Publications by authors named "Paul Spill"

Background: Current forms of peanut oral immunotherapy (OIT) are associated with side effects, and there is a lack of evidence addressing how to mitigate them.

Objective: To determine whether premedication with desloratadine and ranitidine results in fewer side effects during peanut OIT/desensitization.

Methods: A total of 43 patients with peanut allergy (mean age, 7.

View Article and Find Full Text PDF

Background: There are a lack of disease-modifying treatments for peanut allergy, which is lifelong in most instances. Oral immunotherapy has remained at the forefront of prospective treatments, though its efficacy is consistently undermined by the risk of adverse reactions and meager sustained effects.

Aim: This review discusses the current state of oral immunotherapy, its strengths and limitations, and the future of therapeutics for the treatment of peanut allergy.

View Article and Find Full Text PDF
Article Synopsis
  • IgE production against harmless foods can lead to dangerous allergic reactions like anaphylaxis, with IgG memory B cells playing a key role in maintaining IgE immunity.
  • The research aimed to uncover what is necessary for the IgE recall response specifically in peanut allergies, utilizing human PBMC cultures and a mouse allergy model.
  • Results showed that blocking IL-4/IL-13 signaling stopped IgE production and altered immune responses, while anti-IL-4Rα treatment in mice provided lasting protection against allergic reactions and anaphylaxis.
View Article and Find Full Text PDF

In contrast with Th1 immune responses against pathogenic viruses and bacteria, the incipient events that generate Th2 responses remain less understood. One difficulty in the identification of universal operating principles stems from the diversity of entities against which cellular and molecular Th2 responses are produced. Such responses are launched against harmful macroscopic parasites and noxious substances, such as venoms, but also against largely innocuous allergens.

View Article and Find Full Text PDF