A clinical focus on oral tolerance in the development, prevention, and management of food allergy.

Jessica D Macdougall, Edwin H Kim

Journal: Cellular immunology 2023;386():104693

PMID: 36854214

Full Text on Elsevier Science View on PubMed

Abstract

Food allergy impacts up to 10 % of the population and can result in life-threatening anaphylactic reactions. The pathogenesis of food allergy is not entirely understood but the disruption in naturally occurring oral tolerance is presumed to be involved. Research has been directed not only toward prevention of food allergy but on the restoration of oral tolerance by various means including immunotherapy (oral, sublingual, and epicutaneous), as well as adjunctive therapies including biologicals and probiotics. This review paper briefly discusses the involvement of oral tolerance in the pathogenesis of food allergy and how food allergy might be prevented; however, the main focus is on the potential for restoration of oral tolerance with various treatment modalities (oral immunotherapy with and without adjunctive therapies).

Address: Department of Pediatric Allergy and Immunology, University of North Carolina School of Medicine, 5004 Mary Ellen Jones Bldg, 116 Manning Dr. CB 8035, Chapel Hill, NC 27599-8035, United States. Electronic address: [email protected].; Department of Pediatric Allergy and Immunology, University of North Carolina School of Medicine, 5004 Mary Ellen Jones Bldg, 116 Manning Dr. CB 8035, Chapel Hill, NC 27599-8035, United States. Electronic address: [email protected].

DOI: 10.1016/j.cellimm.2023.104693

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MeSH Terms: Humans, Desensitization, Immunologic, Food Hypersensitivity, Probiotics, Allergens, Administration, Oral