Molecule

IgE

Allergic effector immunoglobulin

Expression change
Elevated (local and systemic)
Evidence level
established
Targeted by
Omalizumab

Role in pathogenesis

Polyclonal IgE is produced locally within polyp tissue independent of systemic atopy. IgE activates mast cells and basophils, amplifying type 2 inflammation. S. aureus superantigens drive polyclonal IgE. Targeted by omalizumab.

Targeting drugs (1)

DrugMechanismResponse rateLine
OmalizumabAnti-IgE monoclonal antibodySignificant NPS reduction1st-line biologic

Sources (2)

P3Bachert C et al. (2012) Staphylococcus aureus enterotoxins as immune stimulants in CRSwNPDOI
T2Gevaert P et al. (2020) Efficacy and safety of omalizumab in nasal polyposis: POLYP 1 and POLYP 2 trialsDOI