Institute of Immunology, Center for Pathophysiology, Infectiology, and Immunology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Institute of Specific Prophylaxis and Tropical Medicine, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Semin Immunol. 2017 Apr;30:12-27. doi: 10.1016/j.smim.2017.07.007. Epub 2017 Aug 12.
Immunity is established by a fine balance to discriminate between self and non-self. In addition, mucosal surfaces have the unique ability to establish and maintain a state of tolerance also against non-self constituents such as those represented by the large numbers of commensals populating mucosal surfaces and food-derived or air-borne antigens. Recent years have seen a dramatic expansion in our understanding of the basic mechanisms and the involved cellular and molecular players orchestrating mucosal tolerance. As a direct outgrowth, promising prophylactic and therapeutic models for mucosal tolerance induction against usually innocuous antigens (derived from food and aeroallergen sources) have been developed. A major theme in the past years was the introduction of improved formulations and novel adjuvants into such allergy vaccines. This review article describes basic mechanisms of mucosal tolerance induction and contrasts the peculiarities but also the interdependence of the gut and respiratory tract associated lymphoid tissues in that context. Particular emphasis is put on delineating the current prophylactic and therapeutic strategies to study and improve mucosal tolerance induction in allergy.
免疫是通过精细的平衡来区分自我和非自我。此外,黏膜表面具有独特的能力,可以建立和维持耐受状态,也可以对抗非自我成分,如大量定植于黏膜表面的共生菌和食物来源或空气传播的抗原。近年来,我们对调节黏膜耐受的基本机制以及涉及的细胞和分子参与者有了更深入的了解。作为直接的结果,针对通常无害的抗原(来自食物和空气过敏原来源),已经开发出了有希望的黏膜耐受诱导的预防性和治疗性模型。过去几年的一个主要主题是将改进的配方和新型佐剂引入到这些过敏疫苗中。本文描述了黏膜耐受诱导的基本机制,并比较了肠道和呼吸道相关淋巴组织在这方面的特点和相互依存性。特别强调了阐述当前预防性和治疗性策略,以研究和改善过敏中的黏膜耐受诱导。