Zurich Open Repository and Archive University of Zurich University Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2014 Mechanisms of immune regulation in allergy van de Veen, W ; Akdis, M Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-140934 Book Section Published Version Originally published at: van de Veen, W; Akdis, M (2014). Mechanisms of immune regulation in allergy. In: Akdis, C A; Agache, I. EAACI Global Atlas of Allergy. Zurich: European Academy of Allergy and Clinical Immunology, 90-91.
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UntitledZurich Open Repository and Archive University of Zurich University Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 2014 Mechanisms of immune regulation in allergy van de Veen, W ; Akdis, M Posted at the Zurich Open Repository and Archive, University of Zurich ZORA URL: https://doi.org/10.5167/uzh-140934 Book Section Published Version Originally published at: van de Veen, W; Akdis, M (2014). Mechanisms of immune regulation in allergy. In: Akdis, C A; Agache, I. EAACI Global Atlas of Allergy. Zurich: European Academy of Allergy and Clinical Immunology, 90-91. GLOBAL ATLAS OF ALLERGY P u b l i s h e d b y t h e E u r o p e a n A c a d e m y o f A l l e r g y a n d C l i n i c a l I m m u n o l o g y w w w . e a a c i . o r g Allergy - Mechanisms management of allergic diseases Published by the European Academy of Allergy and Clinical Immunology 2014 Editors Ronald Van Ree, Vice-President Congresses Cezmi A. Akdis, Past President SECTION CHAIRPERSONS INTEREST GROUP REPRESENTATIVES Frans Timmermans ADJUNCT MEMbERS Jan de Monchy, Specialty Committee Chairperson Jacques Gayraud, Ethics Committee Secretary Peter Schmid-Grendelmeier, Exam Committee Chairperson Marek Jutel, SPC Co-ordinator Angel Mazon, Web Editor Olympia Tsilochristou, Web Editor Michael Walker, Executive Director Children’s Hospital. Department of Pediatrics, Harvard Medical School. Ioana Agache, MD Dept, of Allergy and Clinical Immunology, Transylvania University of Brasov, Faculty of Medicine Cezmi A. Akdis, MD Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland Christine Kühne – Center for Allergy Research and Education (CK- CARE), Davos, Switzerland Medical Faculty, University of Zurich Mübeccel Akdis, MD, PhD Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland Walter J. Ammann, PhD Global Risk Forum (GRF) Davos, Switzerland University Medical Center, Leiden, The Netherlands Department of Parasitology, Noguchi Memorial Institute for Medical Research, Accra, Ghana Evangelos Andreakos, PhD Biomedical Research Foundation, Academy of Athens, Greece Medical Research, Epidemiology of Allergic and Respiratory Diseases (EPAR), France Claus bachert, MD Upper Airways Research Laboratory, University of Ghent, Ghent, Belgium; Division of ENT Diseases, CLINTEC, Karolinska Institutet Stockholm, Sweden barbara ballmer-Weber, MD Department of Dermatology, University Hospital Zürich, Switzerland University Hospital Zürich, Switzerland University of South Florida Morsani School of Medicine, All Children’s Hospital, St Petersburg USA Nuray bayar Muluk, MD Dept Otorhinolaryngology,-Krkkale University, Turkey Allergy, University Medical Center, Friedrich-Wilhelms University of Bonn, Germany M. beatrice bilò, MD Allergy Unit - Department of Internal Medicine – University Hospital Ospedali Riuniti di Ancona - Italy Carsten bindslev-Jensen, MD Odense Research Center for Anaphylaxis, Odense Denmark Odense University Hospital, Odense Denmark and Allergy Research and Christian Doppler Laboratory for Immunomodulation, Division of Cellular Allergology, Medical University of Vienna, Vienna, Austria Matteo bonini, MD Department of Public Health and Infectious Diseases “Sapienza” University of Rome, Italy Sergio bonini, MD Department of Internal Medicine, Second University of Naples, Italy Jean bousquet, MD University of Montpellier,France WHO Global Alliance Against Chronic Respiratory Diseases (GARD) Director