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Relevance of Lipophilic Allergens in Food Allergy Diagnosis

  • Published:2017-08-09 Issue:9 Volume:17 Page:
  • ISSN:1529-7322
  • Container-title:Current Allergy and Asthma Reports
  • language:en
  • Short-container-title:Curr Allergy Asthma Rep

Author:

Jappe Uta,Schwager Christian

Funder

German Research Foundation

Publisher

Springer Science and Business Media LLC

Subject

Pulmonary and Respiratory Medicine,Immunology and Allergy,Immunology

Reference62 articles.

1. Jappe U, Nikolic J, Opitz A, Homann A, Zabel P, Gavrovic-Jankulovic M. Apparent IgE negative anaphylactic reaction to banana combined with kiwi allergy-complementary diagnostic value of purified single banana allergens. Journal of the European Academy of Dermatology and Venereology: JEADV. 2016;30(7):1220–2.

2. • Zuidmeer-Jongejan L, Fernandez-Rivas M, Winter MG, Akkerdaas JH, Summers C, Lebens A, et al. Oil body-associated hazelnut allergens including oleosins are underrepresented in diagnostic extracts but associated with severe symptoms. Clinical and Translational Allergy. 2014;4(1):4. The first study investigating the content of (hazelnut) oleosins in routine allergy diagnostic extracts revealing their absence and, thereby, the poor sensitivity of routine allergy tests for anti-oleosin-IgE detection. Additionally, they demonstrated the association between oleosin sensitization and the severity of symptoms

3. • Teodorowicz M, Terlouw RJ, Jansen A, Savelkoul HF, Ruinemans-Koerts J. Immunological characterization of Dutch sesame seed-allergic patients. Int Arch Allergy Immunol. 2016;169(1):13–22. This investigation showed that oleosin was identified as the major allergen for patients with anaphylaxis to sesame seed, whereas one patient with only mild symptoms to sesame consumption did not have anti-oleosin-IgE. The number of patients is small. However, for peanut allergic patients, Schwager et al. could later demonstrate a similar sensitization pattern in a much larger cohort

4. • Aalberse JA, Meijer Y, Derksen N, van der Palen-Merkus T, