AllergoOncology: Biomarkers and Refined Classification for Research in
the Allergy and Glioma Nexus - a Joint EAACI-EANO Position Paper
Abstract
Epidemiological studies have explored the relationship between allergic
diseases and cancer risk or prognosis in AllergoOncology. Some studies
suggest an inverse association, but uncertainties remain, including in
IgE-mediated diseases and glioma. Allergic disease stems from a
Th2-biased immune response to allergens in predisposed atopic
individuals. Allergic disorders vary in phenotype, genotype, and
endotype, affecting their pathophysiology. Beyond clinical manifestation
and commonly used clinical markers, there is ongoing research to
identify novel biomarkers for allergy diagnosis, monitoring, severity
assessment, and treatment. Gliomas, the most common and diverse brain
tumours, have in parallel undergone changes in classification over time,
with specific molecular biomarkers defining glioma subtypes. Gliomas
exhibit a complex tumour-immune interphase and distinct immune
microenvironment features. Immunotherapy and targeted therapy hold
promise for primary brain tumour treatment, but require more specific
and effective approaches. Animal studies indicate allergic airway
inflammation may delay glioma progression. This collaborative European
Academy of Allergy and Clinical Immunology (EAACI) and European
Association of Neuro-Oncology (EANO) Position Paper summarizes recent
advances and emerging biomarkers for refined allergy and adult-type
diffuse glioma classification to inform future epidemiological and
clinical studies. Future research is needed to enhance our understanding
of immune-glioma interactions to ultimately improve patient prognosis
and survival.