Food allergy endotypes revisited.

IF 11.4 1区 医学 Q1 ALLERGY
Mary Grace Baker, Lydia Su Yin Wong, George N Konstantinou, Anna Nowak-Wegrzyn
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引用次数: 0

Abstract

In the last century, food allergy has become recognized as an increasingly prevalent and heterogeneous condition. Advances in biomedical technology have revealed complex genetic, environmental, immune, and metabolic pathways underlying the pathogenesis of food-allergic disorders. These findings permit classification of distinct food allergy endotypes with unique pathophysiologic features. In this review, we suggest that these endotypes of food-allergic disorders should be defined on the basis of (1) whether or not the allergic antibody IgE plays an essential role in disease pathogenesis, (2) the molecular features of the allergen (protein vs carbohydrate), and (3) the molecular markers associated with prognosis, severity, or clinical presentation. Beyond these broad categories, additional subtypes with unique mechanistic characteristics are discussed.

重新审视食物过敏内源性类型。
在上个世纪,食物过敏已经被认为是一种越来越普遍和异质性的疾病。生物医学技术的进步揭示了食物过敏性疾病发病机制背后复杂的遗传、环境、免疫和代谢途径。这些发现允许对具有独特病理生理特征的不同食物过敏内型进行分类。在这篇综述中,我们建议这些食物过敏性疾病的内源性类型应该根据(1)过敏抗体IgE是否在疾病发病机制中起重要作用,(2)过敏原的分子特征(蛋白质与碳水化合物),以及(3)与预后、严重程度或临床表现相关的分子标记来定义。除了这些广泛的分类之外,还讨论了具有独特机制特征的其他亚型。
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来源期刊
CiteScore
25.90
自引率
7.70%
发文量
1302
审稿时长
38 days
期刊介绍: The Journal of Allergy and Clinical Immunology is a prestigious publication that features groundbreaking research in the fields of Allergy, Asthma, and Immunology. This influential journal publishes high-impact research papers that explore various topics, including asthma, food allergy, allergic rhinitis, atopic dermatitis, primary immune deficiencies, occupational and environmental allergy, and other allergic and immunologic diseases. The articles not only report on clinical trials and mechanistic studies but also provide insights into novel therapies, underlying mechanisms, and important discoveries that contribute to our understanding of these diseases. By sharing this valuable information, the journal aims to enhance the diagnosis and management of patients in the future.
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