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Bet v 1过敏原是比利时花粉过敏患者疾病的主要驱动因素。

Bet v 1 Allergen Is the Main Driver of Disease in Patients with Pollen Allergy in Belgium.

临床研究鼻科IF 6.6Q2

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中文摘要

背景: 对桦树花粉致敏并同时致敏Bet v 1和Bet v 2过敏原的患者,出现更频繁和更严重的呼吸道或植物相关食物过敏症状(PFASs)。本研究分析了Bet v 1和profilin致敏在比利时花粉过敏患者临床表型中的相关性。方法:10例对桦树花粉过敏(BPA)、31例对草花粉过敏(GPA)和33例对两种花粉均过敏(MPA)且伴有鼻炎-结膜炎伴/不伴哮喘(ARRC)的患者,通过问卷、皮肤点刺试验和特异性IgE检测进行评估。结果:半数GPA同时致敏桦树花粉,且无BPA对profilin致敏。哮喘和花粉相关食物过敏综合征(PFAS)的患病率在BPA中高于MPA或GPA,且哮喘性BPA中PFAS严重程度更高。伴有PFAS的GPA更常对Bet v 1致敏,且rBet v 1-IgE水平更高。结论:无论Bet v 1-IgE和症状严重程度如何,PFAS患病率以及鼻炎和PFAS持续时间在profilin多致敏GPA中较单致敏和未致敏GPA呈增加趋势。

英文摘要

Birch pollen-sensitized patients co-sensitized to Bet v 1 and Bet v 2 allergens present more frequent and severe respiratory or plant-related food allergy symptoms (PFASs). This study analyzed the relevance of Bet v 1 and profilin sensitization in the clinical phenotype of pollen-allergic patients in Belgium. Ten patients allergic to birch pollen (BPA), 31 to grass pollen (GPA) and 33 to both pollens (MPA), with rhino-conjunctivitis with/without asthma (ARRC), were evaluated by means of questionnaire, skin-prick tests and specific IgE assays. Half of GPA were co-sensitized to birch pollen, and no BPA were sensitized to profilin. The prevalence of asthma and pollen-related food allergy syndrome (PFAS) was higher in BPA than in MPA or GPA, with a higher severity of PFAS in asthmatic BPA. GPA with PFAS were more frequently sensitized to Bet v 1, with higher levels of rBet v 1-IgE. The prevalence of PFAS, together with the duration of rhinitis and PFAS tended to increase in profilin-polysensitized vs. mono- and un-sensitized GPA, regardless of Bet v 1-IgE and the severity of symptoms.