“…Possible issues for the GMM risk assessment are related to: (i) allergenicity and adjuvanticity of proteins; (ii) carbohydrates; (iii) other substances produced by GMMs; (iv) altered protein secretion by GMMs, or those derived from their metabolism; (v) GMM functionality (e.g. ability to induce allergic sensitisation or conditions prone to it); and (vi) non‐IgE‐mediated allergy to proteins such as eosinophilic esophagitis or other gastrointestinal disorders (Akdis, 2021 ; Caminero et al., 2023 ; EFSA GMO Panel, 2017 ; Hang et al., 2019 ; Le Gall et al., 2011 ; Lee et al., 2022 ; Levan et al., 2019 ; Lloyd‐Price et al., 2019 ; Platts‐Mills et al., 2021 ; Plum et al., 2023 ; Sharma & Karim, 2021 ; Sozener et al., 2022 ). In allergic disease, adjuvants alter tissue homeostasis to establish conditions that result in non‐specific, innate type 2 (allergic) priming to bystander allergens, thus subverting the development of tolerance (Akdis, 2021 ; Bruton et al., 2020 ; Ellenbogen et al., 2018 ; Kopp et al., 2023 ).…”