Why some people have allergies

Allergies occur when our immune system mistakenly considers a substance a threat

Immunoglobulin E antibodies, or IgE antibodies, may bind to an allergen, effectively labeling it as a threat. That triggers a cascade of actions in the body, including the release of histamine, which causes the characteristic itching and hives of allergies. Sometimes a cooked version of an allergen—like a cooked carrot—may look different enough from its raw form to the immune system that antibodies ignore it, and no allergic response takes place.

The science of food allergies

Why do certain substances trigger an immune response while others don't? Listen to researchers explain the science in this five-minute video. Food allergies affect around 8% of children and 2% of adults in the US, and—unlike sensitivity or intolerance—they involve the immune system mistaking certain harmless proteins in foods as dangerous invaders, triggering a rapid and sometimes severe defense response.

Adults are developing food allergies that they didn’t have as children

Research published in 2019 found that almost half of 40,000 surveyed adults with food allergies developed a new food allergy as adults, underscoring that our immune systems may newly misclassify substances later in life.

Embracing poor hygiene in early life won't stave off allergies

The hygiene hypothesis, first proposed in 1989 by British immunologist David Strachan, suggests that early life exposure to microbes—like those from farm dust or pets—properly trains our immune systems to respond to threats. But sometimes the idea is misinterpreted: It doesn’t mean that poor hygiene—like failing to wash hands–will help ward off allergies; that type of behavior leads to infections and won’t help with allergy prevention.

The word allergy is partly derived from the Greek word 'allos' for 'other'

For people with allergies, their immune systems recognize substances as a harmful "other"—cuing an inflammatory response. This podcast explores allergy details and related topics, including how scientists are interested in if the same allergic response mechanisms could underpin other health issues, including severe, painful symptoms around the time of menstrual cycles. Since estrogen acts on white blood cells called mast cells, which leads to the release of histamines—similar to what happens during allergic responses—an understudied question is whether the same process is fueling some of the uncomfortable symptoms around menstruation. An allergist guest notes this raises questions about if antihistamine medications like Pepsid might alleviate them, something that hasn't yet been explored in clinical trials.

Seasonal allergies don't always show up in childhood

The human immune system may become sensitized to pollen and develop an allergic reaction to it after prolonged exposure. Other triggers for new seasonal allergies may include exposure to new environments and changing climate conditions that affect allergy season length and conditions for various pollens.

Modern conveniences may be contributing to allergy increases

A combination of genetics and how the environment changes our genes are likely contributing to the rise in allergies. But daily conveniences, such as dishwashers and packaged baby food, also change the level of bacterial exposures in early life, with potential implications for allergy development, experts from Mount Sinai Health System state in this video discussion.

Gut microbiome rewrites may help reduce allergies

Researchers are investigating different strategies to determine if one day they could give people a combination of gut microbes to set them up for fewer allergies. In animal research, scientists have already prevented severe allergic responses in allergy-prone mice—supplying them with gut microbes from healthy, non-allergic human babies.

Autoimmune disease prevalence and incidence are on the rise—but no one knows why

Researchers theorize that environmental factors, including shifts to less healthy diets, air pollution, infections, stress, climate change, and exposures to xenobiotics—substances like pesticides, plastics, and toxins that incite immune responses—may all be fueling epigenetic changes to our bodies that make people's immune responses go awry.

Our ancient fight-or-flight response may contribute to modern ailments

Many common modern diseases humans struggle with may in fact have their origins in our ancient fight-or-flight stress response. Long-term effects of the stress hormones cortisol and adrenaline—in this case, triggered by things like workplace stressors—can wreak havoc on the delicate internal balance of our organ systems.

Zoo animals have developed allergies, too

Although scientists do not know if allergies manifest among wild animals—and if animals can survive with them—in a zoo setting, veterinarians have observed zoo animals with common allergy symptoms, including itchiness, crusty skin, and runny eyes. Veterinarians have identified Asian elephants with pollen allergies and at least one jaguar with an allergy to fleas.

Allergy tests identify antibodies, but not whether allergy symptoms may appear

Skin prick tests and blood tests, the two most common allergy tests, both detect the presence of allergen-specific antibodies. But just because the body has those antibodies doesn’t mean that a person is “allergic” to a substance or that they will develop symptoms of an allergy when encountering the substance. Allergists work with families to interpret the results and sometimes combine that data with approaches including exposure challenges—giving someone a tiny bit of the food or substance they may be allergic to—under medical supervision.

Inhalers, antihistamines, immunotherapy, and more have made allergies a multimillion-dollar market

Market research suggests that the allergies market will continue to grow in the years ahead as the number of allergy diagnoses increases, identifying new patients. Areas of growth include the increasing interest in immunotherapies designed to retrain the immune system through regular exposure to potential allergens via injections and under-the-tongue medical formulations, among other approaches.

