The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy

Food allergy (FA) is a growing public health concern, with an increasing prevalence in Western countries. Increasing evidence suggests that the balance of human gut microbiota and the integrity of our intestinal barrier may play roles in the development of FA. Environmental factors, including indust...

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Main Authors: Remo Poto, William Fusco, Emanuele Rinninella, Marco Cintoni, Francesco Kaitsas, Pauline Raoul, Cristiano Caruso, Maria Cristina Mele, Gilda Varricchi, Antonio Gasbarrini, Giovanni Cammarota, Gianluca Ianiro
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/16/1/92
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author Remo Poto
William Fusco
Emanuele Rinninella
Marco Cintoni
Francesco Kaitsas
Pauline Raoul
Cristiano Caruso
Maria Cristina Mele
Gilda Varricchi
Antonio Gasbarrini
Giovanni Cammarota
Gianluca Ianiro
author_facet Remo Poto
William Fusco
Emanuele Rinninella
Marco Cintoni
Francesco Kaitsas
Pauline Raoul
Cristiano Caruso
Maria Cristina Mele
Gilda Varricchi
Antonio Gasbarrini
Giovanni Cammarota
Gianluca Ianiro
author_sort Remo Poto
collection DOAJ
description Food allergy (FA) is a growing public health concern, with an increasing prevalence in Western countries. Increasing evidence suggests that the balance of human gut microbiota and the integrity of our intestinal barrier may play roles in the development of FA. Environmental factors, including industrialization and consumption of highly processed food, can contribute to altering the gut microbiota and the intestinal barrier, increasing the susceptibility to allergic sensitization. Compositional and functional alterations to the gut microbiome have also been associated with FA. In addition, increased permeability of the gut barrier allows the translocation of allergenic molecules, triggering Th2 immune responses. Preclinical and clinical studies have highlighted the potential of probiotics, prebiotics, and postbiotics in the prevention and treatment of FA through enhancing gut barrier function and promoting the restoration of healthy gut microbiota. Finally, fecal microbiota transplantation (FMT) is now being explored as a promising therapeutic strategy to prevent FA in both experimental and clinical studies. In this review article, we aim to explore the complex interplay between intestinal permeability and gut microbiota in the development of FA, as well as depict potential therapeutic strategies.
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spelling doaj.art-e59f53743133456a84e288e24256463d2024-01-10T15:05:30ZengMDPI AGNutrients2072-66432023-12-011619210.3390/nu16010092The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food AllergyRemo Poto0William Fusco1Emanuele Rinninella2Marco Cintoni3Francesco Kaitsas4Pauline Raoul5Cristiano Caruso6Maria Cristina Mele7Gilda Varricchi8Antonio Gasbarrini9Giovanni Cammarota10Gianluca Ianiro11Department of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medical Sciences, University of Naples Federico II, 80131 Naples, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyDepartment of Translational Medicine and Surgery, Università Cattolica del Sacro Cuore, 00168 Rome, ItalyFood allergy (FA) is a growing public health concern, with an increasing prevalence in Western countries. Increasing evidence suggests that the balance of human gut microbiota and the integrity of our intestinal barrier may play roles in the development of FA. Environmental factors, including industrialization and consumption of highly processed food, can contribute to altering the gut microbiota and the intestinal barrier, increasing the susceptibility to allergic sensitization. Compositional and functional alterations to the gut microbiome have also been associated with FA. In addition, increased permeability of the gut barrier allows the translocation of allergenic molecules, triggering Th2 immune responses. Preclinical and clinical studies have highlighted the potential of probiotics, prebiotics, and postbiotics in the prevention and treatment of FA through enhancing gut barrier function and promoting the restoration of healthy gut microbiota. Finally, fecal microbiota transplantation (FMT) is now being explored as a promising therapeutic strategy to prevent FA in both experimental and clinical studies. In this review article, we aim to explore the complex interplay between intestinal permeability and gut microbiota in the development of FA, as well as depict potential therapeutic strategies.https://www.mdpi.com/2072-6643/16/1/92food allergyintestinal barrierleaky gutgut microbiotaprebioticsprobiotics
spellingShingle Remo Poto
William Fusco
Emanuele Rinninella
Marco Cintoni
Francesco Kaitsas
Pauline Raoul
Cristiano Caruso
Maria Cristina Mele
Gilda Varricchi
Antonio Gasbarrini
Giovanni Cammarota
Gianluca Ianiro
The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
Nutrients
food allergy
intestinal barrier
leaky gut
gut microbiota
prebiotics
probiotics
title The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
title_full The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
title_fullStr The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
title_full_unstemmed The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
title_short The Role of Gut Microbiota and Leaky Gut in the Pathogenesis of Food Allergy
title_sort role of gut microbiota and leaky gut in the pathogenesis of food allergy
topic food allergy
intestinal barrier
leaky gut
gut microbiota
prebiotics
probiotics
url https://www.mdpi.com/2072-6643/16/1/92
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