胃肠表皮屏障功能障碍是对食物过敏原敏感性的唯一原因吗?
R Asero1, V Pravettoni2, D Villalta3
1Allergology Unit, Clinica San Carlo, Paderno Dugnano, Milan, Italy.
European annals of allergy and clinical immunology
|November 22, 2024
概括
肠上皮质屏障在食物过敏中保持完整,促进对摄入过敏原的免疫耐受性. 早期的过敏原暴露,正如LEAP试验所示,有助于预防像花生过敏这样的过敏.
科学领域:
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
- 过敏研究 研究过敏
背景情况:
- 表皮屏障对于防御病原体和过敏原至关重要.
- 环境因素可能会损害上皮屏障,导致2型炎症和过敏性疾病.
- 与皮肤和呼吸道屏障相比,肠上皮在过敏中的作用不太清楚.
研究的目的:
- 在食物过敏的背景下,研究胃肠上皮屏障的完整性.
- 探索肠道上皮质维持对食物抗原的免疫耐受性的机制.
- 评估食物过敏中肠道屏障破坏的证据.
主要方法:
- 对表皮壁垒和食物过敏现有研究的审查.
- 对研究过敏个体中胃肠道屏障功能的研究分析.
- 检查涉及口服耐受性的免疫机制,如Treg细胞和IgA生产.
主要成果:
- 胃肠道屏障的完整性通常保留在食物过敏.
- 像Treg细胞和IgA这样的机制有助于对摄入的食物抗原的免疫耐受性.
- 证据不支持食物过敏中肠上皮质干扰的假设.
结论:
- 肠上皮在维持免疫耐受性方面发挥着至关重要的作用,即使存在食物过敏.
- 过敏通常会随着年龄的增长而消失,这表明肠道在过敏原敏感化中的动态作用.
- 对新型过敏原和敏感化途径的进一步研究是有必要的.
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