of the WHO Collaborating Centre for Asthma and Rhinitis in Montpellier, France University Hospital Zurich, Zurich, Switzerland. Gert Jan braunstahl, MD St. Franciscus Gasthuis Rotterdam, The Netherlands and Allergy Research, Medical University of Vienna, Austria Knut brockow, MD Department of Dermatology and AllergologyBiederstein, TechnischeUniversitätMünchen, Germany. of North Carolina at Chapel Hill, Chapel Hill ,USA Robert K. bush, MD University of Wisconsin-Madison, U.S.A (ZAUM), Technische Universität München and Helmholtzzentrum München, Germany EAACI Interest Group Aerobiology and Air Pollution Moisés A. Calderón, MD Section of Allergy and Clinical Immunology, Imperial College London, NHLI, Royal Brompton Hospital, London, UK. Victòria Cardona, MD, PhD Allergy Section, Department of Internal Medicine. Hospital U n i v e r s i t a r i V a l l d ’ H e b r o n , Barcelona, Spain Kai-Håkon Carlsen, MD (Paediatric respiratory medicine and allergology), University of Oslo, Institute for Clinical Medicine and Oslo University Hospital, Department of Paediatrics, Oslo, Norway Jean-Christoph Caubet, MD Department of Child and Adolescent, Contributors CONTRIbUTORS IV University Hospitals of Geneva and Medical School of the University of Geneva, Geneva, Switzerland Yih-Chih Chan, MD King’s College London, London, United Kingdom Children’s Hospital/ Department of Pediatrics, Harvard Medical School. R. Sharon Chinthrajah, MD Division of Immunology and Allergy, Department of Pediatrics, Stanford University, Stanford, USA Tomás Chivato Pérez, MD University CEU San Pablo, Madrid, Spain Osmangazi University, Turkey Lauderdale, Florida, USA Research (SIAF), University of Zürich, Davos, Switzerland Adnan Custovic, MD, PhD University of Manchester, UK Janet Davies, PhD Lung and Allergy Research Centre, School of Medicine, The University of Queensland, Translational Research Institute, Woolloongabba, Queensland, Australia Jan G. R. de Monchy, MD University of Groningen, University Medical Center Groningen, The Netherlands Pascal Demoly, MD University Hospital of Montpellier, France Asthma Research Institute, Istanbul, Turkey Anthony E.J. Dubois, MD Dept. of Pediatric Allergy, University of Groningen, The Netherlands National Heart and Lung Institute, Imperial College London, United Kingdom. EAACI Patient Organisation Committee, Geneva, Switzerland Research, Basel, Switzerland Small Animal Internal Medicine, Vetsuisse Faculty, University of Zurich, Zurich, Switzerland fatima ferreira, PhD Department of Molecular Biology, Christian Doppler Laboratory for Allergy Diagnosis and Therapy, Saltzburg, Austria Michael b. foggs, MD President American College of Allergy, Asthma & Immunology Dept of Allergy and Immunology, Advocate Health Care, Chicago, United States Remo frei, PhD Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland Christine Kühne-Center for Allergy Research and Education, Davos Anthony J. frew, MD Department of Respiratory Medicine, Royal Sussex County Hospital, Brighton, UK Gabriele Gadermaier, MD Department of Molecular Biology, Christian Doppler Laboratory for Allergy Diagnosis and Therapy, University of Salzburg, Austria Stephen J. Galli, MD Stanford Center for Genomics and Personalized Medicine Professor Stanford University, USA, Chair, Department of Pathology Free Hospital, London, UK France University Hospital of Zürich, Switzerland Philippe Gevaert, MD, PhD Dept Otorhinolaryngology, Ghent University Hospital UNIKA-T, TechnischeUniversität Munich, Germany Christine Kühne Center for Allergy Research and Education (CK- Care), Davos, Switzerland Hannah Gould, PhD Division of Cell and Molecular Biophysics and Division of Allergy, Asthma and Lung Biology, Allergy and Asthma Group in the Division of Cell and Molecular Biophysics King’s College London, London, United Kingdom Clive E. Grattan, MD Norfolk and Norwich University Hospital, UK Immune Design Unit, Department of Clinical Neuroscience, Center for