EAACI Molecular Allergology User's Guide
Open accessAbstract
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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Wensing, M., Akkerdaas, J. H., van Leeuwen, W. A., Stapel, S. O., Bruijnzeel-Koomen, C. A. F. M., Aalberse, R. C., Bast, B. J. E. G., Knulst, A. C., & van Ree, R. (2002) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2002.126380 · Cited by 209 · see citing works
Self-citationIdentification of IgE and IgG binding epitopes on β‐ and κ‐casein in cow's milk allergic patients
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The natural history and epidemiology of insect venom allergy: clinical implications
Bilò, M. B., & Bonifazi, F. (2009) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2009.03324.x · Cited by 207 · see citing works
Self-citationBeyer, K., Grabenhenrich, L., Härtl, M., et al. (2014) · Allergy · doi:10.1111/all.12530 · Cited by 207 · see citing works
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Commins, S. P., James, H. R., Stevens, W. W., Pochan, S. L., Land, M. H., King, C., Mozzicato, S., & Platts‐Mills, T. A. E. (2014) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2014.01.024 · Cited by 206 · see citing works
Self-citationPastorello, E. A., Ortolani, C., Farioli, L., Pravettoni, V., Ispano, M., Borgå, Å., Bengtsson, A. A., Incorvaia, C., Berti, C., & Zanussi, C. (1994) · Journal of Allergy and Clinical Immunology · doi:10.1016/0091-6749(94)90177-5 · Cited by 206 · see citing works
Self-citationPlant non-specific lipid transfer proteins: An interface between plant defence and human allergy
Salcedo, G., Sánchez‐Monge, R., Barber, D., et al. (2007) · Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids · doi:10.1016/j.bbalip.2007.01.001 · Cited by 204 · see citing works
Self-citationFish Allergens at a Glance: Variable Allergenicity of Parvalbumins, the Major Fish Allergens
Kuehn, A., Swoboda, I., Arumugam, K., Hilger, C., & Hentges, F. (2014) · Frontiers in Immunology · doi:10.3389/fimmu.2014.00179 · Cited by 203 · see citing works
Self-citationClinical reactivity to beef in children allergic to cow's milk
Werfel, S., Cooke, S. K., & Sampson, H. A. (1997) · Journal of Allergy and Clinical Immunology · doi:10.1016/s0091-6749(97)70045-9 · Cited by 202 · see citing works
Müller, U. R., Johansen, N., Petersen, A., Fromberg‐Nielsen, J., & Haeberli, G. (2008) · Allergy · doi:10.1111/j.1398-9995.2008.01794.x · Cited by 201 · see citing works
Soto-Quirós, M., Ávila, L., Platts‐Mills, T. A. E., Hunt, J. F., Erdman, D. D., Carper, H. T., Murphy, D. D., Odio, S., James, H. R., Patrie, J. T., et al. (2012) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2012.03.040 · Cited by 200 · see citing works
Self-citationAllergy to furry animals: New insights, diagnostic approaches, and challenges
Konradsen, J. R., Fujisawa, T., van Hage, M., Hedlin, G., Hilger, C., Kleine‐Tebbe, J., Matsui, E. C., Roberts, G. C., Rönmark, E., & Platts‐Mills, T. A. E. (2014) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2014.08.026 · Cited by 200 · see citing works
Self-citationScala, E., Alessandri, C., Bernardi, M., Ferrara, R., Palazzo, P., Pomponi, D., Quaratino, D., Rasi, C., Zaffiro, A., Zennaro, D., et al. (2010) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2010.03470.x · Cited by 199 · see citing works
Self-citationThe role of Malassezia in atopic dermatitis affecting the head and neck of adults
Darabi, K., Hostetler, S. G., Bechtel, M. A., & Zirwas, M. (2008) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2008.07.058 · Cited by 198 · see citing works
Recent advances in the understanding of egg allergens: basic, industrial, and clinical perspectives
Mine, Y., & Yang, M. (2008) · Journal of Agricultural and Food Chemistry · doi:10.1021/jf8001153 · Cited by 196 · see citing works
Burney, P., Summers, C. W., Chinn, S., et al. (2010) · Allergy · doi:10.1111/j.1398-9995.2010.02346.x · Cited by 196 · see citing works
Plant non‐specific lipid transfer proteins as food and pollen allergens
Salcedo, G., Sánchez‐Monge, R., Díaz‐Perales, A., García‐Casado, G., & Barber, D. (2004) · Clinical & Experimental Allergy · doi:10.1111/j.1365-2222.2004.02018.x · Cited by 196 · see citing works
Self-citationRancé, F., Abbal, M., & Lauwers‐Cancès, V. (2002) · Journal of Allergy and Clinical Immunology · doi:10.1067/mai.2002.124775 · Cited by 195 · see citing works
Cross‐reactivity between milk proteins from different animal species
Restani, Gaiaschi, PLEBANI, et al. (1999) · Clinical & Experimental Allergy · doi:10.1046/j.1365-2222.1999.00563.x · Cited by 195 · see citing works
Epidemiology of Hymenoptera allergy
Antonicelli, L., Bilò, M. B., & Bonifazi, F. (2002) · Current Opinion in Allergy and Clinical Immunology · doi:10.1097/00130832-200208000-00008 · Cited by 194 · see citing works
Self-citationIdentification of a Cross-Reactive Allergen (Presumably Tropomyosin) in Shrimp, Mite and Insects
Witteman, A. M., Akkerdaas, J. H., van Leeuwen, J., et al. (2009) · International Archives of Allergy and Immunology · doi:10.1159/000236803 · Cited by 193 · see citing works
The prevalence of anti-latex IgE antibodies in 1000 volunteer blood donors
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Self-citation
Flagged first, then by citations
Cited by
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International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis
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Self-citationDiagnosis and management of anaphylaxis in precision medicine
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Posa, D., Hofmaier, S., Arasi, S., & Matricardi, P. M. (2017) · Current Allergy and Asthma Reports · doi:10.1007/s11882-017-0697-y · Cited by 53 · see citing works
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Self-citationCharacterization of sensitization to furry animal allergen components in an adult population
Suzuki, S., Nwaru, B. I., Ekerljung, L., Sjölander, S., Mincheva, R., Rönmark, E. P., Rönmark, E., Lundbäck, B., Borres, M. P., & Lötvall, J. (2019) · Clinical & Experimental Allergy · doi:10.1111/cea.13355 · Cited by 45 · see citing works
Furry animal allergen component sensitization and clinical outcomes in adult asthma and rhinitis
Nwaru, B. I., Suzuki, S., Ekerljung, L., Sjölander, S., Mincheva, R., Rönmark, E. P., Rådinger, M., Rönmark, E., Borres, M. P., Lundbäck, B., et al. (2019) · The Journal of Allergy and Clinical Immunology: In Practice · doi:10.1016/j.jaip.2018.12.018 · Cited by 45 · see citing works
van Hage, M., Käck, U., Asarnoj, A., & Konradsen, J. R. (2023) · Molecular Immunology · doi:10.1016/j.molimm.2023.03.003 · Cited by 40 · see citing works
Kedar, O., Golberg, A., Obolski, U., & Confino‐Cohen, R. (2024) · Comprehensive Reviews in Food Science and Food Safety · doi:10.1111/1541-4337.13300 · Cited by 27 · see citing works
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Popescu, F.-D., Ganea, C. S., Panaitescu, C., & Vieru, M. (2021) · World Journal of Methodology · doi:10.5662/wjm.v11.i3.46 · Cited by 25 · see citing works
Riabova, K., Karsonova, A. V., van Hage, M., Käck, U., Konradsen, J. R., Grönlund, H., Fomina, D., Beltyukov, E., Glazkova, P. A., Semenov, D. Y., et al. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23136984 · Cited by 21 · see citing works
Self-citationGenetic diversity of the major cat allergen, Fel d 1
Cleveland, C. W., Davis, B. W., Khatri, K., Pomés, A., Chapman, M. D., & Brackett, N. F. (2024) · PNAS Nexus · doi:10.1093/pnasnexus/pgae447 · Cited by 7 · see citing works
- 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)
- ORCID
- Matricardi, P. M.
- Kleine‐Tebbe, J.
- Hoffmann, H. J.
- Valenta, R.
- Hilger, C.
- Aalberse, R. C.
- Agache, I.
- 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.
- Davies, J. M.
- Douladiris, N.
- Ebisawa, M.
- EIgenmann, P. A.
- Ferreira, F.
- Gadermaier, G.
- Glatz, M.
- Hamilton, R. G.
- Hellings, P.
- Hoffmann‐Sommergruber, K.
- Jappe, U.
- Jutel, M.
- Kamath, S. D.
- Knol, E. F.
- Kuehn, A.
- Lack, G.
- Lopata, A. L.
- Mäkelä, M.
- Morisset, M.
- Papadopoulos, N. G.
- Pastorello, E. A.
- Platts‐Mills, T.
- Poulsen, L. K.
- Raulf, M.
- Sastre, J.
- Scala, E.
- Schmid, J. M.
- Schmid‐Grendelmeier, P.
- Vieths, S.
- Weber, R.
- Wickman, M.
- Muraro, A.
- Ollert, M.
- 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
- bronze
- doi.org
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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