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Allergies and the Immune System: How Small Changes Trigger Big Reactions

Venom Immunotherapy

The immune system is the body’s first line of defense, protecting us from infections, pathogens, and harmful invaders. However, sometimes the immune system overreacts or reacts inappropriately to harmless substances, such as allergens like pollen, dust, dander, or venom, which results in an allergic reaction. Shifts and changes in the immune system causes by genetic factors, environmental influences, and certain conditions can predispose someone to a potential allergic response that they may not have experienced previously.

WARNING Important Safety Information (See full prescribing information for complete boxed warning.)

Intended for use only by licensed health care provider experienced in administering allergenic extracts and trained to provide immediate emergency treatment in the event of a life-threatening reaction. Observe patients for at least 30 minutes following administration. Immunotherapy may not be suitable for patients with medical conditions that reduce their ability to withstand a systemic reaction. Allergenic extracts can cause serious systemic reactions; including anaphylactic shock and in rare cases death, especially in patients who have severe or steroid-dependent asthma, cardiovascular disease, or in patients who use beta blockers. Do not inject intravenously. Additionally, the reconstituted single venom products are intended for subcutaneous injection for immunotherapy and percutaneous use for diagnosis. The Mixed Vespid venom protein is for immunotherapy only, not for diagnosis. Diagnosis should be based on individual venoms. Refer to contraindications, warnings, precautions, adverse reaction and over dosage for more detailed information.

At its core, the immune system is designed to identify and neutralize harmful antigens such as bacteria, viruses, and fungi. It consists of various components, including white blood cells, antibodies, and a complex system of organs and proteins. When the immune system encounters a pathogen, they respond to try and eliminate the threat. The normal immune response is what keeps the body healthy and maintains homeostasis.1

Allergies occur when the immune system mistakenly identifies a typically harmless substance, like allergens, as a threat. The immune response involves the release of chemicals like histamine, leading to symptoms like itching, swelling sneezing, and more severe reactions like anaphylaxis. Simplistically, allergies are a case of the immune system being “overprotective”.

Genetic predisposition plays a role in determining whether someone is likely to develop allergies during their lifetime. This genetic predisposition, known as atopy, can result in a variety of allergic responses, from sneezing to anaphylaxis.2 Families with a history of allergies tend to pass that on and those with a family history of allergies are more prone to having an overreactive immune system. There are a variety of genes that people can inherit from their parents that end up causing allergies in the future.3 Some of these gene mutations inherited within families may cause the immune system to produce more Immunoglobulin E (IgE), a key antibody involved in allergic reactions.4
Woman suffering from allergies inside of an office.

Environmental factors play an equally significant role in allergy development. The “hygiene hypothesis” suggests that living in overly clean environments can prevent the immune system from being exposed to a wide range of bacteria and viruses early in life. This lack of exposure may shift the immune system towards a more allergic (Th2) response, as it hasn’t learned to differentiate between harmful and harmless invaders.5

Pollution, urbanization, and climate change have also been linked to rising allergy rates, as they can affect how the immune system interacts with common allergens. For example, people living in urban areas may be exposed to higher levels of airborne pollutants, which can prime the immune system for allergic reactions. Similarly, climate change is causing longer pollen seasons and higher pollen counts, increasing exposure to allergens like grass and tree pollen.

Allergies can manifest at any age, though they are more common to manifest in childhood. The immune system is still developing when in childhood, making children more susceptible to overreacting to allergens. However, adults and even the elderly can develop new allergies due to shifts in their immune systems. Age-related changes in immune function, often referred to as immunosenescence, can make older individuals more susceptible to allergies as the immune system becomes less effective in distinguishing between harmful and harmless stimuli.7
Certain conditions that weaken the immune system, such as HIV/AIDS, cancer, or the use of immunosuppressive medications for autoimmune diseases or after an organ transplant, can alter the body’s ability to process allergens. When the immune system is compromised, it may lose its ability to correctly identify allergens as harmless or put the immune system in overdrive, leading to an increase in allergic reactions. Immunodeficiency diseases result in an inability to fight off infections, but they may also cause the immune system to misfire, triggering allergies in individuals who might not have had them otherwise.8

Autoimmune disorders, such as lupus or rheumatoid arthritis, occur when the immune system begins to attack the body’s own cells. People with autoimmune conditions may also experience allergies due to the heightened sensitivity of their immune response. In these cases, the immune system is already in a hyperactive state, making it more likely to overreact to external stimuli like allergens.

Image of fields and polluting agents that effect allergies and asthma.
The balance between two types of immune responses, Th1 (T-helper 1) and Th2 (T-helper 2), is an important part of the development of allergies. Th1 responses are typically protective against infections and pathogens, while Th2 resonses are involved in allergic reactions. In a healthy immune system, there is a balance between Th1 and Th2. However, when the Th2 response becomes dominant, the immune system is more likely to overreact to allergens.

