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A European-Japanese study on peach allergy: IgE to Pru p 7 associates with severity

EJJ. Kallen, A. Revers, M. Fernández-Rivas, R. Asero, B. Ballmer-Weber, L. Barreales, S. Belohlavkova, F. de Blay, M. Clausen, R. Dubakiene, M. Ebisawa, C. Fernández-Perez, P. Fritsche, Y. Fukutomi, D. Gislason, K. Hoffmann-Sommergruber, M....

. 2023 ; 78 (9) : 2497-2509. [pub] 20230619

Jazyk angličtina Země Dánsko

Typ dokumentu časopisecké články, práce podpořená grantem

Perzistentní odkaz   https://www.medvik.cz/link/bmc23016406

BACKGROUND: Pru p 3 and Pru p 7 have been implicated as risk factors for severe peach allergy. This study aimed to establish sensitization patterns to five peach components across Europe and in Japan, to explore their relation to pollen and foods and to predict symptom severity. METHODS: In twelve European (EuroPrevall project) and one Japanese outpatient clinic, a standardized clinical evaluation was conducted in 1231 patients who reported symptoms to peach and/or were sensitized to peach. Specific IgE against Pru p 1, 2, 3, 4 and 7 and against Cup s 7 was measured in 474 of them. Univariable and multivariable Lasso regression was applied to identify combinations of parameters predicting severity. RESULTS: Sensitization to Pru p 3 dominated in Southern Europe but was also quite common in Northern and Central Europe. Sensitization to Pru p 7 was low and variable in the European centers but very dominant in Japan. Severity could be predicted by a model combining age of onset of peach allergy, probable mugwort, Parietaria pollen and latex allergy, and sensitization to Japanese cedar pollen, Pru p 4 and Pru p 7 which resulted in an AUC of 0.73 (95% CI 0.73-0.74). Pru p 3 tended to be a risk factor in South Europe only. CONCLUSIONS: Pru p 7 was confirmed as a significant risk factor for severe peach allergy in Europe and Japan. Combining outcomes from clinical and demographic background with serology resulted in a model that could better predict severity than CRD alone.

Allergist and Pediatrician Nápoles y Sicilia Health Center Valencia Spain

Allergy Department 2nd Pediatric Clinic University of Athens Athens Greece

Allergy Division Chest Disease Department Strasbourg University Hospital Strasbourg France

Allergy Unit Department of Dermatology University Hospital of Zürich Zürich Switzerland

Ambulatorio di Allergologia Clinica San Carlo Paderno Dugnano Italy

Clinic for Dermatology and Allergology Kantonsspital St Gallen St Gallen Switzerland

Clinic of Chest diseases Allergology and Immunology Institute of Clinic al Medicine Medical Faculty Vilnius University Vilnius Lithuania

Clinic of Occupational Diseases University Hospital Sv Ivan Rilski Sofia Bulgaria

Clinical Research Center for Allergy and Rheumatology National Hospital Organization Sagamihara National Hospital Kanagawa Japan

Department of Allergy Hospital Clinico San Carlos Universidad Complutense IdISSC ARADyAL Madrid Spain

Department of Dermatology Allergology University Medical Center Utrecht Utrecht University Utrecht The Netherlands

Department of Experimental Immunology Amsterdam UMC University of Amsterdam Amsterdam The Netherlands

Department of Immunology and Allergy Faculty of Medicine Medical University of Lodz Lodz Poland

Department of Nutritional Sciences and Dietetics International Hellenic University Thessaloniki Greece

Department of Pathophysiology and Allergy Research Medical University of Vienna Vienna Austria

Departments of Experimental Immunology and of Otorhinolaryngology Amsterdam University Medical Center Amsterdam The Netherlands

Division of Infection Immunity and Respiratory Medicine Manchester Institute of Biotechnology and Lydia Becker Institute of Immunology and Inflammation University of Manchester Manchester UK

Epidemiology and Data Science Amsterdam University Medical Center location University of Amsterdam Amsterdam The Netherlands

Faculty of Medicine University of Zürich Zürich Switzerland

Institute of Immunity and Transplantation University College London London UK

Landspitali University Hospital University of Iceland Faculty of Medicine Reykjavik Iceland

Medical Faculty Pilsen Charles University Prague Prague Czech Republic

Paul Ehrlich Institut Federal Institute for Vaccines and Biomedicines Langen Germany

Servicio de Medicina Preventiva Area De Santiago de Compostela y Barbanza Instituto de Investigación Sanitaria de Santiago A Coruña Santiago Spain

Thermo Fisher Scientific Uppsala Sweden

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