Gouel-Chéron Aurélie, Dejoux Alice, Lamanna Emma, Bruhns Pierre
Université Paris Cité, 75010 Paris, France.
Anaesthesiology and Critical Care Medicine Department, DMU Parabol, Bichat-Claude Bernard Hospital, AP-HP, 75018 Paris, France.
Biology (Basel). 2023 Jun 29;12(7):931. doi: 10.3390/biology12070931.
Allergies and atopy have emerged as significant public health concerns, with a progressively increasing incidence over the last two decades. Anaphylaxis is the most severe form of allergic reactions, characterized by a rapid onset and potentially fatal outcome, even in healthy individuals. Due to the unpredictable nature and potential lethality of anaphylaxis and the wide range of allergens involved, clinical studies in human patients have proven to be challenging. Diagnosis is further complicated by the lack of reliable laboratory biomarkers to confirm clinical suspicion. Thus, animal models have been developed to replicate human anaphylaxis and explore its pathophysiology. Whereas results obtained from animal models may not always be directly translatable to humans, they serve as a foundation for understanding the underlying mechanisms. Animal models are an essential tool for investigating new biomarkers that could be incorporated into the allergy workup for patients, as well as for the development of novel treatments. Two primary pathways have been described in animals and humans: classic, predominantly involving IgE and histamine, and alternative, reliant on IgG and the platelet-activating factor. This review will focus essentially on the former and aims to describe the most utilized IgE-mediated anaphylaxis animal models, including their respective advantages and limitations.
过敏和特应性已成为重大的公共卫生问题,在过去二十年中发病率呈逐渐上升趋势。过敏反应是最严重的过敏形式,其特点是发病迅速,即使在健康个体中也可能导致致命后果。由于过敏反应具有不可预测性和潜在致死性,且涉及的过敏原范围广泛,在人类患者中进行临床研究已被证明具有挑战性。缺乏可靠的实验室生物标志物来证实临床怀疑使得诊断更加复杂。因此,已开发出动物模型来模拟人类过敏反应并探索其病理生理学。虽然从动物模型获得的结果并不总是能直接转化应用于人类,但它们为理解潜在机制奠定了基础。动物模型是研究可纳入患者过敏检查的新生物标志物以及开发新疗法的重要工具。在动物和人类中已描述了两种主要途径:经典途径,主要涉及IgE和组胺;替代途径,依赖于IgG和血小板活化因子。本综述将主要关注前者,旨在描述最常用的IgE介导的过敏反应动物模型,包括它们各自的优点和局限性。