the leading cause of anaphylactic reactions in adults and the second most common cause in children. Venom immunotherapy (VIT) is used to elicit an immune tolerance against hymenoptera venom in allergic patients and is based on the administration of purified venom extracts regularly for defined periods. The protocols of administration include 2 phases: an up-dosing phase that incrementally reaches the final dose resulting in a protective effect, and a maintenance phase in order to obtain the sustained effect. The goal of this review is to detail the efficacy and the safety of the up-dosing phase also named rush. Pathophysiological mechanisms, indications of VIT and technical aspects of up-dosing protocol are also covered.Keywords: hymenoptera, allergy, immunotherapy
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spelling doaj.art-7a52408b0dde499cbda799fa4d0755682022-12-22T01:58:48ZengDove Medical PressJournal of Asthma and Allergy1178-69652020-01-01Volume 1311050891Clinical Utility of Rush Venom Immunotherapy: Current StatusGruzelle VMailhol CWaters DWGuilleminault LVianney Gruzelle,1 Claire Mailhol,2,3 David W Waters,4 Laurent Guilleminault2,4 1Department of Paediatric Pneumology and Allergology, University Hospital Centre of Toulouse, Toulouse, France; 2Department of Respiratory Medicine and Allergic Diseases, University Hospital Centre of Toulouse, Toulouse, France; 3Mastocytosis Reference Centre and Dermatology Department, University Hospital Centre of Toulouse, Toulouse, France; 4Center for Pathophysiology Toulouse Purpan, INSERM U1043, CNRS UMR 5282, Toulouse III University, Toulouse, FranceCorrespondence: Laurent GuilleminaultDepartment of Respiratory Medicine and Allergic Diseases Hôpital Larrey, 24 Chemin De Pouvourville, Toulouse TSA 30030, FranceTel +335 67 77 18 50Fax +335 67 77 14 72Email guilleminault.l@chu-toulouse.frwwAbstract: Hymenoptera venom allergy (HVA) is the leading cause of anaphylactic reactions in adults and the second most common cause in children. Venom immunotherapy (VIT) is used to elicit an immune tolerance against hymenoptera venom in allergic patients and is based on the administration of purified venom extracts regularly for defined periods. The protocols of administration include 2 phases: an up-dosing phase that incrementally reaches the final dose resulting in a protective effect, and a maintenance phase in order to obtain the sustained effect. The goal of this review is to detail the efficacy and the safety of the up-dosing phase also named rush. Pathophysiological mechanisms, indications of VIT and technical aspects of up-dosing protocol are also covered.Keywords: hymenoptera, allergy, immunotherapyhttps://www.dovepress.com/clinical-utility-of-rush-venom-immunotherapy-current-status-peer-reviewed-article-JAAhymenopteraallergyimmunotherapy
spellingShingle Gruzelle V
Mailhol C
Waters DW
Guilleminault L
Clinical Utility of Rush Venom Immunotherapy: Current Status
Journal of Asthma and Allergy
hymenoptera
allergy
immunotherapy
title Clinical Utility of Rush Venom Immunotherapy: Current Status
title_full Clinical Utility of Rush Venom Immunotherapy: Current Status
title_fullStr Clinical Utility of Rush Venom Immunotherapy: Current Status
title_full_unstemmed Clinical Utility of Rush Venom Immunotherapy: Current Status
title_short Clinical Utility of Rush Venom Immunotherapy: Current Status
title_sort clinical utility of rush venom immunotherapy current status
topic hymenoptera
allergy
immunotherapy
url https://www.dovepress.com/clinical-utility-of-rush-venom-immunotherapy-current-status-peer-reviewed-article-JAA
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AT watersdw clinicalutilityofrushvenomimmunotherapycurrentstatus
AT guilleminaultl clinicalutilityofrushvenomimmunotherapycurrentstatus