Pathophysiology of Food Allergy

Pediatr Clin North Am. 2015 Dec;62(6):1363-75. doi: 10.1016/j.pcl.2015.07.004. Epub 2015 Sep 5.

Abstract

Food allergy is a growing public health problem that is estimated to affect 4% to 8% of children and 5% of adults. In this review, we discuss our current understanding of the pathophysiology of food allergy, from oral tolerance, to sensitization, and lastly the elicitation of an allergic response. As much of the existing evidence for the mechanisms of food allergy is derived from animal models, we include these studies where relevant. In addition, whenever possible, we review similar evidence involved in human disease and provide applications for consideration in clinical practice.

Keywords: Food allergy; IgE; Oral tolerance; Pathophysiology; Sensitization.

Publication types

  • Review

MeSH terms

  • Animals
  • Child
  • Food Hypersensitivity / immunology
  • Food Hypersensitivity / physiopathology*
  • Gastrointestinal Tract / immunology
  • Gastrointestinal Tract / physiology
  • Humans
  • Immunization
  • Immunoglobulin E / immunology
  • Immunoglobulin E / physiology

Substances

  • Immunoglobulin E