Anti-il-5 in pediatric allergic diseases
Laura Tenero, Elisa Arturi, Michele Piazza, Giorgio Piacentini
Affiliation : Paediatric section, Department of Surgery,
Dentistry, Paediatrics, and Gynaecology, University of Verona, Verona,
Italy.
Abstract :
Interleukin (IL)-5 is a potent mediator of the inflammatory cascade in
the allergic response. Its predominant role in atopic reactions makes
this cytokine an ideal target for blocking the eosinophilic inflammatory
hyper-responsiveness to allergens.
The management of allergic diseases in childhood – such as severe
asthma, atopic dermatitis, and eosinophilic esophagitis - is a
challenge. In particular, there are concerns regarding the use of
high-dose corticosteroids. Over the last few years, biologics targeting
IL-5 or IL-5 receptor - that are mepolizumab, reslizumab, and
benralizumab - represent a new, promising, and more personalized
therapeutic option.
Key message : Biologics targeting IL-5 or IL-5 receptor may
represent effective therapeutic options in children with severe
allergies, once defined their benefit-risk profile in the pediatric age.
Keywords : IL-5, mepolizumab, reslizumab, benralizumab, asthma,
children, biologics
Corresponding Author :
Giorgio Piacentini,
Paediatric Section,
Department of Surgery, Dentistry,
Paediatrics, and Gynaecology, University of
Verona, AOUI Verona, P.le Stefani 1, 37126
Verona.
Email: giorgio.piacentini@univr.it