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Molecular Mechanism and Clinical Effects of Probiotics in the Management of Cow's Milk Protein Allergy
Cow's milk protein allergy (CMPA) is the most common food allergy (FA) in infancy, affecting approximately 2% of children under 4 years of age. According to recent studies, the increasing prevalence of FAs can be associated with changes in composition and function of gut microbiota or "dys...
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Published in: | International journal of molecular sciences 2023-06, Vol.24 (12), p.9781 |
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creator | Cela, Ludovica Brindisi, Giulia Gravina, Alessandro Pastore, Francesca Semeraro, Antonio Bringheli, Ivana Marchetti, Lavinia Morelli, Rebecca Cinicola, Bianca Capponi, Martina Gori, Alessandra Pignataro, Elia Piccioni, Maria Grazia Zicari, Anna Maria Anania, Caterina |
description | Cow's milk protein allergy (CMPA) is the most common food allergy (FA) in infancy, affecting approximately 2% of children under 4 years of age. According to recent studies, the increasing prevalence of FAs can be associated with changes in composition and function of gut microbiota or "dysbiosis". Gut microbiota regulation, mediated by probiotics, may modulate the systemic inflammatory and immune responses, influencing the development of allergies, with possible clinical benefits. This narrative review collects the actual evidence of probiotics' efficacy in the management of pediatric CMPA, with a specific focus on the molecular mechanisms of action. Most studies included in this review have shown a beneficial effect of probiotics in CMPA patients, especially in terms of achieving tolerance and improving symptoms. |
doi_str_mv | 10.3390/ijms24129781 |
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According to recent studies, the increasing prevalence of FAs can be associated with changes in composition and function of gut microbiota or "dysbiosis". Gut microbiota regulation, mediated by probiotics, may modulate the systemic inflammatory and immune responses, influencing the development of allergies, with possible clinical benefits. This narrative review collects the actual evidence of probiotics' efficacy in the management of pediatric CMPA, with a specific focus on the molecular mechanisms of action. 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Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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According to recent studies, the increasing prevalence of FAs can be associated with changes in composition and function of gut microbiota or "dysbiosis". Gut microbiota regulation, mediated by probiotics, may modulate the systemic inflammatory and immune responses, influencing the development of allergies, with possible clinical benefits. This narrative review collects the actual evidence of probiotics' efficacy in the management of pediatric CMPA, with a specific focus on the molecular mechanisms of action. 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subjects | Allergens Allergies Animals Antigens Autoimmune diseases B cells Breastfeeding & lactation Cattle children Cow's milk cow’s milk protein allergy (CMPA) Cytokines Diet Dysbacteriosis Female Food Food allergies Food allergy Food Hypersensitivity Gastrointestinal Microbiome Hypotheses Immune response Immune system Immune Tolerance Immunoglobulins Immunological tolerance Inflammation Intestinal microflora Microbiota Microbiota (Symbiotic organisms) Microorganisms Milk Milk Hypersensitivity - therapy Milk Proteins Molecular modelling Pathogens pediatric Pediatrics Probiotics Probiotics - therapeutic use Proteins Review Tumor necrosis factor-TNF |
title | Molecular Mechanism and Clinical Effects of Probiotics in the Management of Cow's Milk Protein Allergy |
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