Document Detail


Pathophysiologic mechanisms of allergic and pseudo-allergic reactions to foods, food additives and drugs.
MedLine Citation:
PMID:  6391287     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Allergic or pseudo-allergic reactions elicited by per os intake of foods, food additives or drugs may be based on one or several of the following immunopathologic mechanisms: 1) specific IgE bound to mast cells and/or basophils; 2) antigen-IgE soluble complexes hitting various target cells; 3) antigen-IgG complexes generating anaphylatoxins; 4) generation of anaphylatoxins by alternate pathway complement activation; 5) release of mast cell mediators by other direct triggering mechanisms (e.g., basic peptides, peptones); 6) effects on other target cells such as neutrophils and platelets; 7) reactions mediated by specific effector lymphocytes. While allergic reactions in a classical sense involve a sensitization process leading to the formation of specific immunologic agents such as antibodies or specific T lymphocytes, pseudo-allergic reactions appear to involve the same inflammatory mediators which are formed and/or released through different mechanisms and without the necessity for specific sensitization. The complexity of the phenomena possibly involved continues to create great difficulties in the objective diagnosis of food allergy.
Authors:
A L de Weck
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Annals of allergy     Volume:  53     ISSN:  0003-4738     ISO Abbreviation:  Ann Allergy     Publication Date:  1984 Dec 
Date Detail:
Created Date:  1985-01-18     Completed Date:  1985-01-18     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372346     Medline TA:  Ann Allergy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  583-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Anaphylatoxins / immunology
Animals
Antigen-Antibody Complex / immunology
Antigens / immunology
Basophils / immunology
Blood Platelets / immunology
Complement C3 / immunology
Complement C3a
Complement C5 / immunology
Complement C5a
Drug Hypersensitivity / immunology*
Food Additives / adverse effects*
Food Hypersensitivity / immunology*
Granulocytes / immunology
Histamine / immunology
Humans
Immunoglobulin E / immunology
Immunoglobulin G / immunology
Mast Cells / immunology
Narcotics / immunology
T-Lymphocytes / immunology
Chemical
Reg. No./Substance:
0/Anaphylatoxins; 0/Antigen-Antibody Complex; 0/Antigens; 0/Complement C3; 0/Complement C5; 0/Food Additives; 0/Immunoglobulin G; 0/Narcotics; 37341-29-0/Immunoglobulin E; 51-45-6/Histamine; 80295-42-7/Complement C3a; 80295-54-1/Complement C5a

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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