Leiferman K M, Gleich G J
J Allergy Clin Immunol. 1976 Jul;58(1 PT. 2):129-39. doi: 10.1016/0091-6749(76)90148-2.
Atopic patients with histories of grass pollen allergy often are sensitive to a variety of species of grasses. Using a serum pool from patients sensitive to June grass, we analyzed the reactivity of IgE antibodies to seven grasses by the radioallergosorbent test. Extracts were analyzed for their inhibitory activities with solid-phase allergens prepared from all of the grass pollen. Also samples of serum were exhaustively absorved with solid-phase allergens and the supernatants tested to determine the reactivity of the remaining IgE antibodies. Three patterns of reactivity were observed: (1) June, orchard, meadow fescue, and perennial rye grasses displayed similar reactivity in both inhibition and absorption studies; (2) sweet vernal and Bermuda grasses were considerably less reactive with the serum pool, indicating that they lacked antigenic determinants possessed by the other grasses; and (3) timothy grass possessed unique antigenic determinants. Knowledge of these patterns of cross-allergenicity is of importance for diagnosis and treatment of sensitive patients as well as for in vitro standardization of extracts.
有草花粉过敏史的特应性患者通常对多种草类敏感。我们使用来自对六月禾敏感患者的混合血清,通过放射变应原吸附试验分析了IgE抗体对七种草的反应性。用从所有草花粉制备的固相变应原分析提取物的抑制活性。还用固相变应原对血清样本进行彻底吸附,并检测上清液以确定剩余IgE抗体的反应性。观察到三种反应模式:(1)六月禾、果园草、草地羊茅和多年生黑麦草在抑制和吸附研究中表现出相似的反应性;(2)早熟禾和百慕大草与混合血清的反应性明显较低,表明它们缺乏其他草类所具有的抗原决定簇;(3)梯牧草具有独特的抗原决定簇。了解这些交叉变应性模式对于敏感患者的诊断和治疗以及提取物的体外标准化具有重要意义。