Biogeographical variation in specific IgE recognition of temperate and subtropical grass pollen allergens in allergic rhinitis patients

被引:15
|
作者
Kailaivasan, Thina H. [1 ]
Timbrell, Victoria L. [1 ]
Solley, Graham [2 ]
Smith, William B. [3 ]
McLean-Tooke, Andrew [4 ]
van Nunen, Sheryl [5 ,6 ]
Smith, Peter [7 ]
Upham, John W. [8 ,9 ]
Langguth, Daman [10 ]
Davies, Janet M. [1 ,11 ]
机构
[1] Queensland Univ Technol, Inst Hlth & Biomed Innovat, Sch Biomed Sci, Brisbane, Qld, Australia
[2] Watkins Med Ctr, Brisbane, Qld, Australia
[3] AllergySA, Adelaide, SA, Australia
[4] Sir Charles Gairdner Hosp, Perth, WA, Australia
[5] Royal North Shore Hosp, Sydney, NSW, Australia
[6] Univ Sydney, Sydney, NSW, Australia
[7] Queensland Allergy Serv, Gold Coast, Qld, Australia
[8] Univ Queensland, Brisbane, Qld, Australia
[9] Princess Alexandra Hosp, Brisbane, Qld, Australia
[10] Sullivan Nicolaides Pathol, Brisbane, Qld, Australia
[11] Metro North Hosp & Hlth Serv, Herston, Qld, Australia
基金
英国医学研究理事会;
关键词
allergic rhinitis; allergy; cross-inhibition; grass pollen; IgE; PAS N 1; T-CELL RESPONSE; CROSS-REACTIVITY; THUNDERSTORM ASTHMA; MAJOR ALLERGEN; IMMUNOTHERAPY; EPITOPES; RISK;
D O I
10.1002/cti2.1103
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Objective Globally, grass pollens (GP) are major aeroallergen triggers of allergic rhinitis (AR) and asthma. However, patterns of allergic sensitisation to pollen of temperate (Pooideae: Lolium perenne) and subtropical (Chloridoideae: Cynodon dactylon and Panicoideae: Paspalum notatum) subfamilies in diverse climates remain unclear. This study aims to evaluate the level of allergic sensitisation and IgE specificity for major GP allergens representing the three subfamilies in biogeographically distinct regions. Methods Participants (GP-allergic with AR, 330; non-atopic, 29; other allergies, 54) were recruited in subtropical: Queensland, and temperate: New South Wales, Western and South Australia, regions. Clinical history, skin prick test (SPT), total and specific IgE to GP and purified allergens (ImmunoCAP) were evaluated. Cross-inhibition of sIgE with Pas n 1, Cyn d 1 and Lol p 1 by GP extracts was investigated. Results Queensland participants showed higher sensitisation to P. notatum and C. dactylon than L. perenne GP. sIgE was higher to Pas n 1 and Cyn d 1, and sIgE to Pas n 1 and Cyn d 1 was inhibited more by Panicoideae and Chloridoideae, respectively, than Pooideae GP. Conversely, participants from temperate regions showed highest sensitisation levels to L. perenne GP and Lol p 1, and sIgE to Lol p 1 was inhibited more by Pooideae than other GP. Conclusion Levels and patterns of sensitisation to subtropical and temperate GP in AR patients depended on biogeography. Knowledge of the specificity of sensitisation to local allergens is important for optimal diagnosis and choice of allergen-specific immunotherapy to maximise benefit.
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页数:11
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