Tom 7, Nr 4 (2016)
WYBRANE PROBLEMY KLINICZNE
Opublikowany online: 2017-01-30

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Eksport do Mediów Społecznościowych

Eksport do Mediów Społecznościowych

Immunologiczna nadwrażliwość na pokarm

Eliza Wasilewska, Monika Ziętarska, Sylwia Małgorzewicz
Forum Zaburzeń Metabolicznych 2016;7(4):152-161.

Streszczenie

Niepożądane reakcje występujące po spożyciu pokar mu są często spotykanym zjawiskiem. Istotnymi klinicznie są nieprawidłowe reakcje wynikające z osobniczej nadwrażliwości organizmu na spożytą żywność. Nadwrażliwość pokarmowa to szerokie pojęcie obejmujące reakcje o mechanizmach immunologicznym i nieimmunologicznym. Długotr wały, nawracający charakter, podobne manifestacje kliniczne i odmienne metody diagnostyczne, powodują trudności w rozpoznawaniu poszczególnych typów reakcji na pokarmy. W pracy przedstawiono definicję, podział, patomechanizm, objawy kliniczne oraz metody diagnostyc zne przydatne do rozpoznania nadwrażliwości pokarmowej o podłożu immunologicznym oraz zasady postępowania dietetycznego.

Referencje

  1. Nwaru BI, Hickstein L, Panesar SS, et al. EAACI Food Allergy and Anaphylaxis Guidelines Group. The epidemiology of food allergy in Europe: a systematic review and meta-analysis. Allergy. 2014; 69(1): 62–75.
  2. Kagan RS. Food allergy: an overview. Environ Health Perspect. 2003; 111(2): 223–225.
  3. Berin MC, Sampson HA. Food allergy: an enigmatic epidemic. Trends Immunol. 2013; 34(8): 390–397.
  4. Branum AM, Lukacs SL. Food allergy among U.S. children: trends in prevalence and hospitalizations. NCHS Data Brief. 2008(10): 1–8.
  5. Ross MP, Ferguson M, Street D, et al. Analysis of food-allergic and anaphylactic events in the National Electronic Injury Surveillance System. J Allergy Clin Immunol. 2008; 121(1): 166–171.
  6. Gell PG, Coombs RRA. Clinical aspects of immunology. 1 st ed . Blackwell, Oxford 1963.
  7. Johansson SG, Hourihane JO, Bousquet J, et al. EAACI (the European Academy of Allergology and Cinical Immunology) nomenclature task force. A revised nomenclature for allergy. An EAACI position statement from the EAACI nomenclature task force. Allergy. 2001; 56(9): 813–824.
  8. Sampson HA, Aceves S, Bock SA, et al. Joint Task Force on Practice Parameters, Practice Parameter Workgroup. Update on food allergy. J Allergy Clin Immunol. 2004; 113(5): 805–19; quiz 820.
  9. Wang J, Sampson H. Food allergy. Journal of Clinical Investigation. 2011; 121(3): 827–835.
  10. Walker-Smith J. Cow's milk allergy: a new understanding from immunology. Ann Allergy Asthma Immunol. 2003; 90(6 Suppl 3): 81–83.
  11. Beyer K, Teuber SS. Food allergy diagnostics: scientific and unproven procedures. Curr Opin Allergy Clin Immunol. 2005; 5(3): 261–266.
  12. Shek LPC, Bardina L, Castro R, et al. Humoral and cellular responses to cow milk proteins in patients with milk-induced IgE-mediated and non-IgE-mediated disorders. Allergy. 2005; 60(7): 912–919.
  13. Kulis M, Saba K, Kim EH, et al. Increased peanut-specific IgA levels in saliva correlate with food challenge outcomes after peanut sublingual immunotherapy. J Allergy Clin Immunol. 2012; 24: 134–137.
