Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis

Reduced early microbial exposure in early life has become a leading candidate to explain the escalating rate of allergic disease and has generated intense interest in the interaction between the developing immune system and the microbial environment. Infants depend on ''signal''...

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Main Author: Susan L. Prescott, MD, PhD, FRACP
Format: Article
Language:English
Published: Elsevier 2008-01-01
Series:World Allergy Organization Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1939455119305629
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author Susan L. Prescott, MD, PhD, FRACP
author_facet Susan L. Prescott, MD, PhD, FRACP
author_sort Susan L. Prescott, MD, PhD, FRACP
collection DOAJ
description Reduced early microbial exposure in early life has become a leading candidate to explain the escalating rate of allergic disease and has generated intense interest in the interaction between the developing immune system and the microbial environment. Infants depend on ''signal'' from the microbial environment to mature both T-helper cell type 1 and regulatory immune function. These signals, mediated through microbial pattern-recognition receptors, namely toll-like receptors (TLRs), seem essential to achieving the immunologic balance required for (1) pathogen protection and (2) normal immune tolerance. Despite this, the normal development of TLR function has never been documented. There is preliminary evidence that TLR function is under the influence of both genetic factors (genetic polymorphisms) and early environmental exposures including microbial exposure and breast feeding, and maternal smoking. This review explores the evidence that allergy is associated with developmental variations in TLR-mediated immune function and how this may be relevant for disease prevention. Keywords: toll-like receptors, allergic disease, ''hygiene hypothesis'', cord blood, childhood, cytokines, allergy prevention
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spelling doaj.art-ad6ecd8a6f454efe9820042b8fe5cb932022-12-21T17:31:38ZengElsevierWorld Allergy Organization Journal1939-45512008-01-011148Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy PathogenesisSusan L. Prescott, MD, PhD, FRACP0Reprints:; School of Paediatrics and Child Health, University of Western Australia, Princess Margaret Hospital for Children, GPO Box D184, Perth, Western Australia 6840Reduced early microbial exposure in early life has become a leading candidate to explain the escalating rate of allergic disease and has generated intense interest in the interaction between the developing immune system and the microbial environment. Infants depend on ''signal'' from the microbial environment to mature both T-helper cell type 1 and regulatory immune function. These signals, mediated through microbial pattern-recognition receptors, namely toll-like receptors (TLRs), seem essential to achieving the immunologic balance required for (1) pathogen protection and (2) normal immune tolerance. Despite this, the normal development of TLR function has never been documented. There is preliminary evidence that TLR function is under the influence of both genetic factors (genetic polymorphisms) and early environmental exposures including microbial exposure and breast feeding, and maternal smoking. This review explores the evidence that allergy is associated with developmental variations in TLR-mediated immune function and how this may be relevant for disease prevention. Keywords: toll-like receptors, allergic disease, ''hygiene hypothesis'', cord blood, childhood, cytokines, allergy preventionhttp://www.sciencedirect.com/science/article/pii/S1939455119305629
spellingShingle Susan L. Prescott, MD, PhD, FRACP
Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
World Allergy Organization Journal
title Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
title_full Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
title_fullStr Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
title_full_unstemmed Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
title_short Allergy Takes its Toll: The Role of Toll-like Receptors in Allergy Pathogenesis
title_sort allergy takes its toll the role of toll like receptors in allergy pathogenesis
url http://www.sciencedirect.com/science/article/pii/S1939455119305629
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