Food Proteins and Lipids pp 183-193 | Cite as
Interactions between Dietary Proteins and the Human System: Implications for Oral Tolerance and Food-Related Diseases
Abstract
Mounting evidence suggests that there are a number of important, but poorly understand, interactions between dietary proteins and the human immune system. The usual response of the human immune system to dietary proteins seems to be that of oral tolerance, a phenomenon involving up-regulation of protective gut localized immune mechanisms and down-regulation of potentially harmful systemic immunity to the protein in question. Abrogation of oral tolerance may play an important role in the development of food allergies and food enteropathies. Immune mechanisms underlying oral tolerance are therefore discussed in light of current understanding of such food-related diseases as IgE mediated food allergies and gluten sensitive enteropathy. Possible development of oral vaccines to immune-related diseases like multiple sclerosis and rheumatoid arthritis is also discussed.
Keywords
Celiac Disease Food Allergy Dietary Protein Coeliac Disease Food AllergenPreview
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References
- Ament, M.E. and Rubin, C. E. 1972. Soy protein-another cause of the flat intestinal lesion. Gastroenter. 62: 227.Google Scholar
- Anderson J.A. 1990 Food allergy or sensitivity terminology, physiologic bases, and scope of the clinical problem. Ch. 1. In Food Allergies and Adverse Reactions, J.E. Perkin (Ed.), p. 5. Aspen Publishers, Inc., Gaithersburg, MD.Google Scholar
- Augustin, A., Kubo, R.T., Sim, G-K., 1989. Resident pulmonary lymphocytes expressing the gamma/delta cell receptor. Nature. 340: 239.PubMedCrossRefGoogle Scholar
- Barbeau, W.E., Novascone, M.A., Elgert, K.D. 1996. Reappraisal of the lectin and immune hypotheses for the etiolgy of celiac disease in light of possible interactions between gliadin peptides and HLA class 11 molecules. Gut, in review.Google Scholar
- Barrett, K.E. 1991. Mast cells, basophils and immunoglobulin E. Ch. 2 In Food Allergy: Adverse Reactions to Foods and Food Additives, D.D. Metcalfe, H.A. Sampson and R.A. Simon (Ed.), p. 28–29. Blackwell Scientific Publications, Boston, MA.Google Scholar
- Bluestone J.A. and Matis, L.A. 1989. TCR gamma delta cells-minor redundant T cell subset or specialized immune system component? J. Immunol. 142: 1785.Google Scholar
- Bosio, L., Barera, G., Mistura, L., Sassi, G., Bianchi, C. 1990. Growth acceleration and final height after treatment for delayed diagnosis of celiac disease. J. Pediatr. Gastroenter. Nutr. 11: 324.CrossRefGoogle Scholar
- Brandtzaeg, P. 1989. Overview of the mucosal immune system. Curr. Topics Microbiol. Immunol. 146: 13.CrossRefGoogle Scholar
- Broitman, S.A. and Zamcheck, N. 1980. Nutrition in diseases of the intestines. Ch. 3 IB. hi Modern Nutrition in Health and Disease, 6th ed., RS. Goodhart and M.E. Shils (Ed.), p. 922. Lea & Febiger, Philadelphia, PA.Google Scholar
- Brown, J.H., Jardetzky, T. S., Gorga, J.C., Stern, L.J., Urban, R.G., Strominger, J.L., Wiley, D.C. 1993. Three-dimensional structure of the human class 11 histocompatibility antigen HLA-DRI. Nature. 364: 33.PubMedCrossRefGoogle Scholar
- Colyer, J., Farthing M.J.G., Kumar, P.J., Clark, M.L., Ohannesian, A.D., Waldron, N.M. 1986. Reappraisal of the ‘lectin hypothesis’ in the aetiopathogenesis of coeliac disease. Clin Sci. 71: 105.PubMedGoogle Scholar
- Cornell, HJ. and Rolles, C. J. 1978. Further evidence of a primary mucosal defect in coeliac disease. Gut 19: 253.PubMedCrossRefGoogle Scholar
- Dellabona, P., Peccoud, J., Kappler, J., Marrack, P., Benoist, C, Mathis, D. 1990. Superantigens interact with MHC class 11 molecules outside of the antigen groove. Cell. 62: 1115.PubMedCrossRefGoogle Scholar