  14. Vickery BP, Lin J, Kulis M, et al. Peanut oral immunotherapy modifies IgE and IgG4 responses to major peanut allergens. J Allergy Clin Immunol. 2013; 131(1): 128–34.e1.
  15. O'Farrelly C, Kelly J, Hekkens W, et al. Alpha gliadin antibody levels: a serological test for coeliac disease. Br Med J (Clin Res Ed). 1983; 286(6383): 2007–2010.
  16. Adriaanse M, Leffler DA. Serum markers in the clinical management of celiac disease. Dig Dis. 2015; 33(2): 236–243.
  17. Khodoun MV, Strait R, Armstrong L, et al. Identification of markers that distinguish IgE- from IgG-mediated anaphylaxis. Proc Natl Acad Sci USA. 2011; 108(30): 12413–12418.
  18. Schouten B, van Esch BC, van Thuijl AOJ, et al. Contribution of IgE and immunoglobulin free light chain in the allergic reaction to cow's milk proteins. J Allergy Clin Immunol. 2010; 125(6): 1308–1314.
  19. Stefen RM, Wylele R, Petros RE. The spectrum of eosinophilic gastroenteritis. Clin. Pediatr. 2001; 30: 404–411.
  20. Straumann A, Bauer M, Fischer B, et al. Idiopathic eosinophilic esophagitis is associated with a T(H)2-type allergic inflammatory response. J Allergy Clin Immunol. 2001; 108(6): 954–961.
  21. Strachan DP. Hay fever, hygiene, and household size. BMJ. 1989; 299(6710): 1259–1260.
  22. Brunekreef B, Von Mutius E, Wong GK, et al. ISAAC Phase Three Study Group. Early life exposure to farm animals and symptoms of asthma, rhinoconjunctivitis and eczema: an ISAAC Phase Three Study. Int J Epidemiol. 2012; 41(3): 753–761.
  23. Stern DA, Riedler J, Nowak D, et al. Exposure to a farming environment has allergen-specific protective effects on TH2-dependent isotype switching in response to common inhalants. J Allergy Clin Immunol. 2007; 119(2): 351–358.
  24. Wills-Karp M, Santeliz J, Karp CL. The germless theory of allergic disease: revisiting the hygiene hypothesis. Nat Rev Immunol. 2001; 1(1): 69–75.
  25. Lee YK, Mazmanian SK. Has the microbiota played a critical role in the evolution of the adaptive immune system? Science. 2010; 330(6012): 1768–1773.
  26. Noverr MC, Huffnagle GB. The 'microflora hypothesis' of allergic diseases. Clin Exp Allergy. 2005; 35(12): 1511–1520.
  27. Prioult G, Nagler-Anderson C. Mucosal immunity and allergic responses: lack of regulation and/or lack of microbial stimulation? Immunol Rev. 2005; 206: 204–218.
  28. Eberl G. A new vision of immunity: homeostasis of the superorganism. Mucosal Immunol. 2010; 3(5): 450–460.
  29. Bashir ME, Louie S, Shi HN, et al. Toll-like receptor 4 signaling by intestinal microbes influences susceptibility to food allergy. J Immunol. 2004; 172(11): 6978–6987.
  30. Noval Rivas M, Burton OT, Wise P, et al. A microbiota signature associated with experimental food allergy promotes allergic sensitization and anaphylaxis. J Allergy Clin Immunol. 2013; 131(1): 201–212.
  31. Abrahamsson TR, Jakobsson HE, Andersson AF, et al. Low diversity of the gut microbiota in infants with atopic eczema. J Allergy Clin Immunol. 2012; 129(2): 434–440.
  32. Hall JA, Grainger JR, Spencer SP, et al. The role of retinoic acid in tolerance and immunity. Immunity. 2011; 35(1): 13–22.
  33. DePaolo RW, Abadie V, Tang F, et al. Co-adjuvant effects of retinoic acid and IL-15 induce inflammatory immunity to dietary antigens. Nature. 2011; 471(7337): 220–224.