This imbalance is linked to early childhood environments. According to the hygiene hypothesis, reduced exposure to infections in childhood can lead to an underdeveloped Th1 response and an overreactive Th2 resposne. This imbalance makes children more susceptible to developing allergies as they grow older.5,9

Allergy immunotherapy is a treatment method that involves gradually exposing individuals to small amounts of an allergen over time to desensitize the immune system. This process reduces the severity of allergic reactions by training the immune system to recognize allergens as harmless. HollisterStier Allergy provides a variety of extracts to conduct allergy immunotherapy treatments in the clinical setting.

Diet and lifestyle also play a role in modulating the immune system’s response to allergens. A healthy gut microbiome, influenced by diet, is essential for maintaining immune balance. A diverse microbiome helps the immune system distinguish between what is harmful and what is not, potentially reducing the likelihood of allergic reactions.10

Regular exercise, stress management, and avoiding smoking or excessive alcohol consumption can also support a balanced immune response. Conversely, a diet high in processed foods or exposure to chronic stress can exacerbate immune dysfunction and contribute to the development of allergies.

The immune system is a complex network that protects us from harm, but it’s not always perfect. Changes in the immune system, whether due to genetics, environmental factors, or health conditions, can tip the scales toward developing or experiencing allergies. Understanding the intricate relationship between immune shifts and allergies can empower people to manage and potentially prevent allergic reactions through treatments like immunotherapy.

Article References

  1. Information, National Center for Biotechnology, et al. How Does the Immune System Work? Www.ncbi.nlm.nih.gov, Institute for Quality and Efficiency in Health Care (IQWiG), 23 Apr. 2020, www.ncbi.nlm.nih.gov/books/NBK279364/#:~:text=The%20immune%20system%20has%20a. 
  2. Falcon, Robbi, and Salvador Caoili. “Immunologic, Genetic, and Ecological Interplay of Factors Involved in Allergic Diseases.” Frontiers in Allergy, 2 Aug. 2023, www.frontiersin.org/journals/allergy/articles/10.3389/falgy.2023.1215616/full.
  3. Halloway, John, et al. “Genetics of Allergic Disease.” JACI Online, The Journal of Allergy and Clinical Immunology, Feb. 2010, www.jacionline.org/article/S0091-6749(09)01742-4/fulltext. 
  4. Altin, John, et al. “Understanding the Genetic Regulation of IgE Production.” Sciencedirect.com, Blood Reviews, 2010, www.sciencedirect.com/science/article/abs/pii/S0268960X10000251#:~:text=Abnormalities%20in%20the%20IL%2D6,in%20IgE%20production%20is%20elusive. 
  5. Okada, H., et al. “The “Hygiene Hypothesis” for Autoimmune and Allergic Diseases: An Update.” Clinical & Experimental Immunology, vol. 160, no. 1, 11 Mar. 2010, pp. 1–9, www.ncbi.nlm.nih.gov/pmc/articles/PMC2841828/, https://doi.org/10.1111/j.1365-2249.2010.04139.x. 
  6. D’Amato, Gennaro, et al. “Meteorological Conditions, Climate Change, New Emerging Factors, and Asthma and Related Allergic Disorders. A Statement of the World Allergy Organization.” World Allergy Organization Journal, vol. 8, 2015, p. 25, https://doi.org/10.1186/s40413-015-0073-0.
  7. Lee, Kyoo-A, et al. “Immune Senescence, Immunosenescence and Aging.” Frontiers in Aging, vol. 3, 30 May 2022, p. 900028, www.ncbi.nlm.nih.gov/pmc/articles/PMC9261375/, https://doi.org/10.3389/fragi.2022.900028. 
  8. AkdisMübeccel, et al. “Immune Responses in Healthy and Allergic Individuals Are Characterized by a Fine Balance between Allergen-Specific T Regulatory 1 and T Helper 2 Cells.” Journal of Experimental Medicine, vol. 199, no. 11, 1 June 2004, pp. 1567–1575, https://doi.org/10.1084/jem.20032058. 
  9.  Romagnani, Sergio. “Immunologic Influences on Allergy and the TH1/TH2 Balance.” Journal of Allergy and Clinical Immunology, vol. 113, no. 3, Mar. 2004, pp. 395–400, https://doi.org/10.1016/j.jaci.2003.11.025. 
  10. Wiertsema, Selma P., et al. “The Interplay between the Gut Microbiome and the Immune System in the Context of Infectious Diseases throughout Life and the Role of Nutrition in Optimizing Treatment Strategies.” Nutrients, vol. 13, no. 3, 9 Mar. 2021, p. 886, www.ncbi.nlm.nih.gov/pmc/articles/PMC8001875/, https://doi.org/10.3390/nu13030886. 

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