Molecular Medicine Karolinska University Hospital University Hospital, Finland reichische Apothekerkammer, Austria Hospital, Odense University Hospital, Denmark firdaus Hamid, MD Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia Catherine M. Hawrylowicz, PhD MRC and Asthma UK Centre for Allergic Mechanisms in Asthma, Division of Asthma, Allergy and Lung Biology, Guy’s Hospital, King’s College London, London, United Kingdom Enrico Heffler, MD, PhD Department of Medical Sciences, Allergy and Clinical Immunology, University of Torino, Italy Contributors Head and Neck Surgery, University Hospitals Leuven, Belgium Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands Christoph Heusser, PhD Novartis Institutes for Biomedical Research, Basel, Switzerland and Allergology, Aarhus University Hospital Department of Clinical Medicine, Aarhus University, Denmark Karin Hoffmann-Sommergruber, MD, PhD Stephen T Holgate, MD, DSc, fMedSci Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton,UK. Patrick G. Holt, MD, PhD Division of Cell Biology, Telethon Institute for Child Health Research, The University of Western Australia and Queensland Children’s Medical Research Institute, The University of Queensland, Australia friedrich Horak, PhD Research Consult GmbH, Dpt. Vienna Challenge Chamber (VCC), Vienna, Austria Arne Høst, MD Head of Hans Christian Andersen Children’s Hospital, Odense University Hospital Denmark Natalia I. Ilyna, MD NRC Institute of Immunology FMBA Russia Jan lötval, MD Krefting Research Center, University of Gothenburg, Göteborg, Sweden Marek Jutel, MD Department of Clinical Immunology, Wroclaw Medical University ALL-MED Medical Research Institute, Wroclaw , Poland Hacettepe University School of Medicine, Ankara, Turkey Hajime Karasuyama, MD, PhD Department of Immune Regulation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan Constance H. Katelaris, Mb bS PhD fRACP Immunology & Allergy, University of Western Sydney and Campbelltown Hospital, Sydney, Australia. Musa R. Khaitov, MD NRC Institute of Immunology FMBA Russia Russia Edward f. Knol, PhD Dept. Immunology and Dermatology/ Allergology; University Medical Center Utrecht, Utrecht, The Netherlands Marek l. Kowalski, MD Medical University of Lodz, Poland Thomas M. Kündig, MD Department of Dermatology, University Hospital Zurich, Zurich, Switzerland Gideon lack, MD MRC Asthma UK Centre in Allergic Mechanisms of Asthma, King’s College London, Guy’s and St Thomas’ NHS Foundation Trust, Children’s Allergies Department, St Thomas’ Hospital, London, UK bart N. lambrecht, MD, PhD VIB Inflammation Research Center, Gent University, Belgium Immunology, Department of Désirée larenas linnemann, MD Hospital Médica Sur, Mexico city, Mexico Germany Switzerland, St. Gallen, Switzerland Christine Kühne-Center for Allergy Research and Education, Davos Dennis K. ledford, MD Morsani College of Medicine, University of South Florida and James A. Haley V.A. Hospital, Tampa, Florida, USA Wisconsin Donald Y. M. leung, MD, PhD Department of Pediatrics, National Jewish Health, Denver, USA USA European Union, Bolzano, Bozen, Italy Richard f. lockey, MD Joy McCann Culverhouse Airway Disease Research Center, Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida Morsani College of Medicine; James A. Haley Veterans’ Hospital, Tampa, FL, USA Karin C. lødrup Carlsen, MD Head of Research, University of Oslo, Institute for Clinical Medicine and Oslo University Hospital, Department of Paediatrics, Oslo, Norway lyudmila V. luss, MD NRC Institute of Immunology FMBA Russia Allergology, Rome, Italy Contributors Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, School of Medicine, Naples, Italy Paolo Maria Matricardi, MD Dept. of Paediatric Pneumology and Immunology, Charité Medical University, Berlin, Germany Marcus Maurer, MD Department of Dermatology and Allergy, Charité – Universitätsmedizin Berlin Angel Mazon, MD Children’s Hospital La Fe, Valencia, Spain Noncommunicable Diseases, World Health Organisation, Geneva, Switzerland Dean D. Metcalfe, MD National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Maryland, United States Antonella Muraro, MD, PhD Food Allergy Referral Centre Veneto Region Department of Women and Child Health , Padua General University Hospital Dept of Pediatric Allergology, University of Padua, Italy Erika von Mutius, MD Dr. von Hauner Children’s Hospital, Ludwig-Maximilians-University Munich, Germany Kari C Nadeau, MD, PhD Division of Immunology and Allergy, Department of Pediatrics, Stanford University, Stanford, USA Jennifer A. Namazy, MD Scripps Clinic, San Diego, California, USA Fellow, Mayo Clinic, Rochester, Minnesota Verena Niederberger, PhD Department of Otorhinolaryngology, Medical University of Vienna, Austria Anna Nowak-Wgrzyn, MD Associate Professor Pediatrics, Allergy and Immunology, Jaffe Food Allergy Institute, Department of Pediatrics, Division of Allergy and Immunology, Kravis Children’s Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA liam O’Mahony, PhD Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich, Davos, Switzerland Christine Kühne-Center for Allergy Research and Education, Davos Markus Ollert, MD Technische Universität München (TUM), Munich, Germany University of Manchester, UK, University of Athens, Greece, EAACI President Ruby Pawankar, MD, PhD Past President, World Allergy Organization Dept. of Pediatrics, Nippon Medical School,Tokyo, Japan. Wiesbaden, Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital, Mannheim, Mannheim, Germany Werner J Pichler, MD Clinic for Rheumatology and Clinical Immunology/Allergology, University Hospital of Bern, Bern, Switzerland Thomas A.E Platts-Mills, MD, PhD, fRS Asthma and Allergic Disease Center, University of Virginia, Charlottesville, USA lars K. Poulsen, PhD National University Hospital, Allergy Clinic, Copenhagen, Denmark Health (SPACH), University of Western Australia, Australia Santiago Quirce, MD, PhD Department of Allergy, Hospital La Paz Institute for Health Research (IdiPAZ), Madrid, Spain. Harald Renz, MD Philipps- University of Marburg, Institute of Laboratory Medicine Allergology Biederstein, Technische Universität München Christine Kühne-Center for Allergy Research and Education (CK- CARE) Davos Graham Roberts, MD David Hide Asthma and Allergy Research Centre, St Mary’s Hospital, Newport, Isle of Wight NIHR Southampton Respiratory Biomedical Research Unit, University Hospital Southampton NHS Foundation Trust Faculty of Medicine, Human Development and Health and Clinical Experimental Sciences Academic Units, University of Southampton, Southampton, UK Caroline Roduit, MD Zurich University Children’s Hospital, Zurich, Switzerland Children’s Hospital of Eastern Switzerland, St. Gallen, Switzerland Organization Allergy-Immunology Division, University of Missouri-Kansas City School of Medicine frederick J. Rubner, MD University of Wisconsin, Madison, Wisconsin Allergology, Ludwig-Maximilian University, Munich, Germany Dermot Ryan, Dr. GP Woodbrook Medical Centre, Loughborough Honorary Clinical Research Fellow Allergy and Respiratory Research Group, Centre for Population Health Sciences, University of Edinburgh, Medical School Hirohisa Saito, MD, PhD National Research Institute for Child Health & Development, Tokyo, Japan Contributors University Medical College, Kraków, Poland Alexandra Santos, MD King’s College, Paediatric Allergy, London, UK Georg Schäppi, MD aha! Swiss Allergy Centre Christine Kühne – Center for Allergy Research and Education (CK- CARE), Davos, Switzerland Michael Schatz, MD, MS Department of Allergy, Kaiser Permanente Medical Center, San Diego, California, USA Peter Schmid-Grendelmeier, MD Head of the Allergy Unit, University Hospital Zurich, Dept of Dermatology, Zürich, Switzerland Carsten b. Schmidt-Weber, PhD Center for Allergy & Environment (ZAUM), Technische Universität München and Helmholtzzentrum München Gabriela Senti, MD Clinical Trials Center, University