Lee Hwa Yeong, Nazmul Tanuza, Lan Jinggang, Oyoshi Michiko K
Mucosal Immunology and Biology Research Center, Massachusetts General Hospital for Children, Boston, Massachusetts, USA.
Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA.
Immunol Rev. 2024 Sep;326(1):130-150. doi: 10.1111/imr.13392. Epub 2024 Sep 14.
The prevalence of allergies has been globally escalating. While allergies could appear at any age, they often develop in early life. However, the significant knowledge gap in the field is the mechanisms by which allergies affect certain people but not others. Investigating early factors and events in neonatal life that have a lasting impact on determining the susceptibilities of children to develop allergies is a significant area of the investigation as it promotes the understanding of neonatal immune system that mediates tolerance versus allergies. This review focuses on the research over the recent 10 years regarding the potential maternal factors that influence offspring allergies with a view to food allergy, a potentially life-threatening cause of anaphylaxis. The role of breast milk, maternal diet, maternal antibodies, and microbiota that have been suggested as key maternal factors regulating offspring allergies are discussed here. We also suggest future research area to expand our knowledge of maternal-offspring interactions on the pathogenesis of food allergy.
过敏症的患病率在全球范围内一直在上升。虽然过敏可在任何年龄出现,但通常在生命早期发生。然而,该领域存在的重大知识空白是过敏影响某些人而不影响其他人的机制。研究新生儿期对确定儿童患过敏症易感性有持久影响的早期因素和事件是一个重要的研究领域,因为它有助于理解介导耐受性与过敏症的新生儿免疫系统。本综述重点关注近10年来关于影响后代过敏症的潜在母体因素的研究,尤其是食物过敏,这是一种可能危及生命的过敏反应原因。本文讨论了母乳、母体饮食、母体抗体和微生物群的作用,这些被认为是调节后代过敏症的关键母体因素。我们还提出了未来的研究领域,以扩大我们对母婴相互作用在食物过敏发病机制方面的认识。
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