  34. Sharief S, Jariwala S, Kumar J, et al. Vitamin D levels and food and environmental allergies in the United States: results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol. 2011; 127(5): 1195–1202.
  35. Visness CM, London SJ, Daniels JL, et al. Association of obesity with IgE levels and allergy symptoms in children and adolescents: results from the National Health and Nutrition Examination Survey 2005-2006. J Allergy Clin Immunol. 2009; 123(5): 1163–1169.
  36. Upadhyay V, Poroyko V, Kim Tj, et al. Lymphotoxin regulates commensal responses to enable diet-induced obesity. Nat Immunol. 2012; 13(10): 947–953.
  37. Li J, Wang Yu, Tang L, et al. Dietary medium-chain triglycerides promote oral allergic sensitization and orally induced anaphylaxis to peanut protein in mice. J Allergy Clin Immunol. 2013; 131(2): 442–450.
  38. Matuszewska E, Kaczmarski M. Postacie kliniczne nadwrażliwości pokarmowej u dzieci. In: Bartuzi Z. ed. Alergia na pokarmy. Mediton, Łódź 2006: 69–78.
  39. Crespo JF, Pascual C, Dominguez C, et al. Allergic reactions associated with airborne fish particles in IgE-mediated fish hypersensitive patients. Allergy. 1995; 50(3): 257–261.
  40. Beausoleil JL, Fiedler J, Spergel JM. Food Intolerance and childhood asthma: what is the link? Paediatr Drugs. 2007; 9(3): 157–163.
  41. Krogulska A, Wasowska-Królikowska K, Dynowski J. [Evaluation of bronchial hyperreactivity in children with asthma undergoing food challenges]. Pol Merkur Lekarski. 2007; 23(133): 30–35.
  42. Sampson HA, Muñoz-Furlong A, Campbell RL, et al. Second symposium on the definition and management of anaphylaxis: summary report--second National Institute of Allergy and Infectious Disease/Food Allergy and Anaphylaxis Network symposium. Ann Emerg Med. 2006; 47(4): 373–380.
  43. Webb LM, Lieberman P. Anaphylaxis: a review of 601 cases. Ann Allergy Asthma Immunol. 2006; 97(1): 39–43.
  44. Muraro A, Roberts G, Worm M, et al. EAACI Food Allergy and Anaphylaxis Guidelines Group. Anaphylaxis: guidelines from the European Academy of Allergy and Clinical Immunology. Allergy. 2014; 69(8): 1026–1045.
  45. Muraro A, Werfel T, Hoffmann-Sommergruber K, et al. EAACI Food Allergy and Anaphylaxis Guidelines: diagnosis and management of food allergy. Allergy. 2014; 69(8): 1008–1025.
  46. Werfel T, Asero R, Ballmer-Weber BK, et al. Position paper of the EAACI: food allergy due to immunological cross-reactions with common inhalant allergens. Allergy. 2015; 70(9): 1079–1090.
  47. Soares-Weiser K, Takwoingi Y, Panesar SS, et al. EAACI Food Allergy and Anaphylaxis Guidelines Group. The diagnosis of food allergy: a systematic review and meta-analysis. Allergy. 2014; 69(1): 76–86.
  48. Bindslev-Jensen C, Ballmer-Weber BK, Bengtsson U, et al. Standardization of food challenges in patients with immediate reactions to foods - position paper from the European Academy of Allergology and Clinical Immunology. Allergy. 2004; 59(7): 690–697.
  49. Kaczmarski M, Maciorkowska E, Semeniuk J, et al. Dieta eliminacyjna w alergii pokarmowej. Przegląd Alergologiczny . 2004; 1: 30–34.
  50. Taylor JP, Krondl MM, Spidel M, et al. Dietary adequacy of the rotary diversified diet as a treatment for "Environmental Illness". Can J Diet Pract Res. 2002; 63(4): 198–201.