Hospital Zurich, Zurich, Switzerland & Immunology, Department of Medicine and Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill ,USA Scott H. Sicherer, MD The Elliot and Roslyn Jaffe Food Allergy Institute, Kravis Children’s Hospital, Division of Allergy and Immunology, Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA Hans-Uwe Simon, Institute of Pharmacology, University of Bern, Switzerland Child Health, Department of Immunology , Faculty of Medicine University of Manitoba, Canada Isabel Skypala, PhD Royal Brompton&Harefield NHS Foundation Trust, Sydney Street, UK University Medical Center, Leiden, The Netherlands françois Spertini, MD Division of Immunology and Allergy, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland Otto Spranger, MD Österreichische Lungenunion, Wien, Austria Cristiana Stellato, MD Department of Medicine and Surgery, University of Salerno, Italy, Division of Allergy and Clinical Immunology, Johns Hopkins University, Baltimore, Alex Straumann, MD Chairman Swiss EoE Research Network Department of Gastroenterology, Stanley J. Szefler, MD Pediatric Asthma Research Program, Section of Pediatric Pulmonary Medicine, Breathing Institute, Department of Pediatrics, Children’s Hospital Colorado; University of Colorado Denver School of Medicine, Aurora, Colorado Morvarid Tavassoli, MD Division of Immunology and Allergy, Department of Pediatrics, Stanford University, Stanford, USA Michael N. Teng, MD Joy McCann Culverhouse Airway Disease Research Center, Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida Morsani College of Medicine Ingrid Terreehorst, MD Department of ENT & Pediatrics, Academic Medical Center, Amsterdam, The Netherlands Wayne R. Thomas, PhD Centre for Child Health Research, University of Western Australia, Perth, Australia Telethon Institute for Child Health Research, Western Australia UNIKA-T, Technische Universität, Munich, Germany Christine Kühne Center for Allergy Research and Education (CK- Care), Davos, Switzerland Massimo Triggiani, MD Division of Allergy and Clinical Immunology, University of Salerno, Italy Rudolf Valenta, PhD Department of Pathophysiology and Allergy Research, Medical University of Vienna, Austria Willem van de Veen, PhD Swiss Institute of Allergy and Asthma Research (SIAF), University of Zurich,Davos, Switzerland Ronald van Ree, PhD Professor, Department of Experimental Immunology, Academic Medical Center, Amsterdam, The Netherlands, Department of Otorhinolaryngology, Academic Medical Center, Amsterdam, The Netherlands Roy Gert van Wijk, MD Dept of Internal Medicine, Erasmus Medical Center Rotterdam, Netherlands Sciences and Center for Basic and Clinical Immunology Research (CISI), University of Naples Federico II, School of Medicine, Naples, Italy J. Christian Virchow, MD Universitätsmedizin Rostock, Germany Department of Pneumology/ berber Vlieg-boerstra, PhD RD Department of Pediatric Respiratory Medicine and Allergy, Emma Children’s Hospital, Academic Medical Center, University of Amsterdam, The Netherlands Kimberly Vu, MD Division of Immunology and Allergy, Department of Pediatrics, Stanford University, Stanford, USA Contributors and Immunology, Charité, Berlin, Germany Michael Wallner, MD University of Salzburg, Department of Molecular Biology, Christian Doppler Laboratory for Allergy Diagnosis and Therapy, Saltzburg, Austria Canonica G. Walter, MD Dept of Allergy & Respiratory Diseases Clinic, University of Genova, Genova- Italy Richard Weber, MD Department of Medicine, National Jewish Medical & Research Center, Denver, US Stephan Weidinger, MD Department of Dermatology and Allergy, University Hospital Schleswig-Holstein, Kiel, Germany Thomas Werfel, MD Division of Immunodermatology and Allergy Research, Department of Dermatology, Hannover Medical School, Hannover, Germany Marsha Wills-Karp, PhD Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltomore, USA Margitta Worm, MD Charité-Universitätsmedizin, Klinik für