Scientists are using CRISPR to genetically modify felines so they don't trigger allergies in humans.

You can be allergic to grass—but there are other reasons it can make you itch

Where do phobias come from?

Scientists say phobias are extreme version of a primitive evolutionary mechanism that tells us when danger is near or we are in a dangerous situation. A number of brain regions work in concert to trigger flight or fight responses, and with some...

Amish kids have far fewer allergies than the general population

Only about 7% of Amish children in a northern Indiana community have tested positive for common allergens in routine skin prick tests, whereas half of the general US population tests positive for them. Asthma is also extremely uncommon among the Amish, even when compared with other farming communities. Researchers are interested in exploring if approaches like exposing kids across the general population to Amish farm dust might stave off some allergies.

Home allergy tests don’t work well and experts urge caution

Doctors do not recommend at-home allergy test kits because their results may be inaccurate and confusing, and lead people to make lifestyle changes that are not warranted. Tests that require sending in a hair sample, for example, will not be helpful because hair does not have the relevant antibodies that blood testing would detect.

Unlike food allergens, encountering inhaled allergens—like pollen—rarely causes life-threatening illness.

Researchers are investigating if nanoparticle treatments could combat allergies

In rodent work, Northwestern University’s Evan Scott (now at the University of Virginia) and his colleagues have been trying to attack allergies with specially designed nanoparticles—miniscule lab-made objects that can penetrate cells. They stud the nanoparticles with a tiny bit of the allergen specific to the allergy (i.e. cashew protein for cashew allergy) and antibodies that shut down allergic response processes.

Food allergies were first documented more than 4,000 years ago.

Hookworm infection, though risky, may help fight certain health conditions.

Most penicillin allergy diagnoses are wrong, leading to costlier, less effective treatments and contributing to the growing problem of antibiotic resistance.

Even in recent history, adaptations to the environment drove human evolution

Through genetics, environmental pressures, and cultural influences, humans have evolved to tolerate lactose, develop varying skin pigmentation, and acquire genetic resistance to diseases like bubonic plague. The metabolic and digestive systems of Indigenous peoples have adapted to their diet, which is influenced by the availability of food and water.

Why we don't have an answer for the common cold

Since a landmark study of the common cold in 1925, researchers have learned much more about the seasonal ailment. Despite continuous study, people still contract colds for similar periods of time at the same rate with the same symptoms, and there's no vaccine. This article explains how the many viral strains make it hard to control.

Alpha-gal allergy is a problem for red meat lovers, and that same alpha-gal sugar is an issue for xenotransplants, too—since it's present in pigs, human bodies reject pig-to-human transplants as foreign once they detect the substance.

Kids often grow out of allergies to milk and eggs

Between 60% and 80% of kids with allergies to milk or eggs outgrow them by age 16. The immune system doesn’t always recognize and respond to baked forms of these allergens, so when kids eat muffins and other cooked food products, their immune system may become more habituated to them and overcome food sensitivities. Aging out of other allergies is less common.

CRISPR technology is removing allergens from common foods

Proteins responsible for allergies to eggs, milk, wheat, peanuts, and other foods can be genetically edited out of foods to reduce the risk of life-threatening reactions. The technique has also been used to produce caffeine-free coffee beans, spicier tomatoes, allergen-free pets, and more nutritious fish.

Less than 1% of Americans are allergic to penicillin, though about 10% of Americans believe they have this allergy.

Why does the body have a stress response?

When encountering a stressful situation, the human body typically goes into what is known as "fight-or-flight" mode. Because it evolved as a survival mechanism, the biochemical response enables people and other mammals to react quickly to life-threatening situations. The carefully orchestrated yet near-instantaneous sequence of hormonal changes and physiological responses helps someone to fight the threat off or flee to safety.

More than 90% of America's food allergies are triggered by 9 foods.

An interactive dive into the immune system

Our bodies are equipped with an incredible system able to fight off invasive pathogens to protect us from illness. The complicated system includes lymph nodes, the spleen, bone marrow, and even the tonsils. But this same system can turn against itself, a condition known as autoimmune disorders. Follow along with this thorough, engaging explainer on the human body's defense system.

Women typically have more robust immune responses than men

This difference helps women better combat infectious diseases, but this more turbo-charged response may also make women more vulnerable to autoimmune diseases by potentially priming their immune systems to overreact to their own cells and tissues and label them as invaders that must be destroyed. Roughly 80% of American women have autoimmune conditions.

