Asthma is one of the most common childhood chronic diseases worldwide. Subcutaneous immunotherapy (SCIT) is commonly used in the treatment of house dust mite (HDM)-related asthma in children. However, the therapeutic mechanism of SCIT in asthma remains unclear. The present study aimed to investigate the molecular biomarkers associated with HDM-related asthma in asthmatic children prior and subsequent to SCIT treatment compared with those in healthy children via proteomic analysis. The study included a control group (30 healthy children), -Treatment group (30 children with HDM-related allergic asthma) and +Treatment group (30 children with HDM-related allergic asthma treated with SCIT). An isobaric labeling with relative and absolute quantification-based method was used to analyze serum proteome changes to detect differentially expressed proteins, while functional enrichment and protein-protein interaction network analysis were used to select candidate biomarkers. A total of 72 differentially expressed proteins were detected in the -Treatment, +Treatment and control groups. A total of 33 and 57 differentially expressed proteins were observed in the -Treatment vs. control and +Treatment vs. control groups, respectively. Through bioinformatics analysis, 5 candidate proteins [keratin 1 (KRT1), apolipoprotein B (APOB), fibronectin 1, antithrombin III (SERPINC1) and α-1-antitrypsin (SERPINA1)] were selected for validation by western blotting; among them, 4 proteins (KRT1, APOB, SERPINC1 and SERPINA1) showed robust reproducibility in asthma and control samples. This study illustrated the changes in proteome regulation following SCIT treatment for asthma. The 4 identified proteins may serve as potential biomarkers prior and subsequent to SCIT treatment, and help elucidate the molecular regulation mechanisms of SCIT to treat HDM-related asthma.