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北京地区过敏性疾病患者常见花粉及相关过敏原成分

Common pollen and related allergen components in patients with allergic diseases in the Beijing area.

作者信息

Hou Yi-Bo, Sun Jin-Lu

机构信息

State Key Laboratory of Complex Severe and Rare Diseases, Department of Allergy, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Beijing Key Laboratory of Precision Medicine for Diagnosis and Treatment of Allergic Diseases, Allergy Department, National Clinical Research Center for Dermatologic and Immunologic Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

出版信息

Front Allergy. 2024 Nov 21;5:1478392. doi: 10.3389/falgy.2024.1478392. eCollection 2024.

Abstract

BACKGROUND

Pollen is the most common outdoor allergen that causes allergic rhinitis and asthma, which seriously affects patient quality of life and extensive cross-reactivity occurs between pollen allergens.

METHODS

The study enrolled 84 patients with respiratory allergies and at least one pollen allergy who visited the clinic. Specific-IgE was detected via immunoblotting in the sera of patients with positive respiratory allergies to pollen. IgE of the components and cross-reactive carbohydrate determinants (CCD) were evaluated using a fluorescence-encoded microsphere assay.

RESULTS

Our results suggest that , , allergies are most common in the northern region, and that weed pollen remains the major pollen allergen in the northern region. Among the different age groups, the positive rate of pollen allergens was significantly higher in patients ≤18 years of age than in those aged >18 years (55.56% vs. 9.17%, ² = 0.55,  < 0.027). Patients with allergic rhinitis and asthma had an increased positive rate for pollen allergen (20.00% vs. 37.93 ² = 7.87,  = 0.005) and pollen allergen (27.27% vs. 51.72%, ² = 11.05, = 0.0008) than those with allergic rhinitis alone, although the allergen positivity rate did not significantly differ between sexes. In addition, the positivity of sIgE of allergen components did not reveal a correlation with clinical symptoms and anti-CCD IgE positivity was 1.19% (1/84) among all patients.

CONCLUSION

The study found the distribution characteristics of common pollen allergens in Beijing among patients of different ages and genders and with different allergic diseases, as well as the relationship between pollen allergen components and symptoms. The positivity rate of CCD for respiratory allergic diseases in Beijing was not high as well.

摘要

背景

花粉是引起过敏性鼻炎和哮喘的最常见室外过敏原,严重影响患者生活质量,且花粉过敏原之间存在广泛的交叉反应性。

方法

该研究纳入了84例到门诊就诊的患有呼吸道过敏且至少对一种花粉过敏的患者。通过免疫印迹法检测呼吸道花粉过敏阳性患者血清中的特异性IgE。使用荧光编码微球分析法评估各组分的IgE和交叉反应性碳水化合物决定簇(CCD)。

结果

我们的结果表明, 、 过敏在北方地区最为常见,且杂草花粉仍是北方地区主要的花粉过敏原。在不同年龄组中,≤18岁患者的 花粉过敏原阳性率显著高于>18岁的患者(55.56% 对9.17%,² = 0.55, < 0.027)。与仅患有过敏性鼻炎的患者相比,患有过敏性鼻炎和哮喘的患者对 花粉过敏原(20.00% 对37.93,² = 7.87, = 0.005)和 花粉过敏原(27.27% 对51.72%,² = 11.05, = 0.0008)的阳性率更高,尽管过敏原阳性率在性别之间没有显著差异。此外,过敏原组分的sIgE阳性与临床症状之间未显示出相关性,所有患者中抗CCD IgE阳性率为1.19%(1/84)。

结论

该研究发现了北京地区不同年龄、性别及患有不同过敏性疾病患者中常见花粉过敏原的分布特征,以及花粉过敏原组分与症状之间的关系。北京地区呼吸道过敏性疾病的CCD阳性率也不高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38ce/11617527/16b091a75760/falgy-05-1478392-g001.jpg

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