Sensitisation to lipid transfer proteins in pollen - allergic adults with food allergy.

Postepy Dermatol Alergol

Department and Clinic of Allergology, Clinical Immunology and Internal Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland.

Published: August 2020

AI Article Synopsis

  • Food allergies are prevalent among 6-17% of Europeans, often linked to inhalation allergies due to co-sensitisation and cross-reactivity with panallergens like lipid transfer proteins (LTP), which can cause severe reactions.
  • The study aimed to determine specific IgE levels for LTP components using molecular testing in a group of 50 subjects at a clinical facility in Poland.
  • Results showed that 24% of subjects had IgE antibodies to LTP, with peach identified as the primary allergenic food, and the Artemisia vulgaris component (Art v 3) being the most significant precursor for LTP allergies in this population.

Article Abstract

Introduction: Food allergy affects 6-17% of Europeans and in 60% of the cases it is accompanied by inhalation allergy. This is due to two phenomena, namely co-sensitisation and cross-reactivity, which are caused by panallergens, such as lipid transfer proteins (LTP). These proteins are classified as defence proteins PR-14 and are responsible for protecting the plant from bacterial and fungal infections. Clinically, LTP allergy manifests with severe anaphylactic reactions or milder reactions, such as oral allergy syndrome.

Aim: To assess the incidence of specific IgE to components belonging to LTP based on molecular testing.

Material And Methods: The study was conducted at the Department of Allergy, Clinical Immunology and Internal Diseases in Bydgoszcz, Poland. A total of 50 subjects participated in the study. Each subject had their asIgE levels determined with ImmunoCap ISAC.

Results And Conclusions: Antigen-specific IgE antibodies to LTP components were identified in 24% of the subjects. In subjects with LTP allergy, adverse skin reactions were the most common after consumption of sensitising foods. Peach was the most common food allergen triggering these reactions. The Artemisia vulgaris component Art v 3 was the precursor of LTP allergy in our study population: the highest incidence and the highest mean levels of asIgE were demonstrated for this component.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7507168PMC
http://dx.doi.org/10.5114/ada.2020.98278DOI Listing

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