Early intervention and prevention of allergic diseases

Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare burden. The precise mechanisms responsible for the development of this inflammatory condition are largely unknown; however, a multifactorial aet...

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Vydáno v:Allergy (Copenhagen) Ročník 77; číslo 2; s. 416 - 441
Hlavní autoři: Brough, Helen A., Lanser, Bruce Joshua, Sindher, Sayantani B., Teng, Joyce M. C., Leung, Donald Y. M., Venter, Carina, Chan, Susan M., Santos, Alexandra F., Bahnson, Henry T., Guttman‐Yassky, Emma, Gupta, Ruchi S., Lack, Gideon, Ciaccio, Christina E., Sampath, Vanitha, Nadeau, Kari C., Nagler, Cathryn R.
Médium: Journal Article
Jazyk:angličtina
Vydáno: Denmark Blackwell Publishing Ltd 01.02.2022
Témata:
Allergic diseases
Allergies
Antigen presentation
Antigens
Atopic dermatitis
barrier
Children
Dermatitis, Atopic - etiology
Dermatitis, Atopic - prevention & control
Eczema
Food allergies
food allergy
Food Hypersensitivity
Humans
Immune system
immune tolerance
Infant
Inflammation
Minerals
Mucosal immunity
Mucous Membrane
Prevention
Vitamins
atopic dermatitis
immune tolerance
barrier
food allergy
prevention
ISSN:0105-4538, 1398-9995, 1398-9995
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Abstract Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare burden. The precise mechanisms responsible for the development of this inflammatory condition are largely unknown; however, a multifactorial aetiology involving both environmental and genetic contributions is well accepted. A precise understanding of the pathogenesis of FA is an essential first step to developing comprehensive prevention strategies that could mitigate this epidemic. As it is frequently preceded by atopic dermatitis and can be prevented by early antigen introduction, the development of FA is likely facilitated by the improper initial presentation of antigen to the developing immune system. Primary oral exposure of antigens allowing for presentation via a well‐developed mucosal immune system, rather than through a disrupted skin epidermal barrier, is essential to prevent FA. In this review, we present the data supporting the necessity of (1) an intact epidermal barrier to prevent epicutaneous antigen presentation, (2) the presence of specific commensal bacteria to maintain an intact mucosal immune system and (3) maternal/infant diet diversity, including vitamins and minerals, and appropriately timed allergenic food introduction to prevent FA.
AbstractList Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare burden. The precise mechanisms responsible for the development of this inflammatory condition are largely unknown; however, a multifactorial aetiology involving both environmental and genetic contributions is well accepted. A precise understanding of the pathogenesis of FA is an essential first step to developing comprehensive prevention strategies that could mitigate this epidemic. As it is frequently preceded by atopic dermatitis and can be prevented by early antigen introduction, the development of FA is likely facilitated by the improper initial presentation of antigen to the developing immune system. Primary oral exposure of antigens allowing for presentation via a well‐developed mucosal immune system, rather than through a disrupted skin epidermal barrier, is essential to prevent FA. In this review, we present the data supporting the necessity of (1) an intact epidermal barrier to prevent epicutaneous antigen presentation, (2) the presence of specific commensal bacteria to maintain an intact mucosal immune system and (3) maternal/infant diet diversity, including vitamins and minerals, and appropriately timed allergenic food introduction to prevent FA.
Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare burden. The precise mechanisms responsible for the development of this inflammatory condition are largely unknown; however, a multifactorial aetiology involving both environmental and genetic contributions is well accepted. A precise understanding of the pathogenesis of FA is an essential first step to developing comprehensive prevention strategies that could mitigate this epidemic. As it is frequently preceded by atopic dermatitis and can be prevented by early antigen introduction, the development of FA is likely facilitated by the improper initial presentation of antigen to the developing immune system. Primary oral exposure of antigens allowing for presentation via a well-developed mucosal immune system, rather than through a disrupted skin epidermal barrier, is essential to prevent FA. In this review, we present the data supporting the necessity of (1) an intact epidermal barrier to prevent epicutaneous antigen presentation, (2) the presence of specific commensal bacteria to maintain an intact mucosal immune system and (3) maternal/infant diet diversity, including vitamins and minerals, and appropriately timed allergenic food introduction to prevent FA.Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare burden. The precise mechanisms responsible for the development of this inflammatory condition are largely unknown; however, a multifactorial aetiology involving both environmental and genetic contributions is well accepted. A precise understanding of the pathogenesis of FA is an essential first step to developing comprehensive prevention strategies that could mitigate this epidemic. As it is frequently preceded by atopic dermatitis and can be prevented by early antigen introduction, the development of FA is likely facilitated by the improper initial presentation of antigen to the developing immune system. Primary oral exposure of antigens allowing for presentation via a well-developed mucosal immune system, rather than through a disrupted skin epidermal barrier, is essential to prevent FA. In this review, we present the data supporting the necessity of (1) an intact epidermal barrier to prevent epicutaneous antigen presentation, (2) the presence of specific commensal bacteria to maintain an intact mucosal immune system and (3) maternal/infant diet diversity, including vitamins and minerals, and appropriately timed allergenic food introduction to prevent FA.
Author Chan, Susan M.
Sindher, Sayantani B.
Brough, Helen A.
Guttman‐Yassky, Emma
Nagler, Cathryn R.
Lanser, Bruce Joshua
Venter, Carina
Ciaccio, Christina E.
Teng, Joyce M. C.
Gupta, Ruchi S.
Lack, Gideon
Bahnson, Henry T.
Sampath, Vanitha
Santos, Alexandra F.
Nadeau, Kari C.
Leung, Donald Y. M.
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  surname: Lack
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  surname: Nagler
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  organization: University of Chicago
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34255344$$D View this record in MEDLINE/PubMed
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Keywords atopic dermatitis
immune tolerance
barrier
food allergy
prevention
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2019; 19
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Snippet Food allergy (FA) is now one of the most common chronic diseases of childhood often lasting throughout life and leading to significant worldwide healthcare...
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SubjectTerms Allergic diseases
Allergies
Antigen presentation
Antigens
Atopic dermatitis
barrier
Children
Dermatitis, Atopic - etiology
Dermatitis, Atopic - prevention & control
Eczema
Food allergies
food allergy
Food Hypersensitivity
Humans
Immune system
immune tolerance
Infant
Inflammation
Minerals
Mucosal immunity
Mucous Membrane
Prevention
Vitamins
Title Early intervention and prevention of allergic diseases
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fall.15006
https://www.ncbi.nlm.nih.gov/pubmed/34255344
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https://www.proquest.com/docview/2551210307
Volume 77
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