TY - JOUR
T1 - Cross-sectional study on allergic sensitization of Austrian adolescents using molecule-based IgE profiling
AU - Stemeseder, T.
AU - Klinglmayr, E.
AU - Moser, S.
AU - Lueftenegger, L.
AU - Lang, R.
AU - Himly, M.
AU - Oostingh, G.J.
AU - Zumbach, J.
AU - Bathke, A.C.
AU - Hawranek, T.
AU - Gadermaier, G.
N1 - Cited By :38
Export Date: 14 December 2023
CODEN: LLRGD
Correspondence Address: Gadermaier, G.; Department of Molecular Biology, Austria; email: [email protected]
Chemicals/CAS: immunoglobulin E, 37341-29-0; Allergens; Immunoglobulin E
Tradenames: ImmunoCAP ISAC
Funding text 1: C. Wageneder-Schmid and the Biomedical Sciences team of the Salzburg University of Applied Sciences (K. Schwenoha, L. Helminger, J. Gmachl-Baumgartner, R. Wiltsche, U. Fötschl) are acknowledged for their support regarding study design and carrying out the blood sampling, respectively. Further we thank the teachers E. Oberkofler (HBLA Ursprung), M. Hauer (BG Tamsweg), S. Fischinger (NMS Bürmoos), K. Schaffer (PdC BORG Radstadt), B. Wanzenböck (Musisches Gymnasium Salzburg), J. Pöttler (BG Seekirchen), R. Pilotto-Kofler and P. Paraschin-Wolfsberger (PG St. Rupert), M. Anderluch (BHAK/BHAS I Salzburg), G. Mussill and L. Mackner-Rath (BORG Nonntal), and the pupils of the participating schools for supporting the project.
References: Bousquet, J., Anto, J.M., Bachert, C., Bousquet, P.J., Colombo, P., Crameri, R., Factors responsible for differences between asymptomatic subjects and patients presenting an IgE sensitization to allergens. A GA2LEN project (2006) Allergy, 61, pp. 671-680; Schernhammer, E.S., Vutuc, C., Waldhor, T., Haidinger, G., Time trends of the prevalence of asthma and allergic disease in Austrian children (2008) Pediatr Allergy Immunol, 19, pp. 125-131; Wohrl, S., Radon, K., Ring, J., Moritz, K., Akdis, C., Burney, P., GA2LEN (Global Allergy and Asthma European Network), the perspective of the German speaking centers (2009) Wien Klin Wochenschr, 121, pp. 589-597; Plebani, M., Component-resolved diagnostics: laboratory results are not enough (2013) Clin Chem Lab Med, 51, pp. 1887-1888; Akdis, C.A., Agache, I., (2014) Global Atlas of Allergy, , editors., Berlin, European Academy of Allergy and Clinical Immunology; Canonica, G.W., Ansotegui, I.J., Pawankar, R., Schmid-Grendelmeier, P., van Hage, M., Baena-Cagnani, C.E., A WAO – ARIA – GA(2)LEN consensus document on molecular-based allergy diagnostics (2013) World Allergy Organ J, 6, p. 17; Dorner, T., Lawrence, K., Rieder, A., Kunze, M., Epidemiology of allergies in Austria. Results of the first Austrian allergy report (2007) Wien Med Wochenschr, 157, pp. 235-242; Olivieri, M., Heinrich, J., Schlunssen, V., Anto, J.M., Forsberg, B., Janson, C., The risk of respiratory symptoms on allergen exposure increases with increasing specific IgE levels (2016) Allergy, 71, pp. 859-868; Matricardi, P.M., Kleine-Tebbe, J., Hoffmann, H.J., Valenta, R., Hilger, C., Hofmaier, S., EAACI molecular allergology user's guide (2016) Pediatr Allergy Immunol, 27, pp. 1-250; Kleine-Tebbe, J., Big-time sensitization rates in young Germans: big numbers–big risks–big confusion? (2014) Int Arch Allergy Immunol, 163, pp. 3-4; Asarnoj, A., Hamsten, C., Waden, K., Lupinek, C., Andersson, N., Kull, I., Sensitization to cat and dog allergen molecules in childhood and prediction of symptoms of cat and dog allergy in adolescence: a BAMSE/MeDALL study (2016) J Allergy Clin Immunol, 137, pp. 813-821; Stringari, G., Tripodi, S., Caffarelli, C., Dondi, A., Asero, R., Di Rienzo Businco, A., The effect of component-resolved diagnosis