Lung Function Improvement in Bronchial Asthma: A Study of Sublingual Immunotherapy

Yinming Song , Daiyin Tian , Sha Liu , Fangjun Liu , Jingyue Liu , Ying Li , Li Yan

Pediatric Discovery ›› 2025, Vol. 3 ›› Issue (3) : e70022

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Pediatric Discovery ›› 2025, Vol. 3 ›› Issue (3) : e70022 DOI: 10.1002/pdi3.70022
RESEARCH ARTICLE

Lung Function Improvement in Bronchial Asthma: A Study of Sublingual Immunotherapy

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Abstract

This is a retrospective study. In order to investigate the effect of specific immunotherapy on the improvement of lung function and symptoms in children with bronchial asthma, 256 children with bronchial asthma were selected and divided into an experimental group and a control group according to whether they chose to use sublingual specific immunotherapy or not. The control group was given basic drug therapy, and the experimental group was given specific immunotherapy on the basis of basic drug therapy. Differences between the two groups were compared in terms of lung function, efficacy, and asthma medication dose. The results showed that peak expiratory flow (PEF), maximum expiratory flow at 25% of forced vital capacity (MEF25), maximal mid-expiratory flow curve (MMEF), maximum expiratory flow at 75% of forced vital capacity (MEF75), maximum expiratory flow at 50% of forced vital capacity (MEF50), and airway hyperresponsiveness improved in both groups after 1 year of treatment (P < 0.05), and the result of experimental group was better than that of the control group (P < 0.05). This study shows that sublingual specific immunotherapy combined with inhaled corticosteroid therapy has positive therapeutic effects on asthma patients, which can reduce the dose of medication used in asthma patients and improve symptoms.

Keywords

airway hyperresponsiveness / bronchial asthma / dust mites / lung function / sublingual immunotherapy

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Yinming Song, Daiyin Tian, Sha Liu, Fangjun Liu, Jingyue Liu, Ying Li, Li Yan. Lung Function Improvement in Bronchial Asthma: A Study of Sublingual Immunotherapy. Pediatric Discovery, 2025, 3(3): e70022 DOI:10.1002/pdi3.70022

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References

[1]

S. Y. Lin, N. Erekosima, J. M. Kim, et al., “Sublingual Immunotherapy for the Treatment of Allergic Rhinoconjunctivitis and Asthma: A Systematic Review,” JAMA 309, no. 12 (2013): 1278.

[2]

Respiratory Group of the Chinese Society of Pediatrics, Editorial Board of the Chinese Journal of Pediatrics, “Guidelines for the Diagnosis and Prevention of Bronchial Asthma in Children (2016 Version),” Chinese Journal of Pediatrics 54, no. 3 (2016): 167–181, https://doi.org/10.3760/cma.j.issn.0578-1310.2016.03.003.

[3]

C. Liu and X. Zhou, “Chinese Guidelines for the Diagnosis and Treatment of Allergic Asthma,” Chinese Journal of Internal Medicine 58, 1st ed. no. 9 (2019): 636–655, https://doi.org/10.3760/cma.j.issn.0578-1426.2019.09.004.

[4]

S. Aziz, L.-P. Boulet, E.-D. Bateman, et al., Difficult-To-Treat and Severe Asthma in Adolescents and Adult Patients: Diagnosis and Management (Global Initiative for Asthma, 2018), https://ginasthma.org/wp-content/uploads/2019/04/GINA-Severe-asthma-Pocket-Guide-v2.0-wms-1.pdf.

[5]

P. C. Potter, “Update on Sublingual Immunotherapy,” Annals of Allergy, Asthma, & Immunology 96, no. 2 (2006): S22–S25.

[6]

C. H. Liu, J. G. Hong, Y. X. Shang, et al., “Comparison of Asthma Prevalence in Children From 16 Cities of China in 20 Years,” Chinese Journal of Practical Pediatrics 30, no. 8 (2015): 596–600, https://doi.org/10.7504/ek2015080609.

[7]

E. Heffler, L. N. G. Madeira, M. Ferrando, et al., “Inhaled Corticosteroids Safety and Adverse Effects in Patients With Asthma,” Journal of Allergy and Clinical Immunology: In Practice 6, no. 3 (2018): 776–781.

[8]

D. Lanning, P. Jasper, and K. L. Knight, “Seminars in Immunology Comments,” Seminars in Immunology 14, no. 3 (2002): 229.

[9]

B. Leόn, “T Cells in Allergic Asthma: Key Players Beyond the Th2 Pathway,” Current Allergy and Asthma Reports 17, no. 7 (2017): 43.

[10]

G. Drazdauskaitė, J. A. Layhadi, and M. H. Shamji, “Mechanisms of Allergen Immunotherapy in Allergic Rhinitis,” Current Allergy and Asthma Reports 21, no. 1 (2020): 2.

[11]

M. H. Shamji, H. Sharif, J. A. Layhadi, R. Zhu, U. Kishore, and H. Renz, “Diverse Immune Mechanisms of Allergen Immunotherapy for Allergic Rhinitis With and Without Asthma,” Journal of Allergy and Clinical Immunology 149, no. 3 (2022): 791–801.

[12]

T. Boonpiyathad, W. van de Veen, O. Wirz, et al., “Role of Der p 1–Specific B Cells in Immune Tolerance During 2 Years of House Dust Mite–Specific Immunotherapy,” Journal of Allergy and Clinical Immunology 143, no. 3 (2019): 1077–1086.e10.

[13]

P. Demoly, M. Makatsori, T. B. Casale, and M. A. Calderon, “The Potential Role of Allergen Immunotherapy in Stepping Down Asthma Treatment,” Journal of Allergy and Clinical Immunology: In Practice 5, no. 3 (2017): 640–648.

[14]

M. Larché, C. A. Akdis, and R. Valenta, “Immunological Mechanisms of Allergen-Specific Immunotherapy,” Nature Reviews Immunology 6, no. 10 (2006): 761–771.

[15]

E. Hossny, N. Rosario, B. W. Lee, et al., “The Use of Inhaled Corticosteroids in Pediatric Asthma: Update,” World Allergy Organization Journal 9 (2016): 26.

[16]

P. J. Barnes, “Inhaled Corticosteroids,” Pharmaceuticals 3, no. 3 (2010): 514–540.

[17]

M. Jutel, M. Akdis, F. Budak, et al., “IL-10 and TGF-β Cooperate in the Regulatory T Cell Response to Mucosal Allergens in Normal Immunity and Specific Immunotherapy,” European Journal of Immunology 33, no. 5 (2003): 1205–1214.

[18]

A. Taylor, J. Verhagen, K. Blaser, M. Akdis, and C. A. Akdis, “Mechanisms of Immune Suppression by Interleukin-10 and Transforming Growth Factor-Β: The Role of T Regulatory Cells,” Immunology 117, no. 4 (2006): 433–442.

[19]

M. Hoshino, K. Akitsu, and K. Kubota, “Effect of Sublingual Immunotherapy on Airway Inflammation and Airway Wall Thickness in Allergic Asthma,” Journal of Allergy and Clinical Immunology: In Practice 7, no. 8 (2019): 2804–2811.

[20]

M. Penagos and S. R. Durham, “Duration of Allergen Immunotherapy for Inhalant Allergy,” Current Opinion in Allergy and Clinical Immunology 19, no. 6 (2019): 594–605.

[21]

S. J. Szefler, H. A. Boushey, D. S. Pearlman, et al., “Time to Onset of Effect of Fluticasone Propionate in Patients With Asthma,” Journal of Allergy and Clinical Immunology 103, no. 5 (1999): 780–788.

[22]

A. J. M. Van Oosterhout, B. Van Esch, G. Hofman, et al., “Allergen Immunotherapy Inhibits Airway Eosinophilia and Hyperresponsiveness Associated With Decreased IL-4 Production by Lymphocytes in a Murine Model of Allergic Asthma,” American Journal of Respiratory Cell and Molecular Biology 19, no. 4 (1998): 622–628.

[23]

M. Jutel, I. Agache, S. Bonini, et al., “International Consensus on Allergen Immunotherapy II: Mechanisms, Standardization, and Pharmacoeconomics,” Journal of Allergy and Clinical Immunology 137, no. 2 (2016): 358–368.

[24]

M. Akdis and C. A. Akdis, “Mechanisms of Allergen-Specific Immunotherapy: Multiple Suppressor Factors at Work in Immune Tolerance to Allergens,” Journal of Allergy and Clinical Immunology 133, no. 3 (2014): 621–631.

[25]

M. Marogna, D. Tomassetti, A. Bernasconi, et al., “Preventive Effects of Sublingual Immunotherapy in Childhood: An Open Randomized Controlled Study,” Annals of Allergy, Asthma, & Immunology 101, no. 2 (2008): 206–211.

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2025 The Author(s). Pediatric Discovery published by John Wiley & Sons Australia, Ltd on behalf of Children's Hospital of Chongqing Medical University.

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