A structural basis for food allergy: the role of cross-reactivity
Autor: | Randall M. Goldblum, Terumi Midoro-Horiuti, Rana S. Bonds |
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Rok vydání: | 2008 |
Předmět: |
Immunology
Carbohydrates Cross Reactions medicine.disease_cause Diagnostic tools Cross-reactivity Epitopes Profilins Oral allergy syndrome Food allergy Immunology and Allergy Medicine Humans False Positive Reactions Food allergens Plant Proteins business.industry Genetically engineered digestive oral and skin physiology Molecular Mimicry Specific immunotherapy Allergens Antigens Plant Immunoglobulin E medicine.disease Structural Homology Protein Binding Sites Antibody Immunotherapy business Carrier Proteins Plant immunology Food Hypersensitivity Software |
Zdroj: | Current opinion in allergy and clinical immunology. 8(1) |
ISSN: | 1528-4050 |
Popis: | Purpose of review Immunologic cross-reactivity, which is important in many aspects of host defense and immune-mediated diseases, is a prominent feature of allergic disorders. The goal of this article is to define allergenic cross-reactivity and its role in food allergy, review current understanding of mechanisms of cross-reactivity, and consider how advances in our ability to predict cross-reactivity can impact diagnosis and treatment of food allergy. Recent findings Recent evidence suggests that specific T cells, in addition to IgE, developed in response to inhaled allergens can cross-react with related food allergens, leading to distinct clinical reactions. Several new cross-reactivities have been identified, including food-food, pollen-food, and latex-venom associations. Debate continues regarding prediction of allergenicity based on protein structure, and clinical relevance of in-vitro testing. Cross-reactivity is also being used to develop specific immunotherapy for treatment of food allergy. Summary A thorough understanding of immunologic cross-reactivity is essential to advancing our knowledge about food allergy. This knowledge will help elucidate the pathogenesis of the disorder and prevent exposures to allergenic, genetically engineered foods. New insight will allow for better utilization of current diagnostic tools and the development of more accurate tests and therapies for food allergy. |
Databáze: | OpenAIRE |
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