肠道菌群调控下的食物过敏机制研究进展

随着过敏人群数量的快速增加,食物过敏日益受到人们的关注。肠道微生物在机体免疫系统的形成和发展 中扮演着重要角色,越来越多的研究表明,抗生素的使用、膳食结构的改变等因素所引起的肠道菌群紊乱将会增加 人群患食物过敏的机率。本文将从细胞和分子水平综述目前对口服耐受的产生及因其缺失而引起食物过敏的相关机 理的研究,并在此基础上讨论肠道微生物调节食物过敏的潜在通路,最后概述有关益生菌缓解食物过敏的应用及机 制研究。通过了解肠道微生物与宿主黏膜系统的相互作用,可为预防及治疗食物过敏提供新的调控靶点和研究思 路,并为益生菌缓解食物过敏提供理论依据和改进方案,从而减少食物过敏的发生。     

T lymphocytes and food allergy

Food allergy is a hypersensitivity reaction to normally harmless substances and involves humoral immune responses, mediated by immunoglobulin (IgE) synthesized by B lymphocytes, and cellular immune responses mediated by T lymphocytes. An IgE-mediated mechanism leads to clinical symptoms occurring immediately after food ingestion, e. g., "the oral allergy syndrome". For delayed reactions involving the gastrointestinal tract or the skin, the underlying immune mechanisms are less clear. In order to elucidate the cellular response to food allergens, human allergen-specific T cell cultures generated in vitro represent helpful tools. The majority of food allergen-specific CD4(+) T lymphocytes isolated from food-allergic individuals was found to synthesize high levels of IL-4 and IL-13, two cytokines required for initiation of IgE synthesis. Due to selective homing profiles, food-specific T cells seem also to be involved in defining the target organ of the allergic inflammation. Recent data provide evidence that in addition to IgE-mediated inflammation, food allergen-specific T lymphocytes may also cause inflammatory responses independently of IgE-mediated mechanisms.     

对虾原肌球蛋白不同致敏途径对BALB/c小鼠致敏性的影响

随着食物过敏现象的日益普遍,其已成为工业化国家一个严重的公众健康问题。食物蛋白致敏机理的相关 研究大多借助于两大类小鼠模型,即口服致敏模型和局部或皮肤致敏模型。然而,不同模型之间的差异以及如何选 择合适的模型进行研究却鲜有人关注。鉴于此,本研究旨在通过比较对虾原肌球蛋白口服灌胃和腹腔注射两种给药 途径对BALB/c小鼠致敏性的影响,寻求最佳给药方式,以便建立有效的动物模型,并在分子及免疫水平研究其致 敏机理,从而为食物过敏原动物模型的构建提供一定的理论依据,也为研究食物过敏原致敏机制以及预防治疗食物 过敏提供重要的模型依据。结果表明,腹腔注射小鼠血清中特异性免疫球蛋白（immunoglobulin,Ig）E、组胺以及 辅助性T细胞（helper T cells,Th）2型细胞因子含量均高于口服灌胃小鼠,其致敏性更好。此外,口服灌胃小鼠血 清特异性IgG2a、干扰素-γ、调节性T细胞水平增加,表明虽有黏膜佐剂作用,但口服给药仍可能使小鼠产生口服免 疫耐受,从而降低对虾原肌球蛋白对其的致敏性。本研究表明,腹腔注射原肌球蛋白比口服灌胃更易使小鼠致敏, 其Th1/Th2平衡被打破,Th2反应占据优势,更适合用于构建食物致敏动物模型。     

