Swiss Institute of Allergy and Asthma Research, University of Zurich, Davos, Switzerland.
Front Immunol. 2018 Dec 12;9:2939. doi: 10.3389/fimmu.2018.02939. eCollection 2018.
Oral tolerance can develop after frequent exposure to food allergens. Upon ingestion, food is digested into small protein fragments in the gastrointestinal tract. Small food particles are later absorbed into the human body. Interestingly, some of these ingested food proteins can cause allergic immune responses, which can lead to food allergy. So far it has not been completely elucidated how these proteins become immunogenic and cause food allergies. In contrast, oral tolerance helps to prevent the pathologic reactions against different types of food antigens from animal or plant origin. Tolerance to food is mainly acquired by dendritic cells, epithelial cells in the gut, and the gut microbiome. A subset of CD103 DCs is capable of inducing T regulatory cells (Treg cells) that express anti-inflammatory cytokines. Anergic T cells also contribute to oral tolerance, by reducing the number of effector cells. Similar to Treg cells, B regulatory cells (Breg cells) suppress effector T cells and contribute to the immune tolerance to food allergens. Furthermore, the human microbiome is an essential mediator in the induction of oral tolerance or food allergy. In this review, we outline the current understanding of regulatory immune mechanisms in oral tolerance. The biological changes reflecting early consequences of immune stimulation with food allergens should provide useful information for the development of novel therapeutic treatments.
口服耐受可在频繁接触食物过敏原后产生。摄入食物后,胃肠道会将其消化为小的蛋白质片段。较小的食物颗粒随后被人体吸收。有趣的是,这些摄入的食物蛋白中的一些可引起过敏免疫反应,从而导致食物过敏。到目前为止,尚不完全清楚这些蛋白质如何变得具有免疫原性并导致食物过敏。相比之下,口服耐受有助于防止针对源自动物或植物的不同类型食物抗原的病理性反应。对食物的耐受性主要通过树突状细胞、肠道中的上皮细胞和肠道微生物组获得。一组 CD103 DC 能够诱导表达抗炎细胞因子的调节性 T 细胞(Treg 细胞)。无能 T 细胞通过减少效应细胞的数量也有助于口服耐受。与 Treg 细胞类似,B 调节性细胞(Breg 细胞)抑制效应 T 细胞,并有助于对食物过敏原的免疫耐受。此外,人类微生物组是诱导口服耐受或食物过敏的重要介质。在这篇综述中,我们概述了口服耐受中调节性免疫机制的现有认识。反映食物过敏原免疫刺激早期后果的生物学变化应为新型治疗方法的开发提供有用信息。
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