Immunopathophysiology of food protein-induced enterocolitis syndrome.
There is increasing recognition of the non-IgE-mediated gastrointestinal food allergy known as food protein-induced enterocolitis syndrome (FPIES), with several recent publications summarizing the clinical experience with FPIES in the United States, the United Kingdom, Europe, and Australia. Our understanding of the mechanisms linking food exposure to typical symptoms of vomiting, hypotension, and diarrhea has lagged far behind our understanding of the immune mechanisms of IgE-mediated food allergy. The goal of this overview is to summarize and critique the current state of knowledge of the immunology of FPIES and to identify major gaps in our knowledge that need to be addressed to make significant gains in developing therapies and prevention strategies for FPIES.
Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address: cecilia.berin@mssm.edu.
M Cecilia
MC
Berin
D000818:Animals; D004044:Dietary Proteins / Q000009:adverse effects*; D004760:Enterocolitis / Q000209:etiology*; D005502:Food / Q000009:adverse effects*; D005512:Food Hypersensitivity / Q000150:complications* / Q000276:immunology*; D006801:Humans; D007111:Immunity, Cellular; D056724:Immunity, Humoral; D007113:Immunity, Innate; D013577:Syndrome
D004044:Dietary Proteins
Allergy; enteropathy; lymphocytes; milk; serotonin; tolerance; vomiting