One-third of kids with food allergies report being bullied because of it, surprising parents

Research published in 2021 surveyed how more than 100 kids with food allergies were treated by their peers. About one-third of the surveyed kids had their allergies used against them. Bullying tactics included that their allergens were sometimes intentionally put in their food or thrown at them. Parents usually had no idea this bullying was happening.

Most of the world’s population has difficulty processing lactose—but that’s not an allergy

Lactose intolerance is a digestive condition that occurs when the small intestine has difficulty breaking down lactose, a sugar found in products like milk or cheese, leading to symptoms such as diarrhea or bloating. Almost 70% of the world’s population may have lactose processing issues, particularly in Asia and Africa. This is different from a condition called cow's milk protein allergy—an immune system disorder that can cause hives and anaphylaxis.

Poison ivy, which produces urushiol throughout the plant, not just in the leaves, can cause year-round rashes.

Lactose intolerance is not the same as a dairy allergy

Lactose intolerance can develop in adulthood and can be influenced by genetic factors, culture, and dietary practices. Times of famine may have favored those who could digest dairy, naturally selecting them more, resulting in lactase persistence.

Human origins 101

Learn about the over 20 early human species that belong in our family tree and how the natural selection of certain physical and behavioral traits defined what it means to be human.

Tick bites can fuel an allergy to a sugar molecule in red meat

Alpha-gal syndrome is on the rise globally as ticks spread due to climate shifts. Bites from some ticks can trigger a sensitivity to a sugar molecule called alpha-gal found in mammal meat, which can lead to allergic responses to hamburgers and steak, among other products. Listen to an expert’s tips for avoiding this allergy, including quickly removing any ticks to limit exposure to their saliva or vomit.

Some animals, including certain tropical ants, have little or no microbial populations in their gut, upending the idea that all animals rely on this ecosystem to help maintain their health and proper functioning.

There are lots of weird ideas about dinosaur extinction, like hungry, hungry caterpillars

One of the great historical puzzles is this: why did the dinosaurs go extinct? Whether an asteroid, poison plants, volcanos and climate change, or something else, it's still a mystery. Scientists have been debating this question for almost a hundred years. One insect scholar suggests that caterpillars are the culprits.

Taste buds have evolved to fill a wide variety of functions

Taste buds do more than let you experience your favorite food. These peripheral organs can sense the chemical makeup, potential toxicity, and fleeting experience of flavor, giving the body a chance to respond to undesirable chemicals or tell the brain that you should reach for another scoop.

Peanut allergies dropped by 43% after doctors reversed avoidance guidance, but questions remain

The study’s data appear to confirm the policy shift. Still, since the study did not include an examination of infant diet, researchers can’t definitively say that the guideline shift led to dietary changes and thus directly caused the decline.

Fear (and stress) can be contagious via pheromones secreted by the body

While seeing someone else in a panicked state may induce a stress response, researchers have found stress can be literally contagious—chemicals contained in sweat and other secretions can trigger stress hormone release in others. Theories suggest this feature is an evolutionary adaptation to protect groups from danger.

What are 'antibodies'? Read this quick overview

Antibodies are protective proteins produced by your immune system. They attach to antigens (foreign substances) and remove them from your body. Understand this important element of the immune system with this quick overview.

Hereditary hyperosmia is the official term for being a super-smeller

Some sniffers with this rare trait may be more sensitive to pleasant smells, while others may be more attuned to unpleasant scents. Some research suggests that certain genetic mutations are associated with a heightened sense of smell.

Twin studies helped scientists understand why mosquitoes like some of us more than others

A combination of carbon dioxide output, skin chemistry, genetic factors, hormones, and clothing choice can make us particularly vulnerable to mosquito bites. Watch how mosquitoes responded to one man in the video versus his wife, a research approach typically conducted with identical and fraternal twins to test mosquito attractiveness.

On average, people smell worse if they're sick

For a small 2014 research study, a panel was tasked with sniffing the smelly t-shirts of people who had been injected with a compound known to activate the immune system and those of controls without the shot. It found that those who were acting as if unwell (due to the injection) generally smelled worse. Subsequent work found that those who sniffed unpleasant odors had a mild immune response of their own—perhaps to protect them from disease. (Some users may experience a paywall.)

An overview on germ theory, the crucial framework developed by Louis Pasteur

Germ theory of disease is based on the concept that many diseases are caused by infections with microorganisms, typically only visualized under high magnification. Read this general overview to understand the basic framework which allowed for development of vaccines.

A brief history of human blood groups

The blood group that determines whether you have type A, B, AB, or O blood was discovered near the turn of the 20th century. This short academic article dives into three main theories about the evolution and emergence of blood groups, the exact nature of which remains unclear.