Miranda-Waldetario Mariana C G, Curotto de Lafaille Maria A
Division of Allergy and Immunology, Department of Pediatrics, Jaffe Food Allergy Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Department of Immunology and Immunotherapy, Lipschultz Precision Immunology Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Immunol Rev. 2024 Sep;326(1):8-16. doi: 10.1111/imr.13370. Epub 2024 Jul 25.
Immune tolerance to foods develops in the intestine upon food ingestion and is essential to prevent IgE-mediated food allergy and gut inflammation. In homeostasis, the intestine is a tolerogenic environment that favors the formation of food-specific Foxp3 regulatory T cells. A tolerogenic intestinal environment depends on colonization by diverse microbiota and exposure to solid foods at a critical period in early life. These early immune responses lead to the induction of antigen-specific Foxp3 regulatory T cells in draining mesenteric lymph nodes. These peripherally induced regulatory cells circulate and seed the lamina propria of the gut, exerting suppressive function systemically and locally in the intestine. Successful establishment of a tolerogenic intestinal environment in early life sets the stage for oral tolerance to new antigens in adult life.
食物摄入后,肠道会产生对食物的免疫耐受,这对于预防IgE介导的食物过敏和肠道炎症至关重要。在稳态下,肠道是一个有利于形成食物特异性Foxp3调节性T细胞的致耐受性环境。致耐受性肠道环境取决于多种微生物群的定植以及在生命早期关键时期接触固体食物。这些早期免疫反应会导致在引流肠系膜淋巴结中诱导产生抗原特异性Foxp3调节性T细胞。这些外周诱导的调节性细胞循环并定植于肠道固有层,在肠道中发挥全身和局部抑制功能。生命早期成功建立致耐受性肠道环境为成年期对新抗原的口服耐受奠定了基础。
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