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Advances in the Pathogenesis of Allergic Diseases: From Mechanisms to Therapeutics

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Immunology".

Deadline for manuscript submissions: 20 December 2025 | Viewed by 1031

Special Issue Editors


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Guest Editor
Department of Nutritional Sciences, University of Connecticut, Mansfield, CT, USA
Interests: mast cells; food allergy; allergic diseases

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Guest Editor
Massachusetts General Hospital, Boston, MA, USA
Interests: food allergy; mast cells; allergic diseases

Special Issue Information

Dear Colleagues,

Allergic Diseases such as food allergy and allergic asthma are a growing public health concern, affecting one-third of the American population and on the rise in urban areas globally. Recent research has uncovered various endogenous and environmental factors that contribute to the development of allergic disease, including genetic variations, epigenetic modifications, immune dysregulation, dietary components, the gut microbiome, and dietary patterns and habits. These factors not only regulate the intensity of allergic sensitization but also amplify the immune response to harmless, innocuous environmental allergens. Moreover, groundbreaking discoveries in immune cell mechanisms and functions have significantly advanced our understanding of allergy pathogenesis, shedding light on the roles of various cells and proteins, such as T and B cells, mast cells, group 2 innate lymphoid cells, and eosinophils, as well as cytokines like IL-33, IL-25, TSLP, and IL-4 and IL-13. These findings have paved the way for the development of novel therapeutic approaches that target these pathways and mediators.

In this issue, we are delighted to welcome original research and review articles that further enrich the existing literature on the mechanisms underlying the pathogenesis of allergic diseases and the development of therapeutic approaches.

Dr. Clinton B. Mathias
Dr. Michiko K. Oyoshi
Guest Editors

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Keywords

  • food allergy
  • allergic mechanisms
  • asthma
  • allergic disease
  • mast cells
  • ILC2s
  • Th2 cells
  • eosinophils
  • IL-4
  • IL-33
  • IL-13

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Published Papers (2 papers)

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Research

15 pages, 1785 KiB  
Article
Paradoxical Use of Benralizumab in Reactive Hypereosinophilia from Toxocariasis and Tuberculosis Co-Infection—Case Report and Literature Review
by Nicoleta Sorina Bertici, Talida Georgiana Cut, Amalia Ridichie, Andrei Raul Manzur and Razvan Adrian Bertici
Int. J. Mol. Sci. 2025, 26(17), 8117; https://doi.org/10.3390/ijms26178117 - 22 Aug 2025
Abstract
Tuberculosis and parasitic infections, including Toxocara, frequently coexist in many regions worldwide, yet their interaction remains poorly understood. Tuberculosis triggers a type 1 immune response characterized by IL-12, IFN-γ, and TNF-α production, while toxocariasis elicits a type 2 response, mediated by cytokines [...] Read more.
Tuberculosis and parasitic infections, including Toxocara, frequently coexist in many regions worldwide, yet their interaction remains poorly understood. Tuberculosis triggers a type 1 immune response characterized by IL-12, IFN-γ, and TNF-α production, while toxocariasis elicits a type 2 response, mediated by cytokines such as IL-4, IL-5, IL-13, and IL-33. The coexistence of these divergent immune pathways can disrupt immune regulation and impair the host’s ability to control both infections, potentially leading to persistent hypereosinophilia. We illustrate this complex interplay through a real-world case involving a heavy smoker in whom Toxocara infection likely reactivated latent tuberculosis, resulting in severe, unexplained hypereosinophilia and late-onset asthma with recurrent exacerbations. After excluding other causes and completing full antituberculosis therapy along with three courses of antiparasitic treatment and systemic corticosteroids, hypereosinophilia persisted. The introduction of benralizumab, a biologic therapy targeting IL-5Rα, led to a rapid reduction in eosinophils to normal ranges and significant clinical improvement. This case underscores the diagnostic and therapeutic challenges posed by the intersection of common infections and highlights that even a neglected parasitic infection such as toxocariasis can underlie severe respiratory complications with eosinophilia, where paradoxically biologic therapy may ultimately provide a very effective intervention. Full article
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15 pages, 6242 KiB  
Article
IgG:FcγRIIb Signaling on Mast Cells Blocks Allergic Airway Inflammation
by Cynthia Kanagaratham, Yasmeen S. El Ansari, Kameryn N. Furiness and Hans C. Oettgen
Int. J. Mol. Sci. 2025, 26(14), 6779; https://doi.org/10.3390/ijms26146779 - 15 Jul 2025
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Abstract
IgG antibodies, signaling via the inhibitory receptor, FcγRIIb, are potent inhibitors of IgE-mediated mast cell activation. We have previously reported that in addition to blocking mast cell degranulation, inhibitory IgG signals shut down a proinflammatory transcriptional program in which mast cells produce cytokines [...] Read more.
IgG antibodies, signaling via the inhibitory receptor, FcγRIIb, are potent inhibitors of IgE-mediated mast cell activation. We have previously reported that in addition to blocking mast cell degranulation, inhibitory IgG signals shut down a proinflammatory transcriptional program in which mast cells produce cytokines and chemokines known to drive type 2 tissue inflammation. To determine whether such effects of allergen-specific IgG can modulate allergic inflammation in vivo, we examined the airways of mice sensitized to ovalbumin (OVA) by intraperitoneal injection and then challenged with intranasal OVA. Pretreatment with allergen-specific IgG significantly reduced the recruitment of inflammatory cells, including macrophages and eosinophils, into the lungs of OVA-sensitized mice. The bronchoalveolar lavage fluid of OVA-challenged mice contained elevated levels of chemokine ligands (CCL2 and CCL24) and interleukin-5, a response that was markedly blunted in animals receiving allergen-specific IgG. IgG-treated animals exhibited attenuated allergen-induced production of IgE, IL-4, and IL-13, along with impaired OVA-induced goblet cell hyperplasia and Muc5ac expression and suppressed airway hyperresponsiveness, consistent with a shift away from a Th2 response. Using mice with a lineage-specific deletion of FcγRIIb, we demonstrated that each of these protective effects of IgG was dependent upon the expression of this receptor on mast cells. Overall, our findings establish that allergen-specific IgG can reduce allergen-driven airway inflammation and airway hyperresponsiveness and point to a mechanistic basis for the therapeutic benefit of aeroallergen-specific IgG therapy. Full article
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