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Update on pollen-food allergy syndrome

Poncet, Pascal, Sénéchal, Hélène, Charpin, Denis·2020·Expert Review of Clinical Immunology

DOI 10.1080/1744666x.2020.1774366

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Abstract

Introduction Allergies affect 20-30% of the population and respiratory allergies are mostly due to pollen grains from anemophilous plants. One to 5% of people suffer from food allergies and clinicians report increasing numbers of pollen-food allergy syndrome (PFAS), such that the symptoms have broadened from respiratory to gastrointestinal, and even to anaphylactic shock in the presence of cofactors. Thirty to 60% of food allergies are associated with pollen allergy while the percentage of pollen allergies associated to food allergy varies according to local environment and dietary habits. Areas covered Articles published in peer-reviewed journals, covered by PubMed databank, clinical data are discussed including symptoms, diagnosis, and management. A chapter emphasizes the role of six well-known allergen families involved in PFAS: PR10 proteins, profilins, lipid transfer proteins, thaumatin-like proteins, isoflavone reductases, and β-1,3 glucanases. The relevance in PFAS of three supplementary allergen families is presented: oleosins, polygalacturonases, and gibberellin-regulated proteins. To support the discussion a few original relevant results were added. Expert opinion Both allergenic sources, pollen and food, are submitted to the same stressful environmental changes resulting in an increase of pathogenesis-related proteins in which numerous allergens are found. This might be responsible for the potential increase of PFAS.

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Common epitopes of birch pollen and apples—Studies by western and northern blot
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Japanese Cedar Pollen-Based Subcutaneous Immunotherapy Decreases Tomato Fruit-Specific Basophil Activation
Inuo, C., Kondo, Y., Tanaka, K., Nakajima, Y., Nomura, T., Ando, H., Suzuki, S., Tsuge, I., Yoshikawa, T., & Urisu, A. (2015) · International Archives of Allergy and Immunology · doi:10.1159/000437325 · Cited by 31 · cited 1×
“Furthermore, IgE levels to both allergenic sources were not modified but specific Japanese cedar pollen IgG4 levels were increased while those specific to tomato were not [169].”
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Sorted by citations

Pollen–Food Allergy Syndrome: Allergens, Clinical Insights, Diagnostic and Therapeutic Challenges
Haidar, L., Bănărescu, C. F., Uța, C., Moldovan, S. I., Zimbru, E.-L., Zimbru, R.-I., Ciurariu, E., Georgescu, M., & Panaitescu, C. (2024) · Applied Sciences · doi:10.3390/app15010066 · Cited by 21

Authors: Poncet, P., Sénéchal, H., & Charpin, D.
Affiliations: Armand Trousseau Children Hospital, Immunology Department, Allergy & Environment Research Team, Paris, France
Aix Marseille University and French Clean Air Association (APPA), Marseille, France
Venue: Expert Review of Clinical Immunology
Publisher: Informa UK Limited
Published: 2020-06-02
Volume: 16
Issue: 6
Pages: 561-578
ISSN: 1744-666X
1744-8409
DOI: 10.1080/1744666x.2020.1774366
Cited by: 105
References: 2
Language: en
Funders: PHC Sakura (40956WJ)

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