围产期过敏疾病的机制和危险因素
Jozef Balla1, Abhay Ps Rathore2, Ashley L St John3
1Programme in Emerging Infectious Diseases, Duke-National University of Singapore Medical School, 169857 Singapore.
Current opinion in immunology
|November 20, 2024
概括
怀孕和哺乳期间的孕产妇因素显著影响孩子的过敏风险. 了解这些早期免疫编程机制是开发新的过敏预防和治疗的关键.
科学领域:
- 免疫学 免疫学 免疫学
- 儿科 儿科 儿科
- 发展生物学 发展生物学
背景情况:
- 过敏是导致儿童慢性疾病的主要原因.
- 过敏性疾病的发病包括T助手2 (Th2) 炎症和IgE介导反应.
- 早期暴露,包括产前暴露,极大地影响过敏疾病的发展.
研究的目的:
- 审查母体暴露和调解者如何影响围产期免疫编程.
- 探索母亲因素促进对过敏原的耐受性或反应性的机制.
- 确定新疗法和预防儿童过敏的预防策略的目标.
主要方法:
- 对有关母胎相互作用和过敏的现有科学文献的审查.
- 对免疫学,表观遗传学,代谢,饮食和微生物组介导作用的分析.
- 综合关于围产期免疫可塑性和编程的证据.
主要成果:
- 转移到胎儿的母体免疫成分可以防止病原体,但也会导致过敏.
- 母亲的暴露信号通过胎盘和通过母乳养,影响后代的过敏结果.
- 表观遗传,代谢,饮食和微生物组因素会改变母胎信号传输.
结论:
- 早期母亲的影响在塑造孩子对过敏的易感性方面起着至关重要的作用.
- 了解这些机制对于开发有效的过敏预防和治疗策略至关重要.
- 针对母胎相互作用为新的治疗干预提供了潜力.
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