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    Allergy. 2019 Jan 12. doi: 10.1111/all.13718
    AllergoOncology: microbiota in allergy and cancer - an EAACI position paper.
    Untersmayr E1,  Bax HJ2,  Bergmann C3,  Bianchini R4,  Cozen W5,  Gould HJ6,  Hartmann K7,  Josephs DH8,  Levi-Schaffer F9,  Penichet ML10,  O'Mahony L11,  Poli A12,  Redegeld F13,  Roth-Walter F14,  Turner MC15,  Vangelista L16,  Karagiannis SN17,  Jensen-Jarolim E18
    Author information
    1Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University Vienna, Vienna, Austria.
    2St. John's Institute of Dermatology, School of Basic & Medical Biosciences, King's College London, Guy's Hospital, London, United Kingdom.
    3ENT Research Institute for Clinical Studies, Essen, Germany.
    4Department of Comparative Medicine, The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, University Vienna, Austria.
    5Department of Preventive Medicine, Keck School of Medicine of University of Southern California, Los Angeles, CA, United States.
    6Randall Centre for Cell and Molecular Biophysics, School of Basic & Medical Biosciences, King's College London, New Hunt's House, London, SE1 1UL, United Kingdom.
    7Department of Dermatology, University of Luebeck, Luebeck, Germany.
    8St. John's Institute of Dermatology, School of Basic & Medical Biosciences, King's College London, Guy's Hospital, London, United Kingdom.
    9Pharmacology and Experimental Therapeutics Unit, The Institute for Drug Research, School of Pharmacy, Faculty of Medicine, The Hebrew University of Jerusalem, Jerusalem, Israel.
    10Division of Surgical Oncology, Department of Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, United States.
    11Departments of Medicine and Microbiology, APC Microbiome Ireland, National University of Ireland, Cork, Ireland.
    12Luxembourg Institute of Health, Department of Infection and Immunity, Esch-sur-Alzette, Luxembourg.
    13Division of Pharmacology, Utrecht Institute for Pharmaceutical Sciences, Faculty of Science, Utrecht University, Utrecht, The Netherlands.
    14Department of Comparative Medicine, The Interuniversity Messerli Research Institute, University of Veterinary Medicine Vienna, Medical University Vienna, University Vienna, Austria.
    15Barcelona Institute for Global Health (ISGlobal), Barcelona, Spain.
    16Department of Biomedical Sciences, Nazarbayev University School of Medicine, Astana, Kazakhstan.
    17St. John's Institute of Dermatology, School of Basic & Medical Biosciences, King's College London, Guy's Hospital, London, United Kingdom.
    18Institute of Pathophysiology and Allergy Research, Center of Pathophysiology, Infectiology and Immunology, Medical University Vienna, Vienna, Austria.
    Abstract

    The microbiota can play important roles in the development of human immunity and the establishment of immune homeostasis. Lifestyle factors including diet, hygiene, and exposure to viruses or bacteria, and medical interventions with antibiotics or anti-ulcer medications, regulate phylogenetic variability and the quality of cross-talk between innate and adaptive immune cells via mucosal and skin epithelia. More recently, microbiota and their composition have been linked to protective effects for health. Imbalance, however, has been linked to immune-related diseases such as allergy and cancer, characterized by impaired, or exaggerated immune tolerance, respectively. In this AllergoOncology position paper, we focus on the increasing evidence defining the microbiota composition as a key determinant of immunity and immune tolerance, linked to the risk for development of allergic and malignant diseases. We discuss novel insights into the role of microbiota in disease and patient responses to treatments in cancer and in allergy. These may highlight opportunities to improve patient outcomes with medical interventions supported through a restored microbiome. This article is protected by copyright. All rights reserved.


    This article is protected by copyright. All rights reserved.

    KEYWORDS: AllergoOncology, Allergy, Breg, Treg, cancer, checkpoint, diet, lipocalin, hygiene hypothesis, immune tolerance, microbiome, microbiota

    Publikations ID: 30636005
    Quelle: öffnen
     
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