IgM-mediated Pseudoallergy

A barrier to the practical application of nanomedicines such as PEGylated liposomes is IgM-mediated pseudoallergy. Engineering techniques to lower this risk of hypersensitivity have been guided by the elucidation of the molecular pathways involving complement activation and anti-PEG IgM. Safe, recurrent administration of medications using nanoparticles may be made possible by further developments to decrease IgM reactions or specifically eliminate anti-PEG IgM. Further comprehension of the pathways leading to pseudoallergy may potentially clarify other inexplicable infusion reactions to pegylated biopharmaceuticals.

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