Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence
Open accessAbstract
Background Component-resolved diagnosis might improve the prediction of future allergy in young children.Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp) from early childhood up to age 16 years.Method Questionnaire data and sera obtained at 4, 8, and 16 years of age from the Barn/Children Allergi/Allergy Milieu Stockholm Epidemiologic (BAMSE) study birth cohort were used. Sera from 764 children were analyzed for IgE reactivity to 9 PR-10 allergen proteins at the 3 time points by using an allergen chip based on ISAC technology. ARbp was defined as upper airway symptoms during birch pollen exposure.Results IgE reactivity to Bet v 1 was found in 12%, 17%, and 25% of children at 4, 8, and 16 years of age. IgE reactivity of PR-10 proteins showed a hierarchic intrarelationship: Bet v 1 > Mal d 1 > Cor a 1.04 > Ara h 8 > Pru p 1 > Aln g 1 > Api g 1 > Act d 8 > Gly m 4. There was an increased risk of incidence and persistence of ARbp up to age 16 years with increasing levels of Bet v 1-specific IgE or increasing numbers of IgE-reactive PR-10 proteins at 4 years. Children with severe ARbp at age 16 years had higher levels of Bet v 1-specific IgE at age 4 years compared with children with mild symptoms.Conclusion ARbp at age 16 years can be predicted by analysis of IgE reactivity to PR-10 proteins in early childhood.
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In longitudinal studies, allergic rhinitis often first occurs in childhood and its prevalence increases with age.
“In longitudinal studies, AR often occurs for the first time in childhood and increases in prevalence with increasing age.467-471”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [470]
The Results (‘IgE reactivity to PR-10 proteins in relation to symptoms’; page not provided) report that birch-pollen allergic rhinitis rose from 2.5% at age 4 to 10.6% at age 8 and 17.8% at age 16. The Methods (‘Definition of symptoms’; page not provided) also identify new cases at ages 8 and 16. The study supports childhood onset and increasing prevalence across those ages, but it examines birch-pollen rhinitis only and does not establish how often allergic rhinitis generally first occurs in childhood rather than adulthood. (LLM, conf=0.84)
Experimental — accuracy not yet measuredMost children with allergic rhinitis symptoms early in life have persistent symptoms for several years.
“Most children with symptoms of AR early in life have persistent symptoms for several years.469-471”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [470]
Table E4 (Extended Data) shows that 12 of 19 children with birch-pollen-related allergic rhinitis symptoms at age 4 also had symptoms at ages 8 and 16, supporting persistence in a majority over several years. The cited study examined birch-pollen-related rhinitis in one birth cohort, not allergic rhinitis generally, so the claim is broader than its evidence. (LLM, conf=0.85)
Experimental — accuracy not yet measuredMeasuring sensitization to individual allergen molecules in component resolved diagnosis may be more informative than standard tests using whole-allergen extracts.
“Measuring sensitization to individual allergen molecules in a CRD may more be informative than standard tests using whole-allergen extracts.470,1014-1016”
From International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis (2018) · cites this paper as [470]
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Molecular allergy diagnosis enabling personalized medicine
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Self-citationA systematic review of allergen cross-reactivity: Translating basic concepts into clinical relevance
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Self-citationFrom Allergen Molecules to Molecular Immunotherapy of Nut Allergy: A Hard Nut to Crack
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Self-citationAdvances in rhinitis and rhinosinusitis in 2015
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Food-Related Symptoms and Food Allergy in Swedish Children from Early Life to Adolescence
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Self-citationHighly sensitive ELISA‐based assay for quantification of allergen‐specific IgE antibody levels
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Self-citationAlbumins represent highly cross-reactive animal allergens
Liu, Z., Trifonova, D., Tulaeva, I., Riabova, K. A., Васильевна, К. А., Kozlov, E., Elisyutina, O. G., Khaitov, M. R., Focke‐Tejkl, M., Chen, T.-H., et al. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1241518 · Cited by 27 · see citing works
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Self-citationBiomarkers for Allergen Immunotherapy
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Systematic Review on the Definition of Allergic Diseases in Children: The MeDALL Study
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Self-citationCell Therapy for Prophylactic Tolerance in Immunoglobulin E-mediated Allergy
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Microarray-Based Detection of Allergen-Reactive IgE in Patients with Mastocytosis
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Early inhalant allergen sensitization at component level: an analysis in atopic Dutch children
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Allergen immunotherapy for the polyallergic patient
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Allergic sensitization to Mal d 1 without detectable specific serum IgE
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- Authors
- Westman, M., Lupinek, C., Bousquet, J., Andersson, N., Pahr, S., Baar, A., Bergström, A., Holmström, M., Stjärne, P., Lødrup Carlsen, K. C., Carlsen, K.-H., Antó, J. M., Valenta, R., van Hage, M., & Wickman, M.
- Affiliations
- Karolinska University Hospital (SE)
- Medical University of Vienna (AT)
- Inserm (FR)
- Karolinska Institutet (SE)
- Oslo University Hospital (NO)
- Universitat Pompeu Fabra (ES)
- Corresponding author
- Westman, Marit
- ORCID
- Venue
- Journal of Allergy and Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 135
- Issue
- 5
- Pages
- 1199-1206.e11
- ISSN
- 0091-6749 (ISSN-L)
- PMC
- PMC6597345
- OpenAlex
- W2137547420
- Cited by
- 141
- References
- 36
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 12 · 2022: 6 · 2021: 12 · 2020: 13 · 2019: 14 · 2018: 13 · 2017: 22 · 2016: 15 · 2015: 14 · 2013: 1
- FWCI
- 13.06
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Allergy and Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- HAL (submittedVersion)
- Topics
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Keywords
- allergic rhinitis, birch pollen allergy, Bet v 1, IgE reactivity, component-resolved diagnosis, BAMSE birth cohort
- MeSH terms
- Adolescent, Age Factors, Child, Child, Preschool, Cross Reactions, Humans, Immunoglobulin E, Prognosis, Sweden, Cohort Studies, Incidence, Cluster Analysis, Seroepidemiologic Studies, Antigens, Plant, Rhinitis, Allergic
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