Current Knowledge and Management of Hypersensitivity Reactions to Monoclonal Antibodies

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Arquivos
art_PICARD_Current_Knowledge_and_Management_of_Hypersensitivity_Reactions_to_2017.PDF (564.56 KB)
Citações na Scopus
106
Tipo de produção
article
Data de publicação
2017
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
ELSEVIER SCIENCE BV
Autores
PICARD, Matthieu
Citação
JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE, v.5, n.3, p.600-609, 2017
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Hypersensitivity reactions (HSRs) to monoclonal antibodies (mAbs) are increasingly frequent as this class of therapeutic agents is rapidly expanding. Immediate and nonimmediate HSRs have been reported with mAbs. Immediate HSRs can be explained by 3 main mechanisms: cytokine release syndrome, IgE-mediated, and IgG-mediated reactions. Importantly, IgE-mediated reactions can occur on first exposure due to preformed specific IgEs, as shown for cetuximab. Almost all patients with an immediate HSR can be safely re-exposed either through desensitization or challenge depending on the severity and mechanism of the initial reaction. An algorithm detailing the general approach to these HSRs and the preferred method of re-exposure is presented in this review. Also, the mAbs that are most frequently implicated in HSRs are discussed individually. (C) 2016 American Academy of Allergy, Asthma & Immunology
Palavras-chave
Hypersensitivity, Allergy, Infusion reaction, Monoclonal antibody, Desensitization, Challenge, Skin test, IgE, IgG, Cytokine release
URI
https://observatorio.fm.usp.br/handle/OPI/21439
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/60
Artigos e Materiais de Revistas Científicas - ODS/03