PMID- 29300005 OWN - NLM STAT- MEDLINE DCOM- 20190916 LR - 20220408 IS - 2056-676X (Electronic) IS - 2056-676X (Linking) VI - 4 DP - 2018 Jan 4 TI - Food allergy. PG - 17098 LID - 10.1038/nrdp.2017.98 [doi] AB - Food allergies manifest in a variety of clinical conditions within the gastrointestinal tract, skin and lungs, with the most dramatic and sometimes fatal manifestation being anaphylactic shock. Major progress has been made in basic, translational and clinical research, leading to a better understanding of the underlying immunological mechanisms that lead to the breakdown of clinical and immunological tolerance against food antigens, which can result in either immunoglobulin E (IgE)-mediated reactions or non-IgE-mediated reactions. Lifestyle factors, dietary habits and maternal-neonatal interactions play a pivotal part in triggering the onset of food allergies, including qualitative and quantitative composition of the microbiota. These factors seem to have the greatest influence early in life, an observation that has led to the generation of hypotheses to explain the food allergy epidemic, including the dual-allergen exposure hypothesis. These hypotheses have fuelled research in preventive strategies that seek to establish desensitization to allergens and/or tolerance to allergens in affected individuals. Allergen-nonspecific therapeutic strategies have also been investigated in a number of clinical trials, which will eventually improve the treatment options for patients with food allergy. FAU - Renz, Harald AU - Renz H AD - Institute of Laboratory Medicine, Philipps University Marburg, Baldinger Strasse, 35043 Marburg, Germany. FAU - Allen, Katrina J AU - Allen KJ AD - Murdoch Children's Research Institute and University of Melbourne, Royal Children's Hospital, Melbourne, Australia. FAU - Sicherer, Scott H AU - Sicherer SH AD - Department of Pediatrics, Icahn School of Medicine, New York, New York, USA. FAU - Sampson, Hugh A AU - Sampson HA AD - Department of Pediatrics, Icahn School of Medicine, New York, New York, USA. FAU - Lack, Gideon AU - Lack G AD - Department of Paediatric Allergy, King's College London, London, UK. FAU - Beyer, Kirsten AU - Beyer K AD - Charite Universitatsmedizin Berlin, Department of Pediatric Pneumology and Immunology, Berlin, Germany. FAU - Oettgen, Hans C AU - Oettgen HC AD - Division of Immunology, Boston Children's Hospital, Boston, Massachusetts, USA. AD - Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20180104 PL - England TA - Nat Rev Dis Primers JT - Nature reviews. Disease primers JID - 101672103 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Eosinophilic Esophagitis/complications/diagnosis/physiopathology MH - Food Hypersensitivity/diet therapy/epidemiology/*physiopathology MH - Humans MH - Hypersensitivity/*complications MH - Immunoglobulin E/analysis/metabolism/*physiology MH - Mass Screening/methods MH - Proctocolitis/complications/diagnosis/physiopathology EDAT- 2018/01/05 06:00 MHDA- 2019/09/17 06:00 CRDT- 2018/01/05 06:00 PHST- 2018/01/05 06:00 [entrez] PHST- 2018/01/05 06:00 [pubmed] PHST- 2019/09/17 06:00 [medline] AID - nrdp201798 [pii] AID - 10.1038/nrdp.2017.98 [doi] PST - epublish SO - Nat Rev Dis Primers. 2018 Jan 4;4:17098. doi: 10.1038/nrdp.2017.98.