Current Opinion in Clinical Nutrition & Metabolic Care,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 17, 2024
Purpose
of
the
review
New
dietary
trends
driven
by
environmental
and
health
considerations
will
undoubtedly
lead
to
emergence
novel
food
allergens.
Assessment
allergenic
risk
new
or
modified
protein-containing
sources
ingredients,
as
well
surveillance
emerging
allergies,
is
then
required.
Recent
findings
Developments
in
silico
vitro
models
apprehending
protein
capacity
cross-react
with
other
homologous
proteins
induce
a
de
novo
allergic
sensitization
are
ongoing
better
integrate
multiple
parameters
such
3D
structural
information
major
histocompatibility
complex
class
II
(MHC-II)
presentation
propensity.
However,
effects
matrices
processing
still
need
be
addressed
these
models.
Consequently,
clinical
postmarket
remain
critical
importance
alert
on
emergent
which
modulated
regional
practices.
Summary
Monitoring
allergens
requires
close
collaborations
between
allergologists,
consumers,
patient
associations
safety
authorities.
We
also
get
consensus
an
acceptable
level
that
offers
possibility
develop
market
innovative
sustainable
products.
This
mini-review
examines
the
emerging
role
of
gut
microbiome
in
influencing
food
allergen
cross-reactivity.
It
specifically
focuses
on
how
microbial
diversity,
antigens,
and
metabolites
impact
IgE-mediated
allergic
responses.
Cross-reactivity
occurs
when
structurally
similar
antigens
trigger
hypersensitivities,
affecting
millions
people
worldwide.
Recent
research
underscores
significance
diversity
early
life
for
developing
immune
tolerance.
Beneficial
strains,
such
as
Lactobacillus
Bifidobacterium,
play
a
crucial
supporting
functions
T
regulatory
cells
(Tregs)
immunoglobulin
A
(IgA).
Additionally,
we
discuss
metabolites,
particularly
short-chain
fatty
acids
(SCFAs),
which
enhance
tolerance
by
promoting
Treg
differentiation
maintaining
barrier
integrity,
thereby
reducing
entry.
However,
it
is
important
to
note
that
SCFAs
can
provoke
inflammatory
responses
under
certain
conditions,
highlighting
necessity
targeted
their
dual
effects.
Dysbiosis-related
intestinal
permeability,
often
referred
"leaky
gut,"
further
worsen
Microbial
like
lipopolysaccharides
(LPS)
are
known
influence
Th2-dominant
Clinical Chemistry and Laboratory Medicine (CCLM),
Год журнала:
2024,
Номер
62(12), С. 2339 - 2355
Опубликована: Май 30, 2024
Abstract
Identification
of
the
molecular
culprits
allergic
reactions
leveraged
allergology
applications
in
clinical
laboratory
medicine.
Molecular
shifted
focus
from
complex,
heterogeneous
allergenic
extracts,
e.g.
pollen,
food,
or
insect
venom,
towards
genetically
and
immunologically
defined
proteins
available
for
vitro
diagnosis.
is
a
precision
medicine
approach
diagnosis,
stratification,
therapeutic
management,
follow-up
prognostic
evaluation
patients
within
large
range
diseases.
Exclusively
nonredundant
with
any
current
tools
allergy
investigation.
As
an
example
major
application,
discrimination
genuine
sensitization
allergen
cross-reactivity
at
level
allows
proper
targeting
culprit
thus
dramatically
improves
patient
management.
This
review
aims
introducing
specialists
to
allergology,
biochemical
genetic
bases,
through
immunological
concepts,
daily
use
diagnosis
management
Frontiers in Immunology,
Год журнала:
2025,
Номер
15
Опубликована: Янв. 7, 2025
Approximately
32
million
people
in
the
United
States
suffer
from
food
allergies.
Some
groups,
such
as
legumes
-
peanuts,
tree
nuts,
fish,
and
shellfish,
have
a
high
risk
of
cross-reactivity.
However,
murine
model
multiple
group
cross-reactivity
is
limited.