食品加工对蛋清致敏性的影响研究进展

摘要：鸡蛋是人们日常生活中不可或缺的营养品，然而，鸡蛋也是最常见的引起过敏反应的食物之一。婴儿和儿童是鸡蛋过敏的高发人群，鸡蛋过敏反应主要是由血清免疫球蛋白E（IgE）介导的，引发皮肤、消化道、呼吸道相关的症状，甚至可导致危及生命的严重过敏反应。鸡蛋过敏目前尚无特效治愈方法，患者严格避免摄入鸡蛋成分被认为是最有效的预防手段，但严格避食会影响患者的生活质量和膳食营养，且因意外摄入鸡蛋过敏原导致过敏症状出现的情况屡屡发生。可见在鸡蛋过敏的应对方面，迫切需要新的有效方法。食品加工技术作为从鸡蛋致敏的源头上控制过敏反应的方法，近年来发展迅速。本文综述了各种常见食品加工方法对蛋清致敏性的影响，为后续开发低致敏鸡蛋产品提供思路。     

玉米中的过敏原及物理加工对食品致敏性的影响研究进展

随着食用玉米的人群越来越广泛,玉米过敏问题日渐凸显。对玉米过敏的有效防御被人们所重视,加工通过改变过敏原的蛋白结构可以使过敏原致敏性降低。其中食品加工对过敏原致敏性的研究主要集中在热处理方面;然而各种非热方法,如微波、超高压等食品加工新技术,在降低食品的致敏性方面也有广阔的应用前景。相比来说非热方法通常是有利的,它们能够保留在热处理过程中经常改变的感官特性,如营养成分和风味。本文综述了玉米过敏原研究现状,总结了玉米中的过敏原,描述了对食物进行热处理和非热处理在改变食物过敏原反应性方面的作用,并且提出多种加工方式联合使用来降低玉米过敏原致敏性的未来研究方向,为玉米过敏的防御提供参考。     

Milk allergens, their characteristics and their detection in food: A review

Cow's milk allergy (CMA) is one of the most common food allergies in childhood. This allergy is normally outgrown in the first year of life, however 15% of allergic children remain allergic. Many studies have been carried out to define and characterise the allergens involved in CMA and described two major allergens: casein (αs1-CN) and β-lactoglobulin. In addition to this, many other milk proteins are antigenic and capable of inducing immune responses. Milk from sheep or goats differs from cow's milk (CM) in terms of composition and allergenic properties. Food processing such as heating affects the stability, structure and intermolecular interactions of CM proteins, thereby changing the allergenic capacity. Chemical and proteolytic treatments of milk to obtain milk hydrolysates have been developed to reduce allergic reactions. Prevention of CMA largely relies on avoidance of all food products containing cow's milk. To achieve this, interest has focused on the development of various technologies for detecting and measuring the presence of milk allergens in food products by immunoassays or proteomic approaches. This review describes the technologies implemented for the analysis of milk allergens (allergenicity, biochemistry) as well as their potential detection in food matrices.     

肠道菌群与食物过敏性疾病研究进展

食物过敏作为食品安全的热点问题在全球引起了广泛关注,食物过敏发病率的不断增加与肠道菌群结构和功能的变化密切相关。生活环境和膳食结构的改变、抗生素的使用等诸多因素都可引起肠道菌群失衡,而肠道菌群丰度和多样性的变化可导致肠道菌群与宿主免疫系统相互作用的变化,从而破坏口服耐受增加食物过敏的发病率。近年来随着肠道菌群-宿主相互作用等相关研究的不断深入,调整肠道菌群结构为过敏性疾病的防治提供了新的思路,因而益生菌在预防和治疗食物过敏中的作用开始备受关注。本文首先从细胞和分子水平总结了口服耐受和食物过敏的产生的相关机理,进一步综述了目前对于肠道菌群通过与宿主黏膜免疫系统相互作用调节食物过敏的相关机制研究,并探讨益生菌防治食物过敏的潜在机理,以期为益生菌在预防和治疗食物过敏中的应用提供理论依据。     

A Comprehensive Review on Kiwifruit Allergy: Pathogenesis,Diagnosis, Management,and Potential Modification of Allergens Through Processing

