Introduction to IgE Antibodies
An antibody of the class known as immunoglobulin E (IgE) is a mediator in the body’s immune system, defending against parasitic infestations. It plays a role in hypersensitivity reactions and is to blame for allergy symptoms, e.g., asthma, hay fever (allergic rhinitis), and anaphylaxis. IgE antibodies attach to allergens and thereby trigger the release of histamines, interleukins, leukotrienes, and other mediatorsthat induce symptoms such as redness and inflammation associated with allergies.
Stable Solid Phase Immunoassay for the Detection of Total and Specific IgE Antibodies
Traditional methods used in previous studies often nvolve enzyme-linked immunosorbent assays (ELISAs), particularly those based on liquid-phase detection platforms. Researchers involved in a study published this summer in Frontiers in Immunology explored how stored allergen-specific IgE (sIgE) antibodies might break down at various temperatures over the course of 90 days. The sIgE antibodies were stable at -80°C and -20°C, whereas samples stored between 4–8°C and at room temperature (RT) showed an increase in antibody titers over time. For the accurate diagnosis and management of allergies, this research is essential as it provides reliable measures (~40%) for IgE levels in a clinical setting.
Scientists Reverse Allergies Through Elimination of IgE
Scientists have reversed allergies in mice by targeting and removing IgE—the antibody responsible for severe allergic reactions. To achieve this, researchers are combining antibodies that block the production of IgE with drugs, which inhibits IL-4 receptor signaling to lower levels of IgE, thereby preventing allergic responses. In early testing, this approach seemed effective in providing allergy relief by preventing IgE generation and thereby reducing downstream hypersensitivity responses.
Allergies/What’s New Advances in Allergy Treatments
The approved treatment Palforzia for peanut allergies represents a milestone in IgE-mediated food allergy advancement. Palforzia accomplishes this by exposing the immune system to small amounts of peanut proteins over time, which essentially decreases the severity of allergic reactions. However, the protection this treatment offers is temporary, and it must be administered continuously; more sustainable care is needed. Another potential treatment is biologic therapy with therapeutic antibody drug, an antibody against IL-4 and IL-13, which are cytokines essential for IgE production. Therapeutic antibody blocks these cytokines from attaching to their receptors, which lowers IgE levels and helps stop allergic responses. Researchers are now investigating the therapy’s potential use alongside allergen immunotherapy to enhance its effects.
Studies on memory B cells, however, have revealed that the role of these cells in chronic IgE production and maintenance may help explain why allergic responses persist. A group of memory B cells was discovered to be the instigator for triggering a response from IgE-producing plasma cells after exposure to allergens, based on results from one trial. Insight into the mechanisms that drive these memory B cells can inform strategies to prevent allergic reactions from recurring after treatment is stopped.
Diagnostic advances have led to better diagnostic tools for measuring specific IgE and, therefore, improving the accuracy of allergen identification for managing allergic diseases. Measurement of IgE levels has been an essential tool for diagnosing and monitoring allergic diseases since the development of techniques such as the radioallergosorbent test (RAST) or ImmunoCAP Specific IgE, which yield quantitative results useful for clinicians.
Innovations in Therapy
Novel targeted therapies for IgE hold promise for treating a variety of allergic diseases. Treatments that reduce IgE release or activity can provide effective relief for people with severe allergies. For example, monoclonal antibodies against IgE are effective in managing symptoms of allergic asthma and other forms of IgE-mediated disease.
The era of precision medicine is also being tested in allergy treatments to make them more precise. Identifying patients with certain immune profiles, such as increased type 2 T cell populations and giving them the right drugs to help correct the course would be another approach. Allergen immunotherapy could be intensified by combining it with these and other targeted therapies, such as AK inhibitors.
Future Research
Future directions include further studies on the mechanisms of IgE production, as well as memory B cells. Discovering where IgE memory cells originate, and how to prevent their reactivation could pave the way for better allergy treatments that provide long-lasting results. Researchers in the field also seek to develop therapies that lead to lasting desensitization without requiring ongoing treatment.
Conclusion
IgE is essential for an immune response to allergens and has consistently been the subject of research and therapy. In short, this conceptual link between the distinct IgE stability observed in mice and clinical studies using various means to target or reduce allergen-induced Th2 effector responses warrants further testing [92-99] as well as therapeutic intervention. As our understanding of these disorders grows, it is likely that precision medicine approaches and unique treatment modalities will improve the quality of life for individuals with severe allergies. Further investigation into IgE antibodies and their function in allergy will undoubtedly result in newer therapies that lead to better outcomes for patients suffering from this disease.
Creative Biolabs is actively engaged in the research and development of IgE to find more effective therapeutic candidates. From IgE discovery and engineering to IgE production and characterization, Creative Biolabs offers a comprehensive range of services and non-IgG products.