Dermatologie, Venerologie und Allergologie, Berlin, Germany Maria Yazdanbakhsh, PhD Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands M Osman Yusuf, MD The Allergy & Asthma Institute, Pakistan. Torsten Zuberbier, MD Dept. of Dermatology and Allergy, Charité, Berlin Contributors 4 The discovery of IgE S.G.O. Johansson 6 Allergens – structure and function Ronald van Ree 9 Mechanisms of allergenicity of allergens Heimo Breiteneder 11 Allergens and cross-reactivity Barbara Bohle 13 House dust mite allergens Wayne R. Thomas 15 Pet allergens Hans Grönlund 18 Tree pollen allergens Fatima Ferreira, Gabriele Gadermaier, Michael Wall- ner 22 Grass pollen allergens Jörg Kleine-Tebbe, Janet Davies 27 Weed pollen allergens Richard W. Weber 29 food allergens Barbara Ballmer-Weber 32 Venom allergens Franziska Ruëff 34 Emerging allergens Karin Hoffmann-Sommergruber 36 Pollen allergens and geographical factors Jeroen Buters 39 The underlying mechanisms in allergy Cezmi A. Akdis 43 Innate immune response in allergy Michael N. Teng, Richard F. Lockey 45 Dendritic cells Bart N. Lambrecht 48 Natural killer cells and natural killer-T cells Günnur Deniz 50 Innate lymphoid cells Hirohisa Saito 53 Mast cells Stephen J. Galli 56 basophils Hajime Karasuyama 58 Eosinophils Hans-Uwe Simon 62 b cells Azza Abdel-Gadir, Talal Chatila 64 Immunoglobulin E and other antibodies in allergy Hannah Gould, Yih-Chih Chan 67 Role of superantigens in allergic diseases Donald Y. M. Leung 69 Cytokines in allergy Lars K. Poulsen 71 Cell migration and chemokines Cristiana Stellato, Gilda Varricchi, Gianni Marone 76 Complement-mediated regulation of the allergic response Marsha Wills-Karp 79 lipid mediators of hypersensitivity and inflammation Marek Sanak 81 lipid mediators in resolution of allergic inflammation Evangelos Andreakos 84 Allergy and the epithelial barriers Stephen T. Holgate 88 Epithelial proteases and allergic diseases Ömer Kalayci 90 Mechanisms of immune regulation in allergy Willem van de Veen, Mübeccel Akdis 92 Neuro-immune regulation of allergic inflammation Harald Renz 95 United airways and immune regulation Claus Bachert 98 Genetics of allergy Stephan Weidinger 101 Epigenetics of Allergy R. Sharon Chinthrajah, Kimberly Vu, Morvarid Tavas- soli, Kari C Nadeau, 104 Endotypes of allergic diseases Ioana Agache, Cezmi A. Akdis 108 Animal models of allergic disease Remo Frei, Liam O’Mahony GlObAl ATlAS Of AllERGY Contents 119 birth cohorts Adnan Custovic 121 Environmental risk factors for allergy: outdoor/ indoor pollution and climate change Stefanie Gilles, Claudia Traidl-Hoffmann 124 Measuring exposure to environmental airborne allergens Isabella Annesi-Maesano 127 Environmental risk factors for allergy: food Scott H. Sicherer 130 Environmental risk factors for allergy: home environment Thomas A.E. Platts-Mills 133 Environmental risk factors for allergy: working environment Roy Gert van Wijk 135 Risk factors for childhood asthma: viral infection and allergic sensitization Frederick J. Rubner, Robert F. Lemanske Jr. 138 Environmental risk factors for allergy: helminth infections Abena S. Amoah, Firdaus Hamid, Hermelijn H. Smits, Maria Yazdanbakhsh 141 Perinatal immune development and its role in atopy development Patrick G. Holt 143 Perinatal risk and protective factors for allergic diseases Arne Høst 146 The role of microbiome Erika von Mutius SECTION C AllERGY DIAGNOSIS 150 In vivo allergy diagnosis - skin tests Julia Katharina Genser, Peter Schmid-Grendelmeier 153 In vivo allergy diagnosis- nasal and bronchial provocation tests Gert Jan Braunstahl 156 In-vivo allergy diagnosis- food provocation tests Philippe Eigenmann 158 In vivo diagnosis of NSAID hypersensitivity Marek L. Kowalski 161 In vivo allergy diagnosis - drug provocation test Knut Brockow 163 The allergen challenge chamber Friedrich Horak 166 In vitro allergy diagnosis – Allergen- specific IgE Reto Crameri 168 In vitro allergy diagnosis – molecules and component-resolved diagnosis…