Kiwifruit is rich in bioactive components including dietary fibers, carbohydrates, natural sugars, vitamins, minerals, omega‐3 fatty acids, and antioxidants. These components are beneficial to boost the human immune system and prevent cancer and heart diseases. However, kiwifruit is emerging as one of the most common elicitors of food allergies worldwide. Kiwifruit allergy results from an abnormal immune response to kiwifruit proteins and occur after consuming this fruit. Symptoms range from the oral allergy syndrome (OAS) to the life‐threatening anaphylaxis. Thirteen different allergens have been identified in green kiwifruit and, among these allergens, Act d 1, Act d 2, Act d 8, Act d 11, and Act d 12 are defined as the “major allergens.” Act d 1 and Act d 2 are ripening‐related allergens and are found in abundance in fully ripe kiwifruit. Structures of several kiwifruit allergens may be altered under high temperatures or strong acidic conditions. This review discusses the pathogenesis, clinical features, and diagnosis of kiwifruit allergy and evaluates food processing methods including thermal, ultrasound, and chemical processing which may be used to reduce the allergenicity of kiwifruit. Management and medical treatments for kiwifruit allergy are also summarized.     

Food allergy

Adverse clinical reactions to food associated with disturbed immunologic function (food allergy) affect 1-3% of the population and vary from life-threatening to a minor inconvenience. They must be differentiated from reactions caused by toxins, pharmacologic agents, enzyme deficiences and non-specific release of inflammatory mediator substances. Enteric absorption of food protein antigens which may occur despite an array of gastrointestinal protective mechanisms normally induces both a protective immune response and immunologic tolerance. Quantitative changes in absorption related to deficient protective mechanisms or excessive antigen load may contribute to the development of an allergic immune response and explain the greater incidence of food allergy in infants and children. Important factors include immunologic immaturity, enhanced macromolecular mucosal transport, intrauterine and neonatal malnutrition, breast feeding and infection. Double-blind food challenge tests remain as the most definitive diagnostic yardstick but carefully standardized skin tests may be helpful if interpreted in the context of the clinical history. Despite the association of food allergy with food antigen specific IgE hypersensitivity, immune complex formation and lymphocyte sensitization the pathophysiological changes which result in symptoms remain obscure. Recent advances have clarified many aspects of our knowledge of food allergy but inevitably have raised many more questions for future study.     

Immunomodulating peptides for food allergy prevention and treatment

Among the most promising strategies currently assayed against IgE-mediated allergic diseases stands the possibility of using immunomodulating peptides to induce oral tolerance toward offending food allergens or even to prevent allergic sensitization. This review focuses on the beneficial effects of food derived immunomodulating peptides on food allergy, which can be directly exerted in the intestinal tract or once being absorbed through the intestinal epithelial barrier to interact with immune cells. Food peptides influence intestinal homeostasis by maintaining and reinforcing barrier function or affecting intestinal cell-signalling to nearby immune cells and mucus secretion. In addition, they can stimulate cells of the innate and adaptive immune system while supressing inflammatory responses. Peptides represent an attractive alternative to whole allergens to enhance the safety and efficacy of immunotherapy treatments. The conclusions drawn from curative and preventive experiments in murine models are promising, although there is a need for more pre-clinical studies to further explore the immunomodulating strategy and its mechanisms and for a deeper knowledge of the peptide sequence and structural requirements that determine the immunoregulatory function.     

降低鸡蛋致敏性的加工方法研究进展

鸡蛋是人们日常饮食中的高营养物质,但也是国际公认的八大过敏食物之一。鸡蛋过敏占儿童食物过敏的35%,占成人食物过敏的12%。鸡蛋过敏的主要症状包括过敏性皮炎、荨麻疹、胃肠道紊乱、腹痛等,其致敏性严重影响了鸡蛋过敏患者的健康及鸡蛋加工品的普及性。近年来国内外学者对如何降低鸡蛋蛋白的致敏性开展了大量的研究,所采用的方法有单一加工方法和联合加工方法。降低鸡蛋蛋白致敏性的单一加工方法主要有加热、辐照、糖基化、高压、酶解等;联合加工方法是几种单一方法按一定加工顺序的复合处理。文章综述了不同加工方法对鸡蛋蛋白致敏性的影响,并分析了目前降低鸡蛋致敏性的加工方法中存在的问题,为后续开发降低鸡蛋致敏性的加工方法提供了思路。     