- Emancipator, S.N. and Lamm, M.E. 1988. Oral tolerance as a protective mechanism against hypersensitivity disease. Monogr. Allergy. 24: 244.PubMedGoogle Scholar
- Enders, G., Gottwald, T., Brendel, W. 1986. Induction of oral tolerance in rats without Peyer’s patches. Immunol. 58: 311.Google Scholar
- Friedman, A., Al-Sabbagh, A., Santos, L.M.B., Fishman-Lobell, J., Polanski, M., Das, M.P., Khoury, S.J., Weiner, H.L. 1994. Oral tolerance: a biologically relevant pathway to generate peripheral tolerance against external and self antigens. Ch. 10 In Chemical Immunology. Mechanisms of Immune Regulation., R.D. Granstein (Ed.), Vol. 58, p. 259. Karger, Basel, Switzerland.CrossRefGoogle Scholar
- Galliaerde, V., Desvignes, C, Peyron, E., Kaiserlian, D. 1995. Oral tolerance to haptens: intestinal epithelial cells from 2,4-dinitrochlorobenzene-fed mice inhibit hapten-specific T cell activation in vitro. Eur. J. Immunol. 25: 1385.PubMedCrossRefGoogle Scholar
- Garside, P., Steel, M., Liew, F. Y., Mowat, A.M. 1995. CD4+ but not CD8+ T cells are required for the induction of oral tolerance. Internat. Immunol. 7: 501.CrossRefGoogle Scholar
- Halstensen, T.S., Scott, H., Brandtzaeg, P. 1989. Intraepithelial T cells of the TcR gamma/delta+ CD8-and Vdeltal/jdeltaH-phenotypes are increased in coeliac disease. Scand. J. Immunol. 30: 665.PubMedCrossRefGoogle Scholar
- lyngkaran, N, Abidin, Z., Meng, L.L., Yadav, M. 1982. Egg protein-induced villous atrophy. J. Pediatr. Gastroenter. Nutr. 1: 29.CrossRefGoogle Scholar
- lyngkaran, N., Yadav, M., Boey, CG., Lam K.L. 1988. Severity and extent of upper small bowel mucosal damage in cow’s milk protein-sensitive enteropathy. J. Pediatr. Gastroenter. Nutr. 7: 667.CrossRefGoogle Scholar
- Kagnoff, M.F. 1978. effects of antigen-feeding on intestinal and systemic immune responses. 11. Suppression of delayed-type hypersensitivity reactions. J. Immunol. 120: 1509.PubMedGoogle Scholar
- Kagnoff, M.F., Austin, R.K., Hubert, J.J., Bernardin, J.E., Karsarda, D.D. 1984. Possible role for a human adenovirus in the pathogenesis of celiac disease. J. Exp. Med. 160: 1544.PubMedCrossRefGoogle Scholar
- Kane, P.M., Holowka, D., Baird, B. 1988. Cross-linking of IgE-receptor complexes by rigid bivalent antigens >200 A in length triggers cellular degranulation. J. Cell Biol 107: 969.PubMedCrossRefGoogle Scholar
- Lider, O., Santos, L.M.B., Lee, C.S. Y., Higgins, P.J., Weiner, H.L. 1989. Suppression of experimental autoimmune encephalomyelitis by oral administration of myelin basi protein. 11. Suppression of disease and in vitro immune responses is mediated by antigen-specific CD8+ T lymphocytes. J. Immunol. 142: 748.Google Scholar
- Liener, I.E. 1980. Toxic Constituents Of Plant Foodstuffs, 2nd. ed. Academic Press, New York, NY.Google Scholar
- Marsh, M.N. 1992. Gluten, major histocompatibility complex and the small intestine: a molecular and immunobiologic approach to the spectrum of gluten sensitivity (‘celiac sprue’) Gastroenterology 102: 330.PubMedGoogle Scholar
- Metcalfe, D.D. 1992. The nature and mechanisms of food allergies and related diseases. Food Technol. 46: 136.Google Scholar
- Miller A., Lider, O., Weiner, H.L. 1991. Antigen-driven bystander suppression after oral administration of antigens. J.Exp.Med. 174:791.PubMedCrossRefGoogle Scholar
- Mosmann, T.R. and Coffinan, R. L. 1989. TH1 and TH2 cells: different patterns of lymphokine secretion lead to different functional properties. Ann. Rev. Immunol.Google Scholar
- Munro, H.N., and Crim, M.C. 1980. The proteins and amino acids. Ch. 3 In Modem Nutrition in Health and Disease, R.S. Goodhart and M.E. Shils (Ed.), p. 82–83. Lea & Febiger, Philadelphia, PA.Google Scholar
- Ngan, J. and Kind, L.S. 1978. Suppressor T cells for IgE and IgG in Peyer’s patches of mice made tolerant by the oral administration of ovalbumin. J. Immunol. 120: 861.PubMedGoogle Scholar
