儿童IgE介导食物过敏的自然过程
1Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.
Clinical and experimental pediatrics
|June 15, 2023
概括
在全球范围内,儿童的食物过敏症正在上升. 虽然一些过敏症如牛奶和蛋过早消失,但其他过敏症如花生和树核过敏症往往会持续,影响日常生活.
科学领域:
- 儿科 儿科 儿科
- 免疫学 免疫学 免疫学
- 过敏学 过敏学
背景情况:
- 全球儿童食物过敏和食物诱导的过敏症的增加.
- 预后不同:牛奶,蛋,小麦的早期解决;花生,树核,海鲜过敏的持久性.
- 对食物过敏解决机制的理解不完全,尽管T细胞和B细胞等免疫细胞也与此有关.
研究的目的:
- 审查最近的大规模,基于人口的前性研究,研究儿童常见食物过敏的自然过程.
- 总结影响食物过敏自然进展和解决的因素.
- 告知临床医生关于食物过敏的自然过程,以帮助患者的管理和咨询.
主要方法:
- 审查最近基于人口的前性研究.
- 影响食物过敏自然过程的因素分析.
- 综合当前对食物过敏解决方案的理解.
主要成果:
- 确定了影响食物过敏预后的关键因素,包括症状严重程度,诊断时的年龄,并发症,敏感水平 (皮肤刺伤测试,IgE),表皮特异性,IgE/IgG4比率,IgA水平,组分解析诊断,饮食,微生物群和免疫治疗.
- 强调了食品过敏研究从回顾性研究转向大规模前性研究的转变.
- 强调了基于特定过敏原的差异预后.
结论:
- 食物过敏管理需要了解其自然过程和解决方案的潜力.
- 临床医生需要提供关于预后和治疗选择的准确信息.
- 对解决机制的进一步研究对于改善患者治疗结果至关重要.
相关概念视频
Allergic Reactions
27.9K
Overview
27.9K
Hypersensitivities
804
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
804
Allergic Drug Reactions
898
Allergic reactions related to drugs are hypersensitivity responses driven by the immune system and bear no connection to the drug's therapeutic action. While drugs in isolation do not trigger an immune response, they can interact with endogenous proteins to form antigens. These antigens stimulate lymphocytes to produce antibodies. IgE-type antibodies attach themselves to mast cells. Upon subsequent exposure to the same stimulus, the antigen-antibody interaction is initiated, unleashing...
898
Antibody Structure
60.5K
Overview
Antibodies, also known as immunoglobulins (Ig), are essential players of the adaptive immune system. These antigen-binding proteins are produced by B cells and make up 20 percent of the total blood plasma by weight. In mammals, antibodies fall into five different classes, which each elicits a different biological response upon antigen binding.
The Y-Shaped Structure of Antibodies Consists of Four Polypeptide Chains
Antibodies consist of four polypeptide chains: two identical heavy...
Antibodies, also known as immunoglobulins (Ig), are essential players of the adaptive immune system. These antigen-binding proteins are produced by B cells and make up 20 percent of the total blood plasma by weight. In mammals, antibodies fall into five different classes, which each elicits a different biological response upon antigen binding.
The Y-Shaped Structure of Antibodies Consists of Four Polypeptide Chains
Antibodies consist of four polypeptide chains: two identical heavy...
60.5K
Development of Immunocompetence
366
The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
366
Antiasthma Drugs: Mast Cell Stabilizers and Anti-IgE Drugs
357
Asthma is a chronic respiratory condition for which new therapeutic avenues, including anti-inflammatory drugs like mast cell stabilizers and anti-IgE treatments, continue to be developed.
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
Mast cell stabilizers, such as cromolyn (also known as sodium cromoglycate) and nedocromil (Tilade), are effective drugs in asthma management. These stabilizers hinder histamine release by skillfully obstructing the activation of mast cells and other cellular entities. Notably, they navigate this task without...
357