on specific immunotherapy prescription in children with hay fever (2014) J Allergy Clin Immunol, 134, pp. 75-81; Ferrer, M., Sanz, M.L., Sastre, J., Bartra, J., del Cuvillo, A., Montoro, J., Molecular diagnosis in allergology: application of the microarray technique (2009) J Investig Allergol Clin Immunol, 19, pp. 19-24; Martinez-Aranguren, R., Lizaso, M.T., Goikoetxea, M.J., Garcia, B.E., Cabrera-Freitag, P., Trellez, O., Is the determination of specific IgE against components using ISAC 112 a reproducible technique? (2014) PLoS One, 9; Panzner, P., Vachova, M., Vitovcova, P., Brodska, P., Vlas, T., A comprehensive analysis of middle-European molecular sensitization profiles to pollen allergens (2014) Int Arch Allergy Immunol, 164, pp. 74-82; Wahn, U., What drives the allergic march? (2000) Allergy, 55, pp. 591-599; von Elm, E., Altman, D.G., Egger, M., Pocock, S.J., Gotzsche, P.C., Vandenbroucke, J.P., The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies (2007) Lancet, 370, pp. 1453-1457; (2016) R: a language and environment for statistical computing, , Vienna, Austria, R Foundation for Statistical Computing; Mukaka, M.M., Statistics corner: a guide to appropriate use of correlation coefficient in medical research (2012) Malawi Med J, 24, pp. 69-71; Bousquet, P.J., Hooper, R., Kogevinas, M., Jarvis, D., Burney, P., Number of allergens to be tested to assess allergenic sensitization in epidemiologic studies: results of the European Community Respiratory Health Survey I (2007) Clin Exp Allergy, 37, pp. 780-787; Salo, P.M., Arbes, S.J., Jr., Jaramillo, R., Calatroni, A., Weir, C.H., Sever, M.L., Prevalence of allergic sensitization in the United States: results from the National Health and Nutrition Examination Survey (NHANES) 2005–2006 (2014) J Allergy Clin Immunol, 134, pp. 350-359; Arbes, S.J., Jr., Gergen, P.J., Elliott, L., Zeldin, D.C., Prevalences of positive skin test responses to 10 common allergens in the US population: results from the third National Health and Nutrition Examination Survey (2005) J Allergy Clin Immunol, 116, pp. 377-383; Yao, T.C., Ou, L.S., Yeh, K.W., Lee, W.I., Chen, L.C., Huang, J.L., Associations of age, gender, and BMI with prevalence of allergic diseases in children: PATCH study (2011) J Asthma, 48, pp. 503-510; Schmitz, R., Ellert, U., Kalcklosch, M., Dahm, S., Thamm, M., Patterns of sensitization to inhalant and food allergens – findings from the German Health Interview and Examination Survey for Children and Adolescents (2013) Int Arch Allergy Immunol, 162, pp. 263-270; Aalberse, R.C., Science from a black box (2012) J Allergy Clin Immunol, 130, pp. 902-903; Matricardi, P., The allergy epidemic (2014) Global Atlas of Allergy, pp. 112-114. , In, Akdis C, Agache I, editors., Berlin, European Academy of Allergy and Clinical Immunology; De Amici, M., Ciprandi, G., The age impact on serum total and allergen-specific IgE (2013) Allergy Asthma Immunol Res, 5, pp. 170-174; Sastre, J., Rodriguez, F., Campo, P., Laffond, E., Marin, A., Alonso, M.D., Adverse reactions to immunotherapy are associated with different patterns of sensitization to grass allergens (2015) Allergy, 70, pp. 598-600; Hatzler, L., Panetta, V., Lau, S., Wagner, P., Bergmann, R.L., Illi, S., Molecular spreading and predictive value of preclinical IgE response to Phleum pratense in children with hay fever (2012) J Allergy Clin Immunol, 130, pp. 894-901; Villalta, D., Conte, M., Asero, R., Da Re, M., Stella, S., Martelli, P., Isolated IgE reactivity to native walnut vicilin-like protein (nJug r 2) on ISAC microarray is due to cross-reactive