School of Public Health, Zunyi Medical University, Zunyi, China.
Department of Pediatrics, The Second Affiliated Hospital of Zunyi Medical University, Zunyi, China.
Int Arch Allergy Immunol. 2021;182(9):852-862. doi: 10.1159/000515292. Epub 2021 Apr 23.
The prevalence of food allergy (FA) is increasing, and there is an urgent need to take effective measures against it. One important measure is the avoidance diet, which shows a disadvantage, especially in case of accidental exposure. Oral tolerance restoration sheds new light on the control of FA. Oral tolerance is naturally a state of systemic unresponsiveness of the gastrointestinal tract to food antigens and its restoration can be a clinical therapy for FA. Its immune basis lies on the intestinal mucosal immune system and factors, such as gut microbiota and food processing methods, are also important. This review presents recent advances in oral tolerance and its closely related factors.
食物过敏(FA)的患病率正在增加,因此迫切需要采取有效措施加以应对。其中一个重要措施是回避饮食,但这种方法存在缺点,特别是在意外暴露的情况下。口服耐受恢复为 FA 的控制提供了新的思路。口服耐受是一种胃肠道对食物抗原的全身性无反应状态,其恢复可能是 FA 的一种临床治疗方法。其免疫基础在于肠道黏膜免疫系统,肠道菌群和食物加工方法等因素也很重要。本文综述了口服耐受及其相关因素的最新进展。