- O’Farrelly, C. and Gallagher, R.B. 1992. Intestinal gluten sensitivity: snapshots of an unusual auto-immune like disease. Immunol. Today 13: 474.PubMedCrossRefGoogle Scholar
- Perkin, J. E. 1990. Maternal influences on the development of food allergy in the infant. Ch. 5. In Food Allergies and Adverse Reactions, J.E. Perkin (Ed.), p. 89–94, p. 103. Aspen Publishers, Inc., Gaithersburg, MD.Google Scholar
- Peters, T.J., Jones, P.E., Wells, G. 1978. Analytical subcellular fractionation of jejunal biopsy specimens: enzyme activities, organelle pathology and response to gluten withdrawal in patients with coeliac disease. Clin. Sci-Mol Med. 55: 285.PubMedGoogle Scholar
- Raulet, D.H. 1989. Antigens for gamma/delta T cells. Nature. 339: 342.PubMedCrossRefGoogle Scholar
- Richman, L.K., Graeff, A.S., Yarchoan, R., Strober, W. 1981. Simultaneous induction of antigen-specific IgA helper T cells and IgG suppressor T cells in the murine Peyer’s patches after protein feeding. J. Immunol. 126: 2079.PubMedGoogle Scholar
- Sachs, J.A., Awad, I, McCloskey, D., Navarrette, C, Festenstein, H., Elliot, E., Walker-Smith, J.A., Griffiths, C.E., Leonard, J.N., Frye, L. 1986. Different HLA associated gene combinations contribute to susceptibility for coeliac disease and dermatitis herpetiformis. Gut 27: 515.PubMedCrossRefGoogle Scholar
- Sampson, H.A. 1992 Food hypersensitivity: manifestations, diagnosis, and natural history. Food Technol. 46: 141.Google Scholar
- Sampson, H.A. and Metcalfe, D.D. 1991. Immediate reactions to foods. Ch. 7. In Food Allergy: Adverse Reactions to Foods and Food Additives, D.D. Metcalfe, H.A. Sampson and R.A. Simon (Ed.), p. 99. Blackwell Scientific Publications, Inc., Boston, MA.Google Scholar
- Schild, H., Mavaddat, N, Litzenberger, C, Ehrich, E.W., Davis, M.M., Bluestone, J.A., Matis, L., Draper, R.K., Chien, Y-h. 1994. The nature of the major histocompatibility complex recognition by gamma delta T cells. Cell. 76: 29.PubMedCrossRefGoogle Scholar
- Sloan, A.E. and Powers, M.E. 1986. A perspective on popular perceptions of adverse reactions to foods J. Allergy Clin. Immunol. 78: 127.PubMedCrossRefGoogle Scholar
- Strobel, S. and Ferguson, A. 1984. Immune responses to fed protein antigens in mice. 3. Systemic tolerance or priming is related to age at which antigen is first encountered. J. Pediatr. Res. 18: 588.PubMedGoogle Scholar
- Strominger, J.L. 1989. The gamma delta T cell receptor and class 1b MHC-related proteins: enigmatic molecules of immune recognition. Cell 57: 895.PubMedCrossRefGoogle Scholar
- Taylor, S.L. 1992. Chemistry and detection of food allergens. Food Technol. 46: 146.Google Scholar
- Trejdosiewicz, L.K., Calabrese, A, Smart, C.J., Oakes, D.J., Howdle, P.D., Crabtree, J.E., Losowsky, M.S., Lancaster, F., Boylston, A.W. 1991 Gamma delta T cell receptorpositive cells of the human gastrointestinal mucosa: occurence and V region gene expression in Heliobacter pylori-associated gastritis, coeliac disease and inflammatory bowel disease. Clin. Exp. Immunol. 84: 440.PubMedGoogle Scholar
- Troncone, R. and Auricchio, S. 1991. Gluten sensitive enteropathy (celiac disease). Food Rev. Internat. 7: 205.CrossRefGoogle Scholar
- Vitoria, J.C., Camarero, C., Sojo, A., Ruiz, A., Rodriguez-Soriano, J. 1982. Enteropathy related to fish, rice, and chicken. Arch. Dis. Child. 57: 44.PubMedGoogle Scholar
- Weiner, H.L., Friedman, A., Miller, A., Khoury, S.J., Al-Sabbagh, A., Santos, L., Sayegh, M., Nussenblatt, R.B., Trentham, D.E., Hafler, D.A. 1994. Oral tolerance: immunologic mechanisms and treatment of animal and human organ-specific autoimmune diseases by oral administration of autoantigens. 1994. Annu. Rev. Immunol. 12: 809.CrossRefGoogle Scholar
- Weiser, M.M. and Douglas, A.P. 1976. An alternative mechanism for gluten toxicity in coeliac disease. Lancet 1(7959): 567.PubMedCrossRefGoogle Scholar