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Published on: September 14, 2018
The Microbiome and Food Allergy
Onyinye I Iweala1, Cathryn R Nagler2,3
1UNC Food Allergy Initiative and Thurston Arthritis Research Center, Division of Rheumatology, Allergy, and Immunology, The University of North Carolina at Chapel Hill, North Carolina 27599-7280, USA;
The gut immune system must differentiate food antigens from pathogens to maintain oral tolerance. Disruption of this balance, involving the gut barrier, microbes, and immune cells, can lead to food allergies.
Area of Science:
- Immunology
- Microbiology
- Gastroenterology
Background:
- The gut-associated lymphoid tissue (GALT) processes vast amounts of microbial and dietary antigens annually.
- Distinguishing harmless antigens from pathogens is crucial for appropriate immune responses.
- Oral tolerance, a state of hyporesponsiveness to dietary antigens, involves specific adaptive immune mechanisms.
Purpose of the Study:
- To explore the critical role of the gut epithelial barrier, innate immune cells, and microbiota in establishing and maintaining oral tolerance.
- To understand how dysregulation of gut homeostasis contributes to food allergy development.
Main Methods:
- This study is a review of existing literature and research on GALT function, oral tolerance, and food allergy.
- It synthesizes findings on the interplay between the microbiota, epithelial barrier, and innate immune cells.
Main Results:
- A functional epithelial barrier, in conjunction with innate immune cells and the microbiota, is essential for oral tolerance.
- Innate immune cells act as crucial mediators, bridging the microbiota, epithelium, and adaptive immunity.
- Disruption of gut homeostasis and tolerance mechanisms are linked to food allergy.
Conclusions:
- Maintaining mucosal homeostasis through the coordinated action of the epithelium, microbiota, and innate immunity is vital for oral tolerance.
- Understanding these interactions provides insights into the pathogenesis of food allergy and potential therapeutic targets.
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