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Titel
Detection of genuine grass pollen sensitization in children by skin testing with a recombinant grass pollen hybrid
Verfasser / VerfasserinLinhart, Birgit ; Douladiris, Nikolaos ; Garib, Victoria ; Focke-Tejkl, Margit ; Valenta, Rudolf ; Papadopoulos, Nikolaos G.
Erschienen in
Pediatric Allergy and Immunology, 2019, Jg. 30, H. 1, S. 59-65
ErschienenWiley-Blackwell, 2019
SpracheEnglisch
DokumenttypAufsatz in einer Zeitschrift
Schlagwörter (EN)allergen / allergy / molecular diagnosis / pollen / recombinant hybrid allergen / respiratory allergy / skin prick test
URNurn:nbn:at:at-ubmuw:3-701 Persistent Identifier (URN)
DOI10.1111/pai.12991 
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Detection of genuine grass pollen sensitization in children by skin testing with a recombinant grass pollen hybrid [0.3 mb]
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Zusammenfassung (Englisch)

Background

Skin testing represents a commonly used first diagnostic method in clinical practice, but allergen extracts may vary in composition and often contain crossreactive allergens and therefore do not always allow the precise identification of the sensitizing allergen source. Our aim was to investigate the suitability of a single recombinant hybrid molecule, consisting of the four major timothy grass pollen allergens (Phl p 1, Phl p 2, Phl p 5, and Phl p 6) for in vivo diagnosis of genuine grass pollen allergy in children suffering from pollinosis.

Methods

Sixtyfour children aged from 6 to 17 years with a positive skin reaction and/or specific IgE to grass pollen extract and respiratory symptoms of pollinosis as well as 9 control children with allergy to other allergen sources were studied. SPT was performed with the recombinant hybrid, the four recombinant timothy grass pollen allergens, and grass pollen extract. Specific IgE reactivity to 176 microarrayed allergen molecules was determined using ImmunoCAP ISAC technology. IgE reactivity to the hybrid was detected by nondenaturing RASTbased dot blot assay.

Results

Genuine grass pollen sensitization was confirmed in 94% of the children with positive SPT to grass pollen extract by SPT and IgE reactivity to the hybrid. The four hybridnegative children showed IgE reactivity to crossreactive allergens such as Phl p 4, Phl p 11, and Phl p 12 and had also sensitizations to pollen allergens from unrelated plants.

Conclusions

The recombinant hybrid molecule represents a useful tool for in vivo diagnosis of genuine grass pollen sensitization.

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CC-BY-Lizenz (4.0)Creative Commons Namensnennung 4.0 International Lizenz