Cited by 932Allergic Rhinitis and SensitizationFood Allergy and Anaphylaxis ResearchAsthma and respiratory diseases

EAACI Molecular Allergology User's Guide

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Matricardi, P. M., Kleine‐Tebbe, J., Hoffmann, H. J., Valenta, R., Hilger, C., Hofmaier, S., Aalberse, R. C., Agache, I. +57 more·2016·Pediatric Allergy and Immunology

Abstract

The availability of allergen molecules (‘components’) from several protein families has advanced our understanding of immunoglobulin E (IgE)‐mediated responses and enabled ‘component‐resolved diagnosis’ (CRD). The European Academy of Allergy and Clinical Immunology (EAACI) Molecular Allergology User's Guide (MAUG) provides comprehensive information on important allergens and describes the diagnostic options using CRD. Part A of the EAACI MAUG introduces allergen molecules, families, composition of extracts, databases, and diagnostic IgE, skin, and basophil tests. Singleplex and multiplex IgE assays with components improve both sensitivity for low‐abundance allergens and analytical specificity; IgE to individual allergens can yield information on clinical risks and distinguish cross‐reactivity from true primary sensitization. Part B discusses the clinical and molecular aspects of IgE‐mediated allergies to foods (including nuts, seeds, legumes, fruits, vegetables, cereal grains, milk, egg, meat, fish, and shellfish), inhalants (pollen, mold spores, mites, and animal dander), and Hymenoptera venom. Diagnostic algorithms and short case histories provide useful information for the clinical workup of allergic individuals targeted for CRD. Part C covers protein families containing ubiquitous, highly cross‐reactive panallergens from plant (lipid transfer proteins, polcalcins,PR‐10, profilins) and animal sources (lipocalins, parvalbumins, serum albumins, tropomyosins) and explains their diagnostic and clinical utility. Part D lists 100 important allergen molecules. In conclusion, IgE‐mediated reactions and allergic diseases, including allergic rhinoconjunctivitis, asthma, food reactions, and insect sting reactions, are discussed from a novel molecular perspective. The EAACI MAUG documents the rapid progression of molecular allergology from basic research to its integration into clinical practice, a quantum leap in the management of allergic patients.

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Crossref · 10.1111/pai.12563

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Authors
Matricardi, P. M., Kleine‐Tebbe, J., Hoffmann, H. J., Valenta, R., Hilger, C., Hofmaier, S., Aalberse, R. C., Agache, I., Asero, R., Ballmer‐Weber, B., Barber, D., Beyer, K., Biedermann, T., Bilò, M. B., Blank, S., Bohle, B., Bosshard, P. P., Breiteneder, H., Brough, H. A., Caraballo, L., Caubet, J. C., Crameri, R., Davies, J. M., Douladiris, N., Ebisawa, M., EIgenmann, P. A., Fernandez‐Rivas, M., Ferreira, F., Gadermaier, G., Glatz, M., Hamilton, R. G., Hawranek, T., Hellings, P., Hoffmann‐Sommergruber, K., Jakob, T., Jappe, U., Jutel, M., Kamath, S. D., Knol, E. F., Korosec, P., Kuehn, A., Lack, G., Lopata, A. L., Mäkelä, M., Morisset, M., Niederberger, V., Nowak‐Węgrzyn, A. H., Papadopoulos, N. G., Pastorello, E. A., Pauli, G., Platts‐Mills, T., Posa, D., Poulsen, L. K., Raulf, M., Sastre, J., Scala, E., Schmid, J. M., Schmid‐Grendelmeier, P., van Hage, M., van Ree, R., Vieths, S., Weber, R., Wickman, M., Muraro, A., & Ollert, M.
Affiliations
  • Charité – Universitätsmedizin Berlin (DE)
  • Allergy & Asthma Center Westend Outpatient Clinic Ackermann, Hanf, & Kleine‐Tebbe Berlin Germany
  • Aarhus University (DK)
  • Medical University of Vienna (AT)
  • Luxembourg Institute of Health (LU)
  • Amsterdam UMC Location University of Amsterdam (NL)
  • Transilvania University of Brașov (RO)
  • Ambulatorio di Allergologia Clinica San Carlo Paderno Dugnano Italy
  • Allergy Unit Department of Dermatology University Hospital Zürich Zürich Switzerland
  • Universidad San Pablo CEU (ES)
  • Technical University of Munich (DE)
  • Azienda Ospedaliero-Universitaria delle Marche (IT)
  • Helmholtz Munich (DE)
  • University Hospital Zurich (CH)
  • Guy's Hospital (GB)
  • Universidad de Cartagena (CO)
  • University Hospital of Geneva (CH)
  • University of Zurich (CH)
  • Queensland University of Technology (AU)
  • National and Kapodistrian University of Athens (GR)
  • National Sagamihara Hospital (JP)
  • Allergy Department Hospital Clinico San Carlos IdISSC Madrid Spain
  • University of Salzburg (AT)
  • Johns Hopkins University (US)
  • Paracelsus Medical University (AT)
  • Universitair Ziekenhuis Leuven (BE)
  • Justus-Liebig-Universität Gießen (DE)
  • Research Center Borstel - Leibniz Lung Center (DE)
  • Wroclaw Medical University (PL)
  • Australian Institute of Tropical Health and Medicine (AU)
  • University Medical Center Utrecht (NL)
  • University Clinic of Respiratory and Allergic Diseases Golnik Slovenia
  • King's College London (GB)
  • University of Helsinki (FI)
  • Centre Hospitalier de Luxembourg (LU)
  • Pediatric Allergy and Immunology Jaffe Food Allergy Institute Icahn School of Medicine at Mount Sinai New York NY USA
  • University of Manchester (GB)
  • Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
  • Hôpitaux Universitaires de Strasbourg (FR)
  • University of Virginia (US)
  • Copenhagen University Hospital (DK)
  • Institute for Prevention and Occupational Medicine (DE)
  • Hospital Universitario Fundación Jiménez Díaz (ES)
  • Istituto Dermopatico dell'Immacolata (IT)
  • Department of Medicine Solna Clinical Immunology and Allergy Unit Karolinska Institutet and Karolinska University Hospital Stockholm Sweden
  • Departments of Experimental Immunology and of Otorhinolaryngology Academic Medical Center University of Amsterdam Amsterdam The Netherlands
  • Paul Ehrlich Institut (DE)
  • National Jewish Health (US)
  • Karolinska Institutet (SE)
  • University of Padua (IT)
  • University of Southern Denmark (DK)
Venue
Pediatric Allergy and Immunology
Publisher
Wiley
Published
2016-05
Volume
27
Issue
S23
Pages
1-250
ISSN
  • 0905-6157 (ISSN-L)
  • 1399-3038
OpenAlex
W2418916810
Cited by
932
References
838
Citations by year
2026: 39 · 2025: 53 · 2024: 77 · 2023: 96 · 2022: 109 · 2021: 144 · 2020: 126 · 2019: 82 · 2018: 76 · 2017: 111 · 2016: 15 · 2014: 1
FWCI
89.55
Type
journal article
Language
en
Open access
Locations
  • Pediatric Allergy and Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • Research at the University of Copenhagen (University of Copenhagen) (publishedVersion)
  • University of Southern Denmark Research Portal (University of Southern Denmark) (publishedVersion)
  • Archive ouverte UNIGE (University of Geneva) (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion)
  • ResearchOnline at James Cook University (James Cook University) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • HAL (submittedVersion)
  • Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
  • Università Politecnica delle Marche (Università Politecnica delle Marche) (submittedVersion)
  • Lirias (submittedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
  • Site cant be reached (submittedVersion)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Scopus (Elsevier) (submittedVersion, other-oa)
  • PuSH - Publication Server of Helmholtz Zentrum München (submittedVersion)
  • Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
  • Utrecht University Repository (Utrecht University) (submittedVersion)
Funders
  • GlaxoSmithKline
  • Sanofi
  • Mead Johnson Nutrition
  • European Commission
  • Deutsche Forschungsgemeinschaft
  • Bundesministerium für Bildung und Forschung
  • Austrian Science Fund
  • Astellas Pharma
  • European Academy of Allergy and Clinical Immunology
  • Nestec
  • Sanofi Australia
  • National Institutes of Health
  • Medical Research Council
  • National Health and Medical Research Council
  • Instituto de Salud Carlos III
  • National Institute of Allergy and Infectious Diseases
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
molecular allergology, allergen components, component-resolved diagnosis, IgE-mediated allergy, panallergens, food allergy, inhalant allergy, hymenoptera venom allergy, skin testing, cross-reactivity, lipid transfer proteins, profilin, parvalbumin, tropomyosin, allergic rhinoconjunctivitis, asthma
MeSH terms
Allergens, Humans, Hypersensitivity, Immediate, Immunoglobulin E, Immunologic Tests, Biomarkers, Precision Medicine

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