PMID- 38506861 OWN - NLM STAT- MEDLINE DCOM- 20240321 LR - 20240321 IS - 2448-9190 (Electronic) IS - 0002-5151 (Linking) VI - 70 IP - 4 DP - 2023 Dec 31 TI - [Physiopathology of food allergies]. PG - 225-229 LID - 10.29262/ram.v70i4.1309 [doi] AB - Food allergy is an adverse reaction to certain foods that have demonstrated "immunological mechanisms"; therefore, this term covers both food allergies mediated or not by immunoglobulin E (IgE). The common pathophysiological mechanism among forms of allergy to foods mediated or not by IgE is found in the failure of clinical and immunological tolerance towards that food. The induction and maintenance of immunological tolerance depends on the active generation of regulatory T cells specific for food antigens. This process is influenced by genetic factors (FOXP3 genes) and epigenetic factors conditioned by the environment (diet, microbiota, and their products). Since the intestinal microbiome can normally promote oral tolerance, current evidence suggests that perturbations of the microbiome may correlate, or even predispose, with food allergy. Understanding the pathogenic mechanism underlying IgE-mediated food allergies allows the implementation of measures aimed at restoring clinical and immunological tolerance. Knowledge of the mechanisms of food allergy will improve the outlook for patients with more severe immediate food allergies and anaphylaxis, as well as those who have comorbidities (atopic dermatitis, eosinophilic esophagitis and EGEIDs). FAU - Valentin Rostan, Marylin AU - Valentin Rostan M AUID- ORCID: 0000-0002-0782-9386 AD - Pediatra, Alergologa e Inmunologa; Profesora de Alergia pediatrica, Facultad de Medicina Uruguay; Presidenta electa de la Sociedad Latinoamericana de Alergia, Asma e Inmunologia (SLAAI), Montevideo, Uruguay. dramarylinvalentin@gmail.com. FAU - Bogado, Dory Mora AU - Bogado DM AUID- ORCID: 0000-0002-4914-4473 AD - Alergologa e Inmunologa, Medica del Area de Alergologia, Hospital Central-IPS, Asuncion, Paraguay. LA - spa PT - English Abstract PT - Journal Article TT - Fisiopatologia de la alergia alimentaria. DEP - 20231231 PL - Mexico TA - Rev Alerg Mex JT - Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993) JID - 9438824 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Humans MH - *Food Hypersensitivity/etiology MH - Food MH - *Anaphylaxis MH - *Dermatitis, Atopic MH - Immunoglobulin E OTO - NOTNLM OT - Atopic dermatitis OT - Eosinophilic esophagitis OT - Food allergy OT - IgE-mediated allergy OT - Immunological mechanisms OT - Microbiome OT - Non-IgE-mediated allergy OT - T cells EDAT- 2024/03/20 12:43 MHDA- 2024/03/21 12:44 CRDT- 2024/03/20 11:43 PHST- 2023/08/01 00:00 [received] PHST- 2023/10/29 00:00 [accepted] PHST- 2024/03/21 12:44 [medline] PHST- 2024/03/20 12:43 [pubmed] PHST- 2024/03/20 11:43 [entrez] AID - 10.29262/ram.v70i4.1309 [doi] PST - epublish SO - Rev Alerg Mex. 2023 Dec 31;70(4):225-229. doi: 10.29262/ram.v70i4.1309.