4.1 Review

Probiotics in food allergy

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/ACI.0000000000000745

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food allergy; microbiota; prevention; probiotics

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Current research on the role of probiotics in food allergy is still exploratory, with no clear usage recommendations and further studies needed. Early life supplementation with specific immunomodulatory microbes derived from machine learning approaches may represent a novel approach to preventing multiple atopic diseases.
Purpose of review To perform a nonsystematic review of the literature on the possible role of probiotics for food allergy (FA). Recent findings Animal model and in vitro evidence suggest that the gut microbiome could protect against FA and that probiotics could be a valid instrument. There is no consistent evidence in identifying the specific species, the dosage, and the optimal duration to obtain the correct immunomodulation. Early life supplementation with specific 'missing' immunomodulatory microbes - derived from machine learning approach to birth cohort studies - might represent a novel approach to the primary prevention of multiple human atopic diseases. However, further studies are needed. Currently, there is no positive recommendation from the main scientific societies to use probiotics neither for the treatment nor for the prevention of FA.

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