We
sought
to
develop
that
can
be
used
investigate
novel
therapeutics
for
treatment
C3H/HeJ
mice
were
sensitized
intraperitoneally
(i.p.)
once
week
three
weeks
with
mixture
500µg
protein
peanut,
cashew,
walnut,
shrimp,
cod,
2
mg
Alum.
The
control
consisted
naïve
mice.
IgE
levels
against
allergens
their
cross-reactive
measured
by
ELISA
at
baseline
3
after
sensitization.
In
4
5,
given
intragastric
challenges
200mg/mouse
each
food:
chickpea,
lentil,
almond,
pistachio,
hazelnut,
brazil
nut,
pecan,
lobster,
salmon,
mackerel.
After
challenge,
anaphylactic
symptoms,
rectal
temperatures,
plasma
histamine
measured.
There
was
significant
elevation
antigens
(peanut
cod)
well
oral
challenge
including
nuts
pecan.
Furthermore,
there
increase
crustaceans
lobster
fish
like
mackerel
(p<0.01).
Consistently,
significantly
increased
symptom
scores
(p<0.05),
decreased
temperature
(p<0.001),
(p<0.05)
compared
occurred
following
foods
unsensitized,
but
foods.
generated
comprehensive
IgE-mediated
groups
anaphylaxes.
This
will
provide
an
essential
tool
developing
therapies
Allergies,
Год журнала:
2025,
Номер
5(1), С. 8 - 8
Опубликована: Март 13, 2025
Background:
Tree
nut
allergy
affects
approximately
1%
of
the
U.S.
population
and
prevalence
is
increasing.
Walnut
most
commonly
reported
tree
in
United
States.
This
study
aimed
to
investigate
IgE
cross-reactivity
between
walnut
allergen
Jug
r
4
peanut
Ara
h
3
individuals
with
dual
allergies.
Methods:
was
purified
from
whole
extract
analyzed
via
western
blot
using
anti-Ara
antibodies
alongside
serum
allergic
patients.
Sera
both
peanuts
walnuts
were
utilized
examine
peptide
microarrays
comprising
synthetic
overlapping
15
mer
peptides,
offset
by
five
amino
acids,
4.
These
results
compared
against
computationally
predicted
epitopes
Structural
Database
for
Allergic
Proteins
(SDAP).
Additionally,
SWISS-MODEL
protein
modeling
software
employed
map
onto
Results:
Our
findings
revealed
previously
unreported
dual-allergic
sera
within
allergens,
highlighting
locations
empirically
determined
SDAP-predicted
epitopes.
Conclusions:
While
six
as
cross-reactive,
only
three
frequently
recognized
individuals,
underscoring
their
potential
significance
clinically
relevant
cross-reactivity.
Nutrients,
Год журнала:
2025,
Номер
17(9), С. 1405 - 1405
Опубликована: Апрель 22, 2025
Background:
Edible
insects
(EIs)
are
increasingly
recognized
as
a
sustainable
protein
source,
yet
concerns
persist
regarding
allergic
reactions,
even
in
individuals
without
prior
known
consumption.
This
study
examines
the
immune
response
profile
patients
from
subtropical
area
to
improve
understanding
of
mite-related
cross-reactivity
and
emerging
food
sensitizations.
Methods:
To
assess
sensitization
edible
insects,
we
analyzed
634
tertiary
care
allergy
institution
with
high
perennial
exposure
house
dust
mites
storage
mites.
Sensitization
patterns
were
assessed
using
ALEX²®
MacroArray
platform,
multiplex
IgE
diagnostic
tool
covering
282
allergens,
including
Locusta
migratoria
(Lm),
Acheta
domesticus
(Ad),
T.
molitor
(Tm).
Patients
levels
≥0.3
kU/L
evaluated
for
both
mite
allergens
pan-allergens.
Results:
Of
patients,
138
(21.76%)
exhibited
at
least
one
EI
extract.
Tropomyosin
was
most
prevalent
pan-allergen
(63.76%),
followed
by
troponin-C
(28.98%)
arginine
kinase
(26.81%).
Notably,
95.66%
EI-sensitized
also
reacted
allergens.
However,
23.18%
lacked
reactivity
common
pan-allergens,
suggesting
alternative
mechanisms.
Conclusions:
investigation
can
highlight
regional
variations
sensitization,
where
climates
appears
influence
responses
insect
proteins.
The
findings
suggest
that
is
not
merely
incidental
but
represents
distinct
immunological
phenomenon
shaped
environmental
factors
allergen
cross-reactivity.
Since
presence
food-specific
does
reliably
indicate
clinical
allergy,
lack
challenge
data
constrains
certainty,
acknowledging
potential
risk
factor
remains
essential
ensuring
safety
protecting
public
health.
Food
allergies
are
a
growing
public
health
concern,
with
cross-reactivity
complicating
diagnosis
and
management.
Cross-reactivity
occurs
when
immune
responses
to
one
allergen
trigger
reactions
similar
proteins
in
other
allergens.
There
is
lack
of
regional
data
on
the
prevalence
patterns
food
Saudi
Arabia,
particularly
Makkah
region.
This
study
investigates
among
adults
Makkah,
considering
gender-
age-related
differences.
A
cross-sectional
survey
was
conducted
between
July
October
2021
93
aged
18
years
or
older
residing
region
who
self-reported
doctor-diagnosed
allergies.
Participants
were
recruited
through
an
online
questionnaire
distributed
via
social
media.
The
survey,
validated
by
expert
reviewers
pretested
for
clarity,
collected
demographic
information,
types,
data.
Descriptive
statistics,
chi-square
tests,
matrix
used
assess
co-sensitization
associations.
identified
high
rates
nut,
egg,
fruit
allergies,
significant
cross-reactivity,
participants
allergic
nuts.
Females
reported
higher
allergy
(65.6%)
compared
males
(34.4%),
aligning
global
trends.
Middle-aged
females
exhibited
highest
cross-reactivity.
most
frequent
observed
nut
(100%),
egg
(90.7%),
(89.2%)
Specifically,
90.9%
individuals
nuts
experienced
more
than
two
revealed
both
expected
(e.g.,
tree
peanuts)
unexpected
fruits
seafood),
suggesting
possible
influence
panallergens,
co-sensitization,
dietary
factors.
highlights
region,
findings
underscore
need
clinician
awareness
atypical
panallergen-driven
support
tailored
patient
counseling
management
strategies.
Region-specific
screening
protocols
culturally
informed
campaigns
recommended
address
local
practices
improve
awareness.
Future
longitudinal
interventional
studies
incorporating
objective
diagnostic
tools
essential
validate
these
effectiveness
targeted
interventions.
These
insights
can
inform
clinical
guidelines
national
policies
diagnosis,
treatment,
education
Arabia.
This
study
analysed
allergen
sensitization
patterns
in
Cape
Town,
a
biodiversity-rich
region
with
Mediterranean
climate,
using
ALEX®
and
ALEX²®
multiplex
component-resolved
diagnostics
tools.
It
aimed
to
address
gaps
sensitisation
pattern
data
complement
aerobiological
monitoring.
A
retrospective
review
of
708
adults
children
attending
two
tertiary
allergy
clinics
(2019-2024)
found
that
house
dust
mites
were
the
most
common
allergens,
affecting
50%-60%
participants,
Der
p
23
particularly
prevalent
(53%).
Grass
pollen
was
also
high
(46%),
85%
sensitised
C4
grass
Bermuda.
Tree
occurred
29%
14%
diverse
range
trees
but
neither
London
plane
nor
Cypress
currently
recommended
limited
testing
panels.
Common
food
allergens
included
fruits
(30%),
seafood
(27%),
nuts
(25%),
often
linked
cross-reactivity.
Our
confirms
known
aeroallergen
for
coastal
temperate
region,
increasing
sensitisation,
particular
grasses.
Clinicians
should
be
aware
diversity
tree
cross-reactivity
between
sensitisations
rates
minor
Blomia
animal
danders
when
considering
allergen-immunotherapies.