Anne-Marie Malby Schoos (Author), Dominique Bullens (Author), Bo Lund Chawes (Author), Joana Costa (Author), Liselot De Vlieger (Author), Audrey DunnGalvin (Author), Michelle M. Epstein (Author), Johan Garssen (Author), Christiane Hilger (Author), Karen Knipping (Author), Mihaela Zidarn (Author)

Abstract

IgE-mediated food allergies are caused by adverse immunologic responses to food proteins. Allergic reactions may present locally in different tissues such as skin, gastrointestinal and respiratory tract and may result is systemic life-threatening reactions. During the last decades, the prevalence of food allergies has significantly increased throughout the world, and considerable efforts have been made to develop curative therapies. Food allergen immunotherapy is a promising therapeutic approach for food allergies that is based on the administration of increasing doses of culprit food extracts, or purified, and sometime modified food allergens. Different routes of administration for food allergen immunotherapy including oral, sublingual, epicutaneous and subcutaneous regimens are being evaluated. Although a wealth of data from clinical food allergen immunotherapy trials has been obtained, a lack of consistency in assessed clinical and immunological outcome measures presents a major hurdle for evaluating these new treatments. Coordinated efforts are needed to establish standardized outcome measures to be applied in food allergy immunotherapy studies, allowing for better harmonization of data and setting the standards for the future research. Several immunological parameters have been measured in food allergen immunotherapy, including allergen-specific immunoglobulin levels, basophil activation, cytokines, and other soluble biomarkers, T cell and B cell responses and skin prick tests. In this review we discuss different immunological parameters and assess their applicability as potential outcome measures for food allergen immunotherapy that may be included in such a standardized set of outcome measures.

Keywords

alergija za hrano;prehranski alergeni;oralna imunoterapija;food allergy;food allergens;oral immunotherapy;

Data

Language: English
Year of publishing:
Typology: 1.02 - Review Article
Publisher: Frontiers Research Foundation
UDC: 616-097
COBISS: 50624515 Link will open in a new window
ISSN: 1664-3224
Views: 729
Downloads: 472
Average score: 0 (0 votes)
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Other data

Secondary keywords: Food hypersensitivity;Food intolerance;Immunotherapy;Immunology;Preobčutljivost za hrano;Intoleranca na hrano;Imunoterapija;Imunologija;
Source comment: Nasl. z nasl. zaslona; Soavtorica iz Slovenije: Mihaela Zidarn; Opis vira z dne 9. 2. 2021;
Pages: str. 1-20
Chronology: 3 Nov. 2020
DOI: 10.3389/fimmu.2020.568598
ID: 12559521