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Allergy and respiratory disorders are common in young athletic individuals. In the context of elite sport, it is essential to secure an accurate diagnosis in order to optimize health and performance. It is also important, however, to consider the potential impact or consequences of these disorders, in recreationally active individuals engaging in structured exercise and/or physical activity to maintain health and well‐being across the lifespan. This EAACI Task Force was therefore established, to develop an up‐to‐date, research‐informed position paper, detailing the optimal approach to the diagnosis and management of common exercise‐related allergic and respiratory conditions. The recommendations are informed by a multidisciplinary panel of experts including allergists, pulmonologists, physiologists and sports physicians. The report is structured as a concise, practically focussed document, incorporating diagnostic and treatment algorithms, to provide a source of reference to aid clinical decision‐making. Throughout, we signpost relevant learning resources to consolidate knowledge and understanding and conclude by highlighting future research priorities and unmet needs. [ABSTRACT FROM AUTHOR]

Background Allergen exposure chambers ( AECs) are clinical facilities allowing for controlled exposure of subjects to allergens in an enclosed environment. AECs have contributed towards characterizing the pathophysiology of respiratory allergic diseases and the pharmacological properties of new therapies. In addition, they are complementary to and offer some advantages over traditional multicentre field trials for evaluation of novel therapeutics. To date, AEC studies conducted have been monocentric and have followed protocols unique to each centre. Because there are technical differences among AECs, it may be necessary to define parameters to standardize the AECs so that studies may be extrapolated for driving basic immunological research and for marketing authorization purposes by regulatory authorities. Methods For this task force initiative of the European Academy of Allergy and Clinical Immunology ( EAACI), experts from academia and regulatory agencies met with chamber operators to list technical, clinical and regulatory unmet needs as well as the prerequisites for clinical validation. Results The latter covered the validation process, standardization of challenges and outcomes, intra- and interchamber variability and reproducibility, in addition to comparability with field trials and specifics of paediatric trials and regulatory issues. Conclusion This EAACI Position Paper aims to harmonize current concepts in AECs and to project unmet needs with the intent to enhance progress towards use of these facilities in determining safety and efficacy of new therapeutics in the future. [ABSTRACT FROM AUTHOR]

Keywords: allergy; immunology; research impact analysis; research strategy; substantiality index EN allergy immunology research impact analysis research strategy substantiality index 1602 1606 5 05/02/22 20220501 NES 220501 Abbreviations AMED-PPAI Practical Research Project for Allergic Diseases and Immunology of the Japan Agency for Medical Research and Development EU European Union FA Funding agency FWCI Field-Weighted Citation Impact MeSH Medical Subject Headings METI Ministry of Economy, Trade and Industry of Japan MEXT Ministry of Education, Culture, Sports, Science and Technology of Japan MHLW Ministry of Health, Labour and Welfare of Japan MRC-HIU Human Immunology Unit of the Medical Research Council NIH-HAI Hypersensitivity, Autoimmune, and Immune-mediated Diseases Study Section of the National Institutes of Health R&D Research and development UK United Kingdom UMAP Uniform Manifold Approximation and Projection US United States of America ACKNOWLEDGEMENTS We extend our special gratitude to Prof. Warwick Anderson (Former Secretary-General, International Human Frontier Science Program Organization) for his valuable suggestions regarding the manuscript. Allergy, immunology, research impact analysis, research strategy, substantiality index As the controls, we selected the Hypersensitivity, Autoimmune, and Immune-mediated Diseases Study Section (NIH-HAI), an immunology-focused project in the Americas, and Human Immunology Unit (MRC-HIU), that in Europe, extracting 373 US papers and 118 UK papers, published in 2015-2019, respectively (see Appendix S1 for all methods). [Extracted from the article]

For over 30 years, Bob has studied basophils and mast cells and published many important and impactful papers describing the regulation of their signaling, activation, and products especially in human allergic diseases. Allergic disease, basophil, sinusitis, eosinophils, mast cells, ENT (rhinitis, nasal polyps...) Bob first became interested in the role of basophils and mast cells, key effector cells in the allergic response. [Extracted from the article]