Early intervention and prevention of allergic diseases

  • Helen A. Brough
    Department Women and Children’s Health (Pediatric Allergy) School of Life Course Sciences Faculty of Life Sciences and Medicine King’s College London London UK
  • Bruce Joshua Lanser
    Division of Pediatric Allergy‐Immunology Department of Pediatrics National Jewish Health Denver CO USA
  • Sayantani B. Sindher
    Sean N. Parker Center for Allergy and Asthma Research at Stanford University Stanford University Stanford CA USA
  • Joyce M. C. Teng
    Department of Dermatology Lucile Packard Children's Hospital at the Stanford University School of Medicine Palo Alto CA USA
  • Donald Y. M. Leung
    Division of Pediatric Allergy‐Immunology Department of Pediatrics National Jewish Health Denver CO USA
  • Carina Venter
    Section of Allergy & Immunology School of Medicine University of Colorado Denver Children's Hospital Colorado Aurora CO USA
  • Susan M. Chan
    Department Women and Children’s Health (Pediatric Allergy) School of Life Course Sciences Faculty of Life Sciences and Medicine King’s College London London UK
  • Alexandra F. Santos
    Department Women and Children’s Health (Pediatric Allergy) School of Life Course Sciences Faculty of Life Sciences and Medicine King’s College London London UK
  • Henry T. Bahnson
    Benaroya Research Institute and Immune Tolerance Network Seattle WA USA
  • Emma Guttman‐Yassky
    Department of Dermatology and the Immunology Institute Icahn School of Medicine at Mount Sinai New York NY USA
  • Ruchi S. Gupta
    Center for Food Allergy and Asthma Research Northwestern University Feinberg School of Medicine Chicago IL USA
  • Gideon Lack
    Department Women and Children’s Health (Pediatric Allergy) School of Life Course Sciences Faculty of Life Sciences and Medicine King’s College London London UK
  • Christina E. Ciaccio
    Department of Pediatrics and Medicine University of Chicago Chicago IL USA
  • Vanitha Sampath
    Sean N. Parker Center for Allergy and Asthma Research at Stanford University Stanford University Stanford CA USA
  • Kari C. Nadeau
    Sean N. Parker Center for Allergy and Asthma Research at Stanford University Stanford University Stanford CA USA
  • Cathryn R. Nagler
    Department of Pathology and Pritzker School of Molecular Engineering University of Chicago Chicago IL USA

抄録

<jats:title>Abstract</jats:title><jats:p>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.</jats:p>

収録刊行物

  • Allergy

    Allergy 77 (2), 416-441, 2021-09-07

    Wiley

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