Irish Daily Mail

Single jab to banish hay fever AND other allergies

- By ROGER DOBSON

RESEARCHER­S in the US have created a ‘vaccine’ they believe will help treat multiple allergies, including hay fever.

The jab contains a cocktail of allergy-causing compounds and is administer­ed in several increasing doses over eight weeks.

The theory is that by gradually upping the amount of these triggers in a controlled way (a treatment known as immunother­apy), the immune system becomes more tolerant to them, which eradicates symptoms and provides long-term protection against other allergies.

In a new trial, patients with common allergies, such as hay fever and allergic rhinitis, will be given the new injection or a placebo.

Around one in five people has allergic rhinitis, a reaction to triggers, also called allergens, such as dust or animal dander.

Allergens contain proteins that can trigger the production of histamine, a chemical in the body that causes cold-like symptoms, such as sneezing, itchiness and a blocked or runny nose.

Whereas hay fever, also called seasonal rhinitis, is caused by pollen or mould spores at certain times of the year, allergic rhinitis can, in some cases, affect people all year round, when it is known as perennial rhinitis. T REATMENTS include antihistam­ines and corticoste­roids, which tackle inflammati­on and swelling. Side-effects of antihistam­ines can include drowsiness, dry mouth and blurred vision, while long-term use — more than three weeks — of steroids has been linked to an increased risk of health problems such as weight gain and muscle weakness.

Immunother­apy, usually in the form of drops, can be given to those with severe allergies (typically to pollen) to try to make the immune system less reactive to a specific allergen.

The convention­al treatment involves being given small doses of one allergen. However, this works only for one allergy and needs to be given at threemonth­ly intervals for years.

But in the new trial, doctors are using a cocktail of six different allergens in the same shot and it’s hoped that the effects of the new jab will be lifelong. The treatment is designed to help people with moderate to severe perennial rhinitis who may or may not have hay fever too.

In the trial at Johns Hopkins University in the US, 36 patients will be given increasing doses of the jab (named Allergen Immunother­apy Extract) or a placebo, twice a week for eight weeks. They will be monitored for symptom changes for more than three months.

Commenting on the study, Christophe­r Corrigan, a professor of asthma, allergy and immunology, said: ‘Immunother­apy is not a cure but significan­tly reduces symptoms in most patients.

‘Treating people with a cocktail of allergens sounds like a good idea to combat multiple allergies. But, in practice, treating with an arbitrary mixture of allergens may mean inadequate treatment for key allergens that are causing symptoms, and unnecessar­y treatment for others which are not causing symptoms.’

MEANWHILE, stress during pregnancy may increase the risk of allergies in children.

New research, based on an analysis of data from more than six million people, examined links between prenatal stress in pregnancy and subsequent allergies.

Results published in the journal Clinical and Experiment­al Allergy showed that any type of stress — anxiety, bereavemen­t, even money problems — was associated with a 30% higher risk of the baby suffering allergic rhinitis.

It’s thought stress increases levels of the hormone cortisol which may affect the developing immune system.

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