Effects of daily food processing on allergenicity

Daily food processing has the potential to alter the allergenicity of foods due to modification of the physico-chemical properties of proteins. The degree of such modifications depends on factors such as processing conditions, type of food considered, allergenic content, etc. The impact of daily food processing like boiling, roasting, frying or baking on food allergenicity have been extensively studied. The influence of other thermal treatments such as microwave heating or pressure cooking on allergenicity has also been analyzed. Non-thermal treatment such as peeling impacts on the allergenic content of certain foods such as fruits. In this review, we give an updated overview of the effects of daily processing treatments on the allergenicity of a wide variety of foods. The different variables that contribute to the modification of food allergenicity due to processing are also reviewed and discussed.     

儿童食物过敏及其饮食干预治疗研究进展

食物过敏是指由人体免疫系统介导的食物不良反应,常见皮肤、消化道、呼吸道症状,如特应性鼻炎等疾病,严重会出现休克等现象。儿童作为食物过敏易感人群,其生长发育极易受到影响,并且近年来全球儿童食物过敏人群逐年增长,因此对于儿童食物过敏进行预防和治疗有着十分重要的意义。但目前关于儿童食物过敏的流行病学资料仍然比较缺乏,通过查阅中英文文献,本文对儿童食物过敏的常见致敏食物、过敏机制、发病因素及诊治方法进行综述,为食物过敏的预防和治疗方向提供一定的理论依据。     

抗原口服耐受性影响因素的研究进展

抗原口服耐受性是经口接触某种抗原物质后机体再次接触这种抗原时对其免疫应答的主动抑制.机体每天都要接触大量的食物抗原,而抗原口服耐受性的存在使绝大部分人不会对这些抗原产生过敏反应.食物致敏性是人们关注的热点之一,通过建立动物模型来研究食物致敏性是一条比较直接的途径,而降低实验动物的口服耐受性可有效提高该模型的检出效力.本文就近年来口服耐受性影响因素及消除口服耐受性的措施或方法方面的研究进展进行综述.     

美拉德反应调节食物过敏反应的研究进展

近年来食物过敏发生率急剧增加,已是全球关注的公共卫生问题。美拉德反应作为食品加工和储存过程中最重要的化学反应之一,过敏原蛋白被修饰后由于结构发生了变化,必然引起致敏性改变,进而可能引发机体对于不同处理条件的抗原免疫耐受不一致,导致过敏反应。本文首先介绍了美拉德反应修饰蛋白质的过程及机理,进而解析不同影响因素调节美拉德反应终产物对致敏性的影响,最后阐述影响肠道菌群及其免疫应答机制的相关研究进行综述,并对美拉德反应作为一种尚未被完全开发和应用的加工方式进行展望。     

Potential Utility of High‐Pressure Processing to Address the Risk of Food Allergen Concerns

High‐pressure processing (HPP) technology is a novel, nonthermal processing technology for food. This special processing method can inactivate microorganisms and enzymes in food at room temperature using ultra‐high pressures of above 100 MPa, while the original flavor and nutritional value of the food are maintained, with an extended refrigerated shelf‐life of the food in distribution. In recent years, because of the rising prevalence of food allergies, many researchers have actively sought processing methods that reduce the allergenicity of food allergens. This study describes the effects of the current HPP technology on allergen activity. Our main goal was to provide an overview of the current research achievements of the application of HPP to eliminate the allergenicity of various foods, including legumes, grains, seafood, meat, dairy products, fruits, and vegetables. In addition, the processing parameters, principles, and mechanisms of HPP for allergen destruction are discussed, such as the induction of protein denaturation, the change in protein conformation, allergen removal using the high‐pressure extraction technology, and the promotion of enzymatic hydrolysis to alter the sensitization of the allergens. In the future, the application of HPP technology as a pretreatment step for raw food materials may contribute to the development of food products with low or no allergenic ingredients, which then can effectively reduce the concern for consumers with allergies, reduce the risk of mistaken ingestion, and reduce the overall incidence of allergic reactions from food.     

