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Anti-acid meds increase risk of allergy

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_Allergy._ (javascript:AL_get(this, 'jour', 'Allergy.');) 2009 Feb 5. [Epub

ahead of print]

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3.x)

Aluminium per se and in the anti-acid drug sucralfate promotes sensitization

via the oral route.

_Brunner R_

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_Karagiannis P_

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_Pali-Schöll I_

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Department of Pathophysiology, Medical University of Vienna, Vienna, Austria.

Background: Aluminium (ALUM) is used as experimental and clinical adjuvant

for parenteral vaccine formulation. It is also contained in anti-acid drugs

like sucralfate (SUC). These anti-acids have been shown to cause sensitization

to food proteins via elevation of the gastric pH. The aim of this study was

to assess the oral adjuvant properties of ALUM, alone or contained in SUC, in

a BALB/c mouse model. Methods: Mice were fed SUC plus ovalbumin (OVA) and

compared with groups where ALUM or proton pump inhibitors (PPI) were applied as

adjuvants. The humoral and cellular immune responses were assessed on

antigen-specific antibody and cytokine levels. The in vivo relevance was

investigated in skin tests. Results: The highest OVA-specific immunoglobulin G1

(IgG1)

and IgE antibody levels were found in mice fed with OVA/SUC, followed by

OVA/ALUM-treated animals, indicating a T helper 2 (Th2) shift in both groups.

Antibody levels in other groups revealed lower (OVA/PPI-group) or baseline

levels

(control groups). Positive skin tests confirmed an allergic response in

anti-acid or adjuvant-treated animals. Conclusions: Our data show for the first

time that ALUM acts as a Th2-adjuvant via the oral route. This suggests that

orally applied SUC leads to an enhanced risk for food allergy, not only by

inhibiting peptic digestion but also by acting as a Th2-adjuvant by its ALUM

content.

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

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Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

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