Almeida Elsa, Caeiro Elsa, Todo-Bom Ana, Duarte Ana, Gazarini Luiz
Serviço de Patologia Clínica, Hospital José Joaquim Fernandes, Rua Dr. António Fernando Covas Lima, 7801-849 Beja, Portugal; Universidade de Évora, Évora, Portugal.
Sociedade Portuguesa de Alergologia e Imunologia Clínica - SPAIC, Lisboa, Portugal; Instituto de Ciências Agrárias e Ambientais Mediterrânicas - ICAAM, Universidade de Évora, Évora, Portugal.
Allergol Immunopathol (Madr). 2019 Nov-Dec;47(6):579-584. doi: 10.1016/j.aller.2019.04.006. Epub 2019 Aug 30.
In Portugal, the pollen types most implicated in respiratory allergy are grasses, olive and parietaria. The knowledge of sensitizations to molecular allergens in children and adults can contribute to better diagnosis and treatment of this pathology.
ImmunoCAP singleplex technology was used for molecular allergens and Phadia 250® automatic equipment. g205 (Phl p1); g215 (Phl p5b); g210 (Phl p7); and g212 (Phl p12) allergen determinations were made in 45 patients with positive grass sensitization tests.
The majority of patients are sensitized to Phl p1 (91%) and Phl p1+/Phl p5-/Phl p7-/Phl p12- was the most dominant profile (40%). In the adult group, the IgE averages for Phl p1 were approximately 10.46, while they were 8.43 for Phl p5, 0.69 for Phl p7, and 0.06 for Phl p12. In the child group, these values were higher: 22.49, 20.23, 3.89, and 0.35, respectively. For allergens Phl p1, Phl p5, and Phl p7, these differences between the child and adult population were not statistically significant (p=0.754, p=0.806 and p=0.102, respectively), but for Phl p12, a statistically significant difference (p=0.018) was observed.
IgE antibodies Phl p1 is the most important allergic marker and sensitivities caused by Phl p12 give rise to higher IgE values in children.
在葡萄牙,与呼吸道过敏关系最为密切的花粉类型是禾本科植物、橄榄和墙草。了解儿童和成人对分子变应原的致敏情况有助于更好地诊断和治疗这种病症。
采用免疫捕获单plex技术检测分子变应原,并使用Phadia 250®自动设备。对45例草类致敏试验呈阳性的患者进行了g205(Phl p1)、g215(Phl p5b)、g210(Phl p7)和g212(Phl p12)变应原测定。
大多数患者对Phl p1致敏(91%),Phl p1+/Phl p5-/Phl p7-/Phl p12-是最主要的模式(40%)。在成人组中,Phl p1的IgE平均值约为10.46,而Phl p5为8.43,Phl p7为0.69,Phl p12为0.06。在儿童组中,这些值更高,分别为22.49、20.23、3.89和0.35。对于变应原Phl p1、Phl p5和Phl p7,儿童和成人人群之间的这些差异无统计学意义(p分别为0.754、0.806和0.102),但对于Phl p12,观察到有统计学意义的差异(p=0.018)。
IgE抗体Phl p1是最重要的过敏标志物,由Phl p12引起的致敏在儿童中导致更高的IgE值。