膳食纤维与肠道微生物互作调节食物过敏的研究进展

食物过敏的发病率逐步上升,遗传之外的影响因素如饮食受到密切关注.其中,高膳食纤维的食物摄入可能通过与肠道菌群互作和调节肠道黏膜免疫的方式来诱导口服耐受和降低食物过敏发生率.本文在阐述膳食纤维、肠道菌群和食物过敏三者的联系及研究现状的基础上,重点讨论膳食纤维通过调节肠道菌群影响食物过敏的发病机制,旨在为研究过敏人群的合理...     

Lupine,a source of new as well as hidden food allergens

The present review summarizes current knowledge about lupine allergy, potential sensitization routes, cross‐reactions between lupine and other legumes, and the respective IgE‐binding proteins. Since the 1990s, lupine flour is used as a substitute for or additive to other flours, mostly wheat flour, in several countries of the EU. In 1994, the first case of an immediate‐type allergy after ingestion of lupine flour‐containing pasta was reported. Since then, the number of published incidents following ingestion or inhalation of lupine flour is rising. So far, the Lupinus angustifolius β‐conglutin has been designated as the allergen Lup an 1 by the International Union of Immunological Societies Allergen Nomenclature Subcommittee. Initially, publications focussed on the fact that peanut‐allergic patients were at risk to develop anaphylaxis to lupine due to cross‐reactivity between peanut and lupine. At present, however, the ratio between cases of pre‐existing legume allergy (mostly peanut allergy) to de novo sensitization to lupine seed is nearly 1:1. Although in December 2006, lupine and products thereof were included in the EU foodstuff allergen list according to the Commission Directive 2006/142/EC amending Annex IIIA of Directive 2000/13/EC in order to prevent severe reactions caused by “hidden food allergens”, the majority of patients and medical personnel are still not aware of raw lupine seed as potentially dangerous food allergen.     

从过敏原危害评估食物过敏风险

随着全球食物过敏发生率的逐年升高,食物过敏性疾病已成为人们日益关注的食品安全和公共卫生问题。本文介绍了食物过敏原特性、致敏机制、临床表现、常见致敏食物及主要暴露来源等内容,概括了食物过敏原阈值及参考剂量的制定方法和最新调整情况,并总结了目前国际上公认的几种食物过敏原的风险评估方法,以期对下一步开展我国人群食物过敏风险评估提供理论依据。     

Characterization of plant food allergens: An overview on physicochemical and immunological techniques

Allergy to plant‐derived foods is a highly complex disorder with clinical manifestations ranging from mild oral, gastrointestinal, and cutaneous symptoms to life‐threatening systemic conditions. This heterogeneity in clinical manifestations has been attributed to different properties of allergenic molecules. Based on this fact, symptom elicitors were grouped into class I and pollinosis‐associated class II food allergens, but clear distinction is rather ambiguous. Moreover, mechanisms underlying food sensitization are not fully understood yet, and food allergy management most often relies on patient's compliance to avoid suspected foods. Therefore, recent efforts aim at the investigation of plant food allergies at the molecular level. This review provides an overview on currently available techniques for allergen characterization and discusses their application for investigation of plant food allergens. Data obtained by an array of physicochemical analyses, such as allergen structure, integrity, aggregation, and stability, need to be linked to results from immunological methods at the level of IgE and T‐cell reactivity. Such knowledge allows the development of computational algorithms to predict allergenicity of novel foods being introduced by biotechnological industry. Furthermore, molecular characterization is an indispensable tool for molecule‐based diagnosis and future development of safer patient‐tailored specific immunotherapy in plant food allergy.