Research and Development Department, Inmunotek s.l., Avda. Punto Mobi, 5., Alcalá de Henares (28871), Madrid, Spain.
Allergy department, Hospital Infantil Universitario Niño Jesús, Av de Menéndez Pelayo, 65., Madrid (28009), Spain.
World Allergy Organ J. 2014 May 8;7(1):11. doi: 10.1186/1939-4551-7-11. eCollection 2014.
Grasses and olive trees are the most common sources of allergenic pollen worldwide. Although they share some allergens, there are few studies analyzing the in vitro cross-reactivity between them. The aim was to define the cross-reactivity between Olea europaea and Phleum pratense using well-characterized sera of allergic children from Madrid, Spain.
66 patients (mean age 10.32+/-4.07 years) were included in the study. All suffered from rhinoconjuntivitis and/or asthma and had a positive skin test and/or specific IgE determination to olive and grass pollen. Serum sIgE to individual allergens was conducted and sIgE against different grass species and olive was also determined by ELISA. Inhibition assays were performed using two serum sources, containing, or not, sIgE to minor allergens. Mass spectrometry analysis was performed in both extracts.
59/66 (89.39%) children had a positive sIgE determination by ELISA to grasses and 57/66 (86.36%) to olive pollen. There was no significant correlation between sIgE levels to grass and olive. Inhibition assays demonstrated no cross-reactivity between P. pratense and olive pollen when using the pool containing mainly sIgE to major allergens, whereas minimal to moderate cross-reactivity was detected when the serum contained high sIgE titers to minor allergens. Proteomic analyses revealed the presence of 42 common proteins in grasses and olive pollens.
No in vitro cross-reactivity was observed when sIgE was mainly directed to major allergens. In our population, sensitization to olive and grasses is not due to cross-reactivity. The contribution of the major allergens seems to be determinant.
草和橄榄树是世界范围内最常见的过敏原花粉来源。尽管它们有一些共同的过敏原,但很少有研究分析它们之间的体外交叉反应。本研究旨在使用来自西班牙马德里的过敏儿童的特征明确的血清来定义油橄榄和梯牧草之间的交叉反应性。
纳入 66 名患者(平均年龄 10.32+/-4.07 岁)。所有患者均患有鼻结膜炎和/或哮喘,且皮肤试验和/或特异性 IgE 测定均对橄榄花粉和草花粉呈阳性。进行血清 sIgE 对各过敏原的检测,并通过 ELISA 检测不同草种和橄榄的 sIgE。使用含有或不含有次要过敏原 sIgE 的两种血清源进行抑制试验。在两种提取物中均进行了质谱分析。
66 例儿童中,59 例(89.39%)通过 ELISA 对草的 sIgE 检测呈阳性,57 例(86.36%)对橄榄花粉的 sIgE 检测呈阳性。草和橄榄花粉的 sIgE 水平之间无显著相关性。抑制试验表明,当使用主要包含主要过敏原 sIgE 的池时,梯牧草与橄榄花粉之间没有交叉反应性,而当血清中含有高 sIgE 滴度的次要过敏原时,检测到最小至中度的交叉反应性。蛋白质组学分析显示,在草和橄榄花粉中存在 42 种共同蛋白。
当 sIgE 主要针对主要过敏原时,未观察到体外交叉反应。在我们的人群中,对橄榄和草的过敏不是由于交叉反应引起的。主要过敏原的贡献似乎是决定性的。