carbohydrate epitopes (2013) Clin Chem Lab Med, 51, pp. 1991-1995; Imhof, K., Probst, E., Seifert, B., Regenass, S., Schmid-Grendelmeier, P., Ash pollen allergy: reliable detection of sensitization on the basis of IgE to Ole e 1 (2014) Allergo J Int, 23, pp. 78-83; Pichler, U., Hauser, M., Wolf, M., Bernardi, M.L., Gadermaier, G., Weiss, R., Pectate lyase pollen allergens: sensitization profiles and cross-reactivity pattern (2015) PLoS One, 10; Gadermaier, G., Eichhorn, S., Vejvar, E., Weilnbock, L., Lang, R., Briza, P., Plantago lanceolata: an important trigger of summer pollinosis with limited IgE cross-reactivity (2014) J Allergy Clin Immunol, 134, pp. 472-475; Couto, M., Miranda, M., Proposed GA2LEN standardized allergen battery: what about regional sensitization differences? (2011) J Investig Allergol Clin Immunol, 21, pp. 491-492; Stemeseder, T., Freier, R., Wildner, S., Fuchs, J.E., Briza, P., Lang, R., Crystal structure of Pla l 1 reveals both structural similarity and allergenic divergence within the Ole e 1-like protein family (2016) J Allergy Clin Immunol, , S0091-6749(16)31449-X [Epub ahead of print]; Ackerbauer, D., Bublin, M., Radauer, C., Varga, E.M., Hafner, C., Ebner, C., Component-resolved IgE profiles in Austrian patients with a convincing history of peanut allergy (2015) Int Arch Allergy Immunol, 166, pp. 13-24; Sicherer, S.H., Munoz-Furlong, A., Godbold, J.H., Sampson, H.A., US prevalence of self-reported peanut, tree nut, and sesame allergy: 11-year follow-up (2010) J Allergy Clin Immunol, 125, pp. 1322-1326; Nicolaou, N., Poorafshar, M., Murray, C., Simpson, A., Winell, H., Kerry, G., Allergy or tolerance in children sensitized to peanut: prevalence and differentiation using component-resolved diagnostics (2010) J Allergy Clin Immunol, 125, pp. 191-197; Westman, M., Lupinek, C., Bousquet, J., Andersson, N., Pahr, S., Baar, A., Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence (2015) J Allergy Clin Immunol, 135, pp. 1199-1206; Toppila-Salmi, S., Huhtala, H., Karjalainen, J., Renkonen, R., Makela, M.J., Wang, D.Y., Sensitization pattern affects the asthma risk in Finnish adult population (2015) Allergy, 70, pp. 1112-1120; Thomas, W.R., Hierarchy and molecular properties of house dust mite allergens (2015) Allergol Int, 64, pp. 304-311; Enroth, S., Dahlbom, I., Hansson, T., Johansson, A., Gyllensten, U., Prevalence and sensitization of atopic allergy and coeliac disease in the Northern Sweden Population Health Study (2013) Int J Circumpolar Health, 72; Simpson, A., Lazic, N., Belgrave, D.C., Johnson, P., Bishop, C., Mills, C., Patterns of IgE responses to multiple allergen components and clinical symptoms at age 11 years (2015) J Allergy Clin Immunol, 136, pp. 1224-1231; Muraro, A., Lemanske, R.F., Jr., Hellings, P.W., Akdis, C.A., Bieber, T., Casale, T.B., Precision medicine in patients with allergic diseases: airway diseases and atopic dermatitis-PRACTALL document of the European Academy of Allergy and Clinical Immunology and the American Academy of Allergy, Asthma & Immunology (2016) J Allergy Clin Immunol, 137, pp. 1347-1358
PY - 2017
Y1 - 2017
N2 - Background: Allergen-specific IgE antibodies are a hallmark of type I allergy. The aim of this cross-sectional study was to analyze the sensitization profiles of an Austrian adolescent population utilizing molecule-based IgE diagnosis.
Methods: Serum samples of 501 nonselected pupils from Salzburg, Austria, were tested in ImmunoCAP ISAC® for IgE reactivity to 112 single allergens. Sensitization profiles were assessed and statistically coordinated with reported allergies.
