Udoye Christopher C, Ehlers Marc, Manz Rudolf A
Institute for Systemic Inflammation Research, University of Lübeck, 23562 Lübeck, Germany.
Laboratories of Immunology and Antibody Glycan Analysis, Institute for Nutritional Medicine, University of Lübeck and University Medical Center Schleswig-Holstein, 23538 Lübeck, Germany.
Biology (Basel). 2023 Dec 7;12(12):1501. doi: 10.3390/biology12121501.
Food allergies are a growing public health concern worldwide, especially in children and young adults. Allergen-specific IgE plays a central role in the pathogenesis of food allergies, but their titers poorly correlate with allergy development. Host immune systems yield allergen-specific immunoglobulin (Ig)A, IgE and IgG subclasses with low or high affinities and differential Fc -glycosylation patterns that can affect the allergic reaction to food in multiple ways. High-affinity IgE is required to induce strong mast cell activation eventually leading to allergic anaphylaxis, while low-affinity IgE can even inhibit the development of clinically relevant allergic symptoms. IgA and IgG antibodies can inhibit IgE-mediated mast cell activation through various mechanisms, thereby protecting IgE-positive individuals from allergy development. The production of IgE and IgG with differential allergenic potential seems to be affected by the signaling strength of individual B cell receptors, and by cytokines from T cells. This review provides an overview of the diversity of the B cell response and the diverse roles of antibodies in food allergy.
食物过敏在全球范围内日益成为一个公共卫生问题,尤其是在儿童和年轻人中。过敏原特异性IgE在食物过敏的发病机制中起核心作用,但其滴度与过敏发展的相关性较差。宿主免疫系统产生具有低亲和力或高亲和力以及不同Fc-糖基化模式的过敏原特异性免疫球蛋白(Ig)A、IgE和IgG亚类,这些模式可通过多种方式影响对食物的过敏反应。高亲和力IgE是诱导强烈的肥大细胞活化最终导致过敏性过敏反应所必需的,而低亲和力IgE甚至可以抑制临床相关过敏症状的发展。IgA和IgG抗体可通过多种机制抑制IgE介导的肥大细胞活化,从而保护IgE阳性个体免于发生过敏。具有不同致敏潜力的IgE和IgG的产生似乎受单个B细胞受体的信号强度以及T细胞细胞因子的影响。本综述概述了B细胞反应的多样性以及抗体在食物过敏中的多种作用。
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