Child protected from food allergens by glowing adiponectin molecules.

Food Allergies and Inflammation: Unlocking the Role of Adiponectin

"New research explores how adiponectin, an anti-inflammatory protein, could be a key player in managing food allergies in children."


Food allergies are on the rise, affecting millions worldwide, especially in industrialized countries. While the exact causes remain unclear, environmental factors such as diet, hygiene, and exposure to microbes are believed to play a significant role. Recent research has begun to explore the relationship between obesity, inflammation, and food allergies, focusing on the role of adipokines—hormones secreted by adipose tissue that can influence immune responses.

One such adipokine, adiponectin, has garnered attention for its anti-inflammatory properties. Studies suggest that adiponectin can modulate immune cell responses and potentially mitigate allergic reactions. However, the interplay between adiponectin, obesity, and food allergies remains complex and sometimes contradictory. Some studies indicate a connection between obesity and increased allergic diseases, while others show no direct correlation.

To shed light on this intricate relationship, a recent study published in the British Journal of Nutrition investigated the role of adiponectin in children with food allergies. This research aimed to determine whether adipokines like adiponectin and leptin are associated with food allergies, offering new insights into managing and understanding these conditions.

Adiponectin: The Body's Natural Anti-Inflammatory Agent

Child protected from food allergens by glowing adiponectin molecules.

The study, conducted by researchers at the Tehran University of Medical Sciences, enrolled forty children diagnosed with food allergies based on clinical history and specific IgE (sIgE) tests for food allergens. A control group of thirty children without allergic symptoms was also included. The researchers measured serum levels of leptin and adiponectin in both groups using ELISA, a common immunoassay technique. Additionally, sIgE levels were measured for the eight most common food allergens using the immunoblot method.

The results revealed some interesting differences between the two groups. Children with food allergies had significantly higher serum levels of adiponectin compared to the control group. Specifically, the average adiponectin level was 24.11 µg/ml in the allergy group compared to 10.67 µg/ml in the control group (P<0.001). This suggests that adiponectin may play a protective role against food allergies by modulating the immune response and reducing inflammation. However, no statistically significant difference was found in serum leptin concentrations between the two groups.

  • Adiponectin Levels: Higher in children with food allergies (24.11 µg/ml) vs. controls (10.67 µg/ml).
  • Leptin Levels: No significant difference between the groups.
  • Inverse Relationship: Adiponectin levels decreased with age in both groups, more significantly in the allergy group.
  • Common Allergens: Wheat, hazelnut, cow's milk, and egg white were the most common allergens.
Furthermore, the study found a significant inverse relationship between age and adiponectin levels in both groups. This means that as children got older, their adiponectin levels tended to decrease. This relationship was more pronounced in the group with food allergies, suggesting that age-related changes in adiponectin levels may influence the severity or manifestation of food allergies. Common allergens identified in the patient group included wheat (52.5%), hazelnut (52.5%), cow's milk (50%), and egg white (30%).

What Does This Mean for Managing Food Allergies?

The study's findings suggest that adiponectin plays an essential role in food allergy, likely independent of obesity. Higher adiponectin levels in allergic children could reflect the body's attempt to counteract inflammation. While more research is needed to fully understand this mechanism, these insights may pave the way for novel therapeutic strategies targeting adiponectin to manage and potentially alleviate food allergies in children. Further investigations with larger groups of allergic children and comprehensive evaluations of other adipokines are essential to solidify these conclusions and clarify the precise role of each adipokine in the allergy pathway.

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This article is based on research published under:

DOI-LINK: 10.1017/s0007114518002659, Alternate LINK

Title: The Potential Anti-Inflammatory Role Of Adiponectin In Food Allergy: A Case–Control Study On Children

Subject: Nutrition and Dietetics

Journal: British Journal of Nutrition

Publisher: Cambridge University Press (CUP)

Authors: Mahshid Sirjani, Raheleh Shokouhi Shoormasti, Nastaran Sabetkish, Maryam Ayazi, Nazanin Khodayari Namini, Behnoosh Tayebi, Zahra Pourpak

Published: 2018-11-07

Everything You Need To Know

1

What is adiponectin, and why is it relevant to food allergies?

Adiponectin is an anti-inflammatory protein secreted by adipose tissue, known as an adipokine. It's relevant to food allergies because research suggests it can modulate immune cell responses, potentially mitigating allergic reactions. Higher levels of adiponectin were observed in children with food allergies, indicating a possible protective role against inflammation related to allergic responses. It could be a key player in managing food allergies in children.

2

How did the study measure adiponectin levels in children with food allergies, and what were the key findings?

The study measured serum levels of leptin and adiponectin in children with food allergies and a control group using ELISA, a common immunoassay technique. Specific IgE (sIgE) levels were measured for common food allergens using the immunoblot method. A key finding was that children with food allergies had significantly higher serum levels of adiponectin (24.11 µg/ml) compared to the control group (10.67 µg/ml). There was no statistically significant difference found in serum leptin concentrations between the two groups. Also, adiponectin levels decreased with age in both groups, more significantly in the allergy group. The most common allergens were wheat, hazelnut, cow's milk, and egg white.

3

What implications does the inverse relationship between age and adiponectin levels have for children with food allergies?

The study found that as children got older, their adiponectin levels tended to decrease, and this relationship was more pronounced in the group with food allergies. This suggests that age-related changes in adiponectin levels may influence the severity or manifestation of food allergies. As adiponectin potentially modulates the immune response, a decrease with age could impact how the body responds to allergens, possibly affecting the persistence or remission of food allergies over time. This also can hint at the importance of considering age-related changes in immune function when developing strategies for managing food allergies.

4

The study mentions common food allergens. How were these identified, and what were the most prevalent ones?

Common food allergens were identified based on specific IgE (sIgE) tests using the immunoblot method. The most prevalent allergens identified in the patient group were wheat (52.5%), hazelnut (52.5%), cow's milk (50%), and egg white (30%). These allergens triggered an immune response in a significant portion of the children with food allergies, contributing to allergic reactions.

5

What are the next steps in researching the relationship between adiponectin and food allergies, and how could this lead to better treatments?

Further investigations are needed with larger groups of allergic children and comprehensive evaluations of other adipokines. The goal is to solidify conclusions about adiponectin's role and clarify the precise function of each adipokine in the allergy pathway. This research may pave the way for novel therapeutic strategies that target adiponectin to manage and potentially alleviate food allergies in children. For example, interventions that boost adiponectin levels or enhance its function could be explored as potential treatments.

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