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Cytokine imbalance and immune network endotypes underlying heterogeneous response to omalizumab in chronic spontaneous urticaria.

Front Immunol · 2026 · PMC13135958 · PMID 42088522

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IL-4 also exhibited an independent negative association with the NR group, implying that residual Th2 signaling may be linked to preserved responsiveness to omalizumab, although this effect did not reach statistical significance ( Figure 4B ).

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