IgA在过敏性免疫反应的表现和预防中的作用。

IF 5.4 2区 医学 Q1 ALLERGY Current Allergy and Asthma Reports Pub Date : 2023-10-01 Epub Date: 2023-08-23 DOI:10.1007/s11882-023-01105-x
Stephan Scheurer, Ann-Christine Junker, Chaoqi He, Stefan Schülke, Masako Toda
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引用次数: 0

摘要

综述目的:免疫球蛋白A(IgA)介导肠道抗原的免疫排斥。值得注意的是,IgA在预防IgE介导的过敏和诱导免疫耐受中也发挥作用。本文综述了IgA在IgE介导的过敏表现中的作用,包括过敏原特异性免疫疗法(AIT)、IgA产生的调节以及IgA在免疫细胞激活中的机制。最近的发现:大多数研究报告了IgA与IgE介导的过敏中免疫耐受的诱导有关。然而,关于体液和粘膜IgA、IgA亚型、单体和聚合物IgA的参与以及IgA介导的免疫细胞激活机制的报道令人困惑。IgA的作用可能是由微生物群的改变、IgE阻断能力或抑制性信号通路的激活介导的。然而,IgA调节的确切机制、血清和/或粘膜IgA以及IgA1/2亚型对IgE介导的过敏表现的贡献以及潜在的免疫调节机制仍然难以捉摸。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Role of IgA in the Manifestation and Prevention of Allergic Immune Responses.

Purpose of review: Immunoglobulin A (IgA) mediates immune exclusion of antigens in the gut. Notably, IgA plays also a role in the prevention of IgE-mediated allergies and induction of immune tolerance. The present review addresses the role of IgA in the manifestation of IgE-mediated allergies, including allergen-specific immunotherapy (AIT), the regulation of IgA production, and the mechanism of IgA in immune cell activation.

Recent findings: The majority of studies report an association of IgA with the induction of immune tolerance in IgE-mediated allergies. However, reports on the involvement of humoral and mucosal IgA, IgA subtypes, monomeric and polymeric IgA, and the mechanism of IgA-mediated immune cell activation are confounding. Effects by IgA are likely mediated by alteration of microbiota, IgE-blocking capacity, or activation of inhibitory signaling pathways. However, the precise mechanism of IgA-regulation, the contribution of serum and/or mucosal IgA, and IgA1/2 subtypes, on the manifestation of IgE-mediated allergies, and the underlying immune modulatory mechanism are still elusive.

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来源期刊
CiteScore
11.20
自引率
1.80%
发文量
21
审稿时长
6-12 weeks
期刊介绍: The aim of Current Allergy and Asthma Reports is to systematically provide the views of highly selected experts on current advances in the fields of allergy and asthma and highlight the most important papers recently published. All reviews are intended to facilitate the understanding of new advances in science for better diagnosis, treatment, and prevention of allergy and asthma. We accomplish this aim by appointing international experts in major subject areas across the discipline to review select topics emphasizing recent developments and highlighting important new papers and emerging concepts. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. Over a one- to two-year period, readers are updated on all the major advances in allergy and asthma.
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