Fighting Food Allergy by Inducing Oral Tolerance: Facts and Fiction

Int Arch Allergy Immunol. 2021;182(9):852-862. doi: 10.1159/000515292. Epub 2021 Apr 23.

Abstract

The prevalence of food allergy (FA) is increasing, and there is an urgent need to take effective measures against it. One important measure is the avoidance diet, which shows a disadvantage, especially in case of accidental exposure. Oral tolerance restoration sheds new light on the control of FA. Oral tolerance is naturally a state of systemic unresponsiveness of the gastrointestinal tract to food antigens and its restoration can be a clinical therapy for FA. Its immune basis lies on the intestinal mucosal immune system and factors, such as gut microbiota and food processing methods, are also important. This review presents recent advances in oral tolerance and its closely related factors.

Keywords: Intestinal immune system; Oral tolerance; Processing methods.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Administration, Oral
  • Allergens / administration & dosage
  • Allergens / immunology*
  • Animals
  • Desensitization, Immunologic* / methods
  • Food Hypersensitivity / diagnosis
  • Food Hypersensitivity / immunology*
  • Food Hypersensitivity / therapy*
  • Humans
  • Immune Tolerance*
  • Immunity, Mucosal
  • Intestinal Mucosa / immunology
  • T-Lymphocytes / immunology
  • T-Lymphocytes / metabolism

Substances

  • Allergens