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The Role of Protein Glycosylation in Allergy
Abstract
The asparagine-linked carbohydrate moieties of plant and insect glycoproteins are the most abundant environmental immune determinants. They are the structural basis of what is known as cross-reactive carbohydrate determinants (CCDs). Despite some structural variation, the two main motifs are the xylose and the core-3-linked fucose, which form the essential part of two independent epitopes. Plants contain both epitopes, insect glycoproteins only fucose. These epitopes and other fucosylated determinants are also found in helminth parasites where they exert remarkable immunomodulatory effects. About 20% or more of allergic patients generate specific anti-glycan IgE, which is often accompanied by IgG. Even though antibody-binding glycoproteins are widespread in pollens, foods and insect venoms, CCDs do not appear to cause clinical symptoms in most, if not all patients. When IgE binding is solely due to CCDs, a glycoprotein allergen thus can be rated as clinical irrelevant allergen. Low binding affinity between IgE and plant N-glycans now drops out as a plausible explanation for the benign nature of CCDs. This rather may result from blocking antibodies induced by an incidental ‘immune therapy’ (‘glyco-specific immune therapy’) exerted by everyday contact with plant materials, e.g. fruits or vegetables. The need to detect and suppress anti-CCD IgE without interference from peptide epitopes can be best met by artificial glycoprotein allergens. Hydroxyproline-linked arabinose (single β-arabinofuranosyl residues) has been identified as a new IgE-binding carbohydrate epitope in the major mugwort allergen. However, currently the occurrence of this O-glycan determinant appears to be rather restricted.
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“In the case of many food allergies, particularly to plant proteins, antibodies specific to carbohydrate determinants are frequently found, although they appear not to have clinical relevance [9].”
From Influence of the Carbohydrate Moieties on the Immunoreactivity and Digestibility of the Egg Allergen Ovomucoid (2013) · cites this paper as [9]
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Benedé, S., López‐Expósito, I., Molina, E., & López‐Fandiño, R. (2014) · Food & Function · doi:10.1039/c4fo01104j · Cited by 83
The IgE repertoire in children and adolescents resolved at component level: A cross‐sectional study
Melioli, G., Marcomini, L., Agazzi, A., Bazurro, G., Tosca, M., Rossi, G. A., Minale, P., Rossi, R. E., Reggiardo, G., Canonica, G. W., et al. (2011) · Pediatric Allergy and Immunology · doi:10.1111/j.1399-3038.2011.01228.x · Cited by 69
“These differences could be explained, at least in part, by the large molecular structure of animal-derived components (ranging from 60 to 100 kDa for allergens included in ISAC) in comparison with the small molecular weight (ranging from 15 to 32 kDa) of plant-inhalant components which, frequently, are glycosylated (1…”
BackgroundUsing glyco-engineering to produce therapeutic proteins
Dicker, M., & Strasser, R. (2015) · Expert Opinion on Biological Therapy · doi:10.1517/14712598.2015.1069271 · Cited by 73
“Plants typically generate rather simple biantennary complex N-glycans with attached b1,2-xylose and core a1,3-fucose residues (Figure 2F) that are not found on N-glycans in mammals and therefore represent potentially immunogenic residues [55].”
BackgroundClinical View on the Importance of Dendritic Cells in Asthma
Gaurav, R., & Agrawal, D. (2013) · Expert Review of Clinical Immunology · doi:10.1586/1744666x.2013.837260 · Cited by 70
Homann, A., Schramm, G., & Jappe, U. (2017) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2017.04.019 · Cited by 68
“If there was additional species-specific IgE present, there would 10 have been no complete inhibition.(13,21) As recombinant allergens are used in 11 commercial diagnostic assays, it is very important to consider the differing 12 glycosylation pattern of these recombinantly produced allergens.”
BackgroundHelminth glycomics - glycan repertoires and host-parasite interactions.
Hokke, C., & van Diepen, A. (2017) · Molecular and biochemical parasitology (Print) · doi:10.1016/j.molbiopara.2016.12.001 · Cited by 67
Popescu, F.-D., & Vieru, M. (2018) · World Journal of Methodology · doi:10.5662/wjm.v8.i3.17 · Cited by 67
An, Y.-M., Rininger, J., Jarvis, D., Jing, X., Ye, Z., Aumiller, J. J., Eichelberger, M., & Cipollo, J. (2013) · Journal of Proteome Research · doi:10.1021/pr400329k · Cited by 66
Carbohydrate epitopes currently recognized as targets for IgE antibodies
Platts‐Mills, T. A. E., Hilger, C., Jappe, U., van Hage, M., Gadermaier, G., Spillner, E., Lidholm, J., Keshavarz, B., Aalberse, R. C., van Ree, R., et al. (2021) · Allergy · doi:10.1111/all.14802 · Cited by 76
“Beta(1,2)xylose and alpha(1,3)fucose residues have a strong contribution in IgE binding to plant glycoallergens.”
BackgroundCabello-Hurtado, F., Keller, J., Ley, J., Sanchez-Lucas, R., Jorrín-Novo, J., & Aïnouche, A. (2016) · Journal of Proteomics · doi:10.1016/j.jprot.2016.03.026 · Cited by 62
“These CCDs could contribute to the allergenicity of glycoproteins, but the degree of their contribution and their clinical relevance are controversial issues [109].”
BackgroundAssessment of component-resolved in vitro diagnosis of celeriac allergy.
Bauermeister, K., Ballmer-Weber, B., Bublin, M., Fritsche, P., Hanschmann, K., Hoffmann-Sommergruber, K., Lidholm, J., Oberhuber, C., Randow, S., Holzhauser, T., et al. (2009) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2009.07.033 · Cited by 61
Going over Fungal Allergy: Alternaria alternata and Its Allergens
Abel-Fernández, E., Martínez, M. J., Galán, T., & Pineda, F. (2023) · Journal of Fungi · doi:10.3390/jof9050582 · Cited by 66
“Indeed, they seem to be responsible for false positive results during the quantification of IgE antibodies in the serum of the patients [81,82].”
BackgroundSynthesis and microarray-assisted binding studies of core xylose and fucose containing N-glycans.
Brzezicka, K., Echeverria, B., Serna, S., van Diepen, A., Hokke, C., & Reichardt, N. (2015) · ACS Chemical Biology · doi:10.1021/cb501023u · Cited by 60
The performance of a component‐based allergen microarray for the diagnosis of kiwifruit allergy
Bublin, M., Dennstedt, S., Buchegger, M., Ciardiello, M., Bernardi, M. L., Tuppo, L., Harwanegg, C., Hafner, C., Ebner, C., Ballmer-Weber, B., et al. (2011) · Clinical and Experimental Allergy · doi:10.1111/j.1365-2222.2010.03619.x · Cited by 60
Raybould, A., Kilby, P., & Graser, G. (2012) · Transgenic research · doi:10.1007/s11248-012-9658-3 · Cited by 59
“However, increasing knowledge of plant glycosylation has recently led to the conclusion that carbohydrate moieties are probably insignificant as clinically important allergen determinants (Altmann 2007).”
BackgroundThe role of lectins in allergic sensitization and allergic disease.
Salazar, F., Sewell, H., Shakib, F., & Ghaemmaghami, A. (2013) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2013.02.001 · Cited by 58
Masilamani, M., Commins, S. P., & Shreffler, W. G. (2012) · Immunology and Allergy Clinics of North America · doi:10.1016/j.iac.2011.12.003 · Cited by 67
Monitoring honeybee venom immunotherapy in children with the basophil activation test
Žitnik, S., Vesel, T., Avčin, T., Šilar, M., Košnik, M., & Korošec, P. (2012) · Pediatric Allergy and Immunology · doi:10.1111/j.1399-3038.2011.01233.x · Cited by 57
“Double-positivity can be a result of the presence and serological recognition of cross-reactive carbohydrate epitopes, which lack allergenic activity and hence may give rise to false positive in vitro diagnostic results (19).”
