Air
pollution and climate change are potential drivers for the
increasing burden of allergic diseases. The molecular mechanisms by
which air pollutants and climate parameters may influence allergic
diseases, however, are complex and elusive. This article provides
an overview of physical, chemical and biological interactions between
air pollution, climate change, allergens, adjuvants and the immune
system, addressing how these interactions may promote the development
of allergies. We reviewed and synthesized key findings from atmospheric,
climate, and biomedical research. The current state of knowledge,
open questions, and future research perspectives are outlined and
discussed. The Anthropocene, as the present era of globally pervasive
anthropogenic influence on planet Earth and, thus, on the human environment,
is characterized by a strong increase of carbon dioxide, ozone, nitrogen
oxides, and combustion- or traffic-related particulate matter in the
atmosphere. These environmental factors can enhance the abundance
and induce chemical modifications of allergens, increase oxidative
stress in the human body, and skew the immune system toward allergic
reactions. In particular, air pollutants can act as adjuvants and
alter the immunogenicity of allergenic proteins, while climate change
affects the atmospheric abundance and human exposure to bioaerosols
and aeroallergens. To fully understand and effectively mitigate the
adverse effects of air pollution and climate change on allergic diseases,
several challenges remain to be resolved. Among these are the identification
and quantification of immunochemical reaction pathways involving allergens
and adjuvants under relevant environmental and physiological conditions.