Results: In the population aged 12–21 years, 53.5% showed IgE reactivity to at least one allergen tested. The highest prevalence was found for Phl p 1 from grass pollen (26.5%), group 2 mite allergens (18.2%), Bet v 1 from birch pollen (16.3%) and Fel d 1 from cat (14.4%). The majority of participants showed a complex sensitization profile and reacted on average to 9 allergens. Pollen sensitization was highly prevalent (41.7%) and mainly driven by group I grass and PR-10 allergens of the Betulaceae family, while Pla l 1 represented the most relevant weed. Diagnosed and self-reported allergies were noted in 21.9% and 45.5% of participants, respectively, and correlated well with in vitro results. Among atopic individuals, 71.4% reported to suffer from at least one allergy; concordance was found for grass and cat sensitization, while venom- and weed pollen-positive individuals were frequently asymptomatic.
Conclusions: More than half of the tested adolescent population had already established an atopic status presenting a complex IgE reactivity profile dominated by pollen sensitization. Detailed molecule-based analysis allows determining relevant biomarkers and monitoring of the atopic status in populations. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
AB - Background: Allergen-specific IgE antibodies are a hallmark of type I allergy. The aim of this cross-sectional study was to analyze the sensitization profiles of an Austrian adolescent population utilizing molecule-based IgE diagnosis.
Methods: Serum samples of 501 nonselected pupils from Salzburg, Austria, were tested in ImmunoCAP ISAC® for IgE reactivity to 112 single allergens. Sensitization profiles were assessed and statistically coordinated with reported allergies.
Results: In the population aged 12–21 years, 53.5% showed IgE reactivity to at least one allergen tested. The highest prevalence was found for Phl p 1 from grass pollen (26.5%), group 2 mite allergens (18.2%), Bet v 1 from birch pollen (16.3%) and Fel d 1 from cat (14.4%). The majority of participants showed a complex sensitization profile and reacted on average to 9 allergens. Pollen sensitization was highly prevalent (41.7%) and mainly driven by group I grass and PR-10 allergens of the Betulaceae family, while Pla l 1 represented the most relevant weed. Diagnosed and self-reported allergies were noted in 21.9% and 45.5% of participants, respectively, and correlated well with in vitro results. Among atopic individuals, 71.4% reported to suffer from at least one allergy; concordance was found for grass and cat sensitization, while venom- and weed pollen-positive individuals were frequently asymptomatic.
Conclusions: More than half of the tested adolescent population had already established an atopic status presenting a complex IgE reactivity profile dominated by pollen sensitization. Detailed molecule-based analysis allows determining relevant biomarkers and monitoring of the atopic status in populations. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
KW - allergen microarray
KW - epidemiology
KW - IgE
KW - molecule-based diagnosis
KW - sensitization
KW - allergen
KW - biological marker
KW - carbohydrate
KW - food allergen
KW - house dust allergen
KW - immunoglobulin E
KW - insect venom
KW - latex
KW - pollen antigen
KW - adolescent
KW - adult
KW - allergy
KW - allergy rapid test
KW - Article
KW - atopy
KW - Austrian
KW - Betulaceae
KW - birch
KW - cat
KW - cereal
KW - child
KW - cockroach
KW - cross-sectional study
KW - egg
KW - female
KW - fish
KW - fruit
KW - grass pollen
KW - human
KW - in vitro study
KW - legume
KW - major clinical study
KW - male
KW - mould
KW - nut
KW - patient monitoring
KW - prevalence
KW - priority journal
KW - self report
KW - shrimp
KW - tree
KW - vegetable
KW - weed
KW - Austria
KW - hypersensitivity
KW - immediate type hypersensitivity
KW - immunology
KW - young adult
KW - Adolescent
KW - Adult
KW - Allergens
KW - Child
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Hypersensitivity
KW - Hypersensitivity, Immediate
KW - Immunoglobulin E
KW - Male
KW - Prevalence
KW - Young Adult
U2 - 10.1111/all.13071
DO - 10.1111/all.13071
M3 - Article
SN - 0105-4538
VL - 72
SP - 754
EP - 763
JO - Allergy: European Journal of Allergy and Clinical Immunology
JF - Allergy: European Journal of Allergy and Clinical Immunology
IS - 5
ER -