关键词: Allergen molecule Allergy Prediction Prevention Sensitization Tolerance

Mesh : Adolescent Allergens / immunology therapeutic use Asthma / immunology therapy Child Cohort Studies Desensitization, Psychologic / methods Food Food Hypersensitivity / immunology therapy Humans Immune Tolerance Immunoglobulin E / metabolism Population Groups

来  源:   DOI:10.1016/j.smim.2017.07.005   PDF(Sci-hub)

Abstract:
Allergic sensitization is a risk factor for developing IgE-mediated allergic diseases, which are a major cause of chronic illness world-wide. The introduction of allergen molecules to the field of allergy diagnostics has allowed dissecting the IgE response on a molecular level to pinpoint the specific disease-causing allergens. Studying birth cohorts is an essential tool for understanding the development and life course of allergy, enabling the possibility to design preventive strategies. Here we review the evolution of sensitization using data from some of the large European birth cohort studies. Differences and similarities between sensitization to food and various sources of inhalant allergens are discussed and allergen molecules of importance in early childhood predicting disease in adolescence are highlighted. Finally, we discuss windows of opportunity where intervention could be considered and address possible preventive strategies.
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