BackgroundGlycoprotein production in moss bioreactors
Decker, E. L., & Reski, R. (2011) · Plant Cell Reports · doi:10.1007/s00299-011-1152-5 · Cited by 57
Hashimoto, Y., Zhang, S., & Blissard, G. (2010) · BMC Biotechnology · doi:10.1186/1472-6750-10-50 · Cited by 57
Palacín, A., Quirce, S., Sánchez-Monge, R., Bobolea, I., Díaz-Perales, A., Martín-Muñoz, F., Pascual, C., & Salcedo, G. (2011) · Pediatric Allergy and Immunology · doi:10.1111/j.1399-3038.2010.01125.x · Cited by 56
“Gluc, recently designated as Mus a 5 by the IUIS Allergen Nomenclature Sub-Committee, harbored cross-reactive carbohydrate determinants (CCDs) (35).”
BackgroundRadauer, C., Adhami, F., Fürtler, I., Wagner, S., Allwardt, D., Scala, E., Ebner, C., Hafner, C., Hemmer, W., Mari, A., et al. (2011) · Molecular Immunology · doi:10.1016/j.molimm.2010.10.019 · Cited by 56
“Most patients with CCD sensitization display allergic symptoms towards a limited range of sources despite the ubiquitous reactivity of their IgE (Altmann, 2007).”
BackgroundGlycoproteomic profile in wine: a 'sweet' molecular renaissance.
Palmisano, G., Antonacci, D., & Larsen, M. (2010) · Journal of Proteome Research · doi:10.1021/pr100298j · Cited by 56
Mapping the interactions between a major pollen allergen and human IgE antibodies.
Razzera, G., Gadermaier, G., de Paula, V. S., Almeida, M., Egger, M., Jahn-Schmid, B., Almeida, F. C., Ferreira, F., & Valente, A. (2010) · Structure · doi:10.1016/j.str.2010.05.012 · Cited by 55
“Moreover, their involvement in IgE cross-reactivity (Altmann, 2007) seems to be very limited due to restricted distribution of hydroxyproline-linked b-arabinoses within plant proteins.”
BackgroundBecker, S., Schlederer, T., Kramer, M., Haack, M., Vrtala, S., Resch, Y., Lupinek, C., Valenta, R., & Gröger, M. (2016) · International Archives of Allergy and Immunology · doi:10.1159/000447694 · Cited by 54
Curin, M., Garib, V., & Valenta, R. (2017) · Annals of Allergy, Asthma & Immunology · doi:10.1016/j.anai.2016.11.022 · Cited by 52
Meevissen, M. H. J., Balog, C., Koeleman, C., Doenhoff, M., Schramm, G., Haas, H., Deelder, A., Wuhrer, M., & Hokke, C. (2011) · Molecular & Cellular Proteomics · doi:10.1074/mcp.m110.005710 · Cited by 52
“Notably, asparagine-linked glycans belong to the most abundant environmental immune determinants and form the basis of the so-called cross-reactive carbohydrate determinants (46).”
BackgroundSelgrade, M., Bowman, C., Ladics, G., Privalle, L., & Laessig, S. A. (2009) · Toxicological Sciences · doi:10.1093/toxsci/kfp075 · Cited by 52
“Generally, IgE binding to carbohydrate domains is irrelevant to clinical allergy, unless there are multiple carbohydrates on the potentially allergenic protein (Altmann, 2007).”
BackgroundShin, Y., Chong, Y.-J., Yang, M., & Kwon, T. (2011) · Plant Biotechnology Journal · doi:10.1111/j.1467-7652.2011.00636.x · Cited by 52
“…proteins requires modification of their N-glycosylation patterns because the plant-specific core a-1,3-fucose, b-1,2-xylose and Lewis a epitope of their complex-type N-glycans are potentially immunogenic or allergenic to humans (Chargelegue et al., 2000; Bardor et al., 2003b; Altmann, 2007).”
InfluentialStřı́ž, I., Golebski, K., Strizova, Z. O., Loukides, S., Bakakos, P., Hanania, N. A., Jeseňák, M., & Diamant, Z. (2023) · Clinical Science · doi:10.1042/cs20190281 · Cited by 75
Glesner, J., Wünschmann, S., Li, M., Gustchina, A., Wlodawer, A., Himly, M., Chapman, M., & Pomés, A. (2011) · PLoS ONE · doi:10.1371/journal.pone.0022223 · Cited by 50
“Cross-reactive carbohydrate determinants (CCD) from plants and insects are N-glycans recognized by IgE, with minimal or no clinical significance [35–37].”
BackgroundRup, B., Alon, S., Amit-Cohen, B.-C., Almon, E. B., Chertkoff, R., Tekoah, Y., & Rudd, P. (2017) · PLoS ONE · doi:10.1371/journal.pone.0186211 · Cited by 48
“However, further studies have indicated that anti-cross-reactive carbohydrate determinant antibodies do not bind equally to all glycans with α (1,3) fucose and/or β (1,2) xylose, indicating that other features of the glycan structure or protein play a critical role in the binding [7].”
Innate immunostimulatory properties of allergens and their relevance to food allergy
Ruiter, B., & Shreffler, W. G. (2012) · Seminars in Immunopathology · doi:10.1007/s00281-012-0334-8 · Cited by 47
“The finding that glycan-specific antibodies are common from human clinical contexts as well as in murine models suggests that glycans enhance immunogenicity [13, 14].”
Mertens, M., Amler, S., Moerschbacher, B., & Brehler, R. (2010) · Clinical and Experimental Allergy · doi:10.1111/j.1365-2222.2010.03535.x · Cited by 47
Amann, T., Schmieder, V., Faustrup Kildegaard, H., Borth, N., & Andersen, M. R. (2019) · Biotechnology and Bioengineering · doi:10.1002/bit.27101 · Cited by 46
“Plants contain β-hexosaminidases, which give rise to N-glycan structures with terminal mannoses (Altmann, 2006; Choi, et al., 2012) and thus are far from their human counterparts.”
Wilson, A., Heesom, K., Mawby, W., Mellor, P., & Russell, C. L. (2008) · Veterinary Immunology and Immunopathology · doi:10.1016/j.vetimm.2007.10.011 · Cited by 46
Sensitization to cross‐reactive carbohydrate determinants in relation to alcohol consumption
González-Quintela, A., Garrido, M., Gude, F., Campos, J., Linneberg, A., Lojo, S., & Vidal, C. (2007) · Clinical and Experimental Allergy · doi:10.1111/j.1365-2222.2007.02863.x · Cited by 46
Rosenberg, Y., Saxena, A., Sun, W., Jiang, X., Chilukuri, N., Luo, C., Doctor, B. P., & Lee, K. D. (2010) · Chemico-Biological Interactions · doi:10.1016/j.cbi.2010.02.042 · Cited by 45
Component-resolved allergy diagnosis by microarray: potential, pitfalls, and prospects.
Knop, K. J. D., Bridts, C., Verweij, M., Hagendorens, M., Clerck, L. D. D., Stevens, W., & Ebo, D. (2010) · Advances in Clinical Chemistry · doi:10.1016/s0065-2423(10)50005-2 · Cited by 45
“Sera containing antiprofilin and anti-CCD sIgE antibodies display a very broad spectrum of cross-reactivity involving pollen, latex, fruit, vegetables, and venoms extending beyond clinical relevance, as these antibodies rarely give rise to clinically relevant allergy [6–12].”
BackgroundThe red meat allergy syndrome in Sweden
Apostolović, D., Tran, T. A. T., Starkhammar, M., Sánchez-Vidaurre, S., Hamsten, C., & van Hage, M. (2016) · Allergo Journal International · doi:10.1007/s40629-016-0098-0 · Cited by 44
“e current estimate is that 15–30 % of allergic patients generate speci c anti-carbohydrate IgE antibodies [34], but this IgE response has very little clinical relevance [35].”
BackgroundThe production of human glucocerebrosidase in glyco‐engineered N icotiana benthamiana plants
Limkul, J., Iizuka, S., Sato, Y., Misaki, R., Ohashi, T., Ohashi, T., & Fujiyama, K. (2016) · Plant Biotechnology Journal · doi:10.1111/pbi.12529 · Cited by 45
“N-glycosylation processes in the endoplasmic reticulum (ER) of plants are similar to those in humans, but the modification processes in the Golgi complex differ between plants and humans, with the former leading to the formation of plantspecific sugars that may induce immune responses in humans (Altmann, 2007; Bosch e…”
BackgroundCabauatan, C., Lupinek, C., Scheiblhofer, S., Weiss, R., Focke-Tejkl, M., Bhalla, P., Singh, M. B., Knight, P., van Hage, M., Ramos, J. D., et al. (2013) · Journal of Allergy and Clinical Immunology · doi:10.1016/j.jaci.2013.10.004 · Cited by 44
Multiple grass mixes as opposed to single grasses for allergen immunotherapy in allergic rhinitis
Gangl, K., Niederberger, V., & Valenta, R. (2013) · Clinical and Experimental Allergy · doi:10.1111/cea.12128 · Cited by 44
Ascaris lumbricoides: An Overview of Therapeutic Targets
Hagel, I., & Giusti, T. (2010) · Infectious Disorders - Drug Targets · doi:10.2174/187152610793180876 · Cited by 53
“Immunological cross reactivity between different carbohydrate epitopes of different species of plants and invertebrates have been also reported [201] suggesting that these IgE stimulating glycans may represent a fundamental class of ligands widely distributed in nature.”
BackgroundThe Changing Fate of a Secretory Glycoprotein in Developing Maize Endosperm1[C][W]
Arcalís, E., Stadlmann, J., Marcel, S., Drakakaki, G., Winter, V., Rodríguez, J., Fischer, R., Altmann, F., & Stoger, E. (2010) · Plant Physiology · doi:10.1104/pp.109.152363 · Cited by 44
“This localization is in agreement with the main N-glycan structure attached to phytase at this stage (MMXF), which is typically found on vacuolar glycoproteins (Lerouge et al., 1998).”
BackgroundInfluentialSelf-citationEffect of Food Thermal Processing on Allergenicity Proteins in Bombay Locust (Patanga Succincta)
Phiriyangkul, P., Srinroch, C., Srisomsap, C., Chokchaichamnankit, D., & Punyarit, P. (2015) · doi:10.18178/ijfe.1.1.23-28 · Cited by 44
“Moreover, Altmann (2006) [27] has review about structural of insect glycoprotein that discovery of core 1, 3 fucose in insect glycoproteins, it became apparent that this widely distributed residue is involved in cross-reactions between plant and insect glycoproteins.”
BackgroundMauff, F. L., Mercier, G., Chan, P., Burel, C., Vaudry, D., Bardor, M., Vézina, L., Couture, M., Lerouge, P., & Landry, N. (2015) · Plant Biotechnology Journal · doi:10.1111/pbi.12301 · Cited by 43
“, 2003) and could be involved in allergic reactions (Altmann, 2007).”
Background
Metadata
- Authors
- Altmann, F.
- Affiliations
- BOKU University (AT)
- Corresponding author
- Altmann, Friedrich
- ORCID
- Altmann, Friedrich
- Venue
- International Archives of Allergy and Immunology
- Publisher
- S. Karger AG
- Published
- 2006-10-09
- Volume
- 142
- Issue
- 2
- Pages
- 99-115
- ISSN
- 1018-2438 (ISSN-L)
- 1423-0097
- OpenAlex
- W1976454430
- Cited by
- 393
- References
- 0
- Citations by year
- 2026: 11 · 2025: 10 · 2024: 10 · 2023: 10 · 2022: 5 · 2021: 17 · 2020: 20 · 2019: 17 · 2018: 16 · 2017: 23 · 2016: 21 · 2015: 31 · 2014: 25 · 2013: 33 · 2012: 25
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Archives of Allergy and Immunology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glycosylation and Glycoproteins Research
- Health Sciences › Medicine › Immunology and Allergy › Allergic Rhinitis and Sensitization
- Health Sciences › Medicine › Immunology and Allergy › Food Allergy and Anaphylaxis Research
- Keywords
- protein glycosylation, allergy, cross-reactive carbohydrate determinants, N-glycans, helminth immunomodulation, pollen allergens, insect venom, food allergens
- MeSH terms
- Allergens, Animals, Carbohydrate Conformation, Carbohydrates, Glycoproteins, Glycosylation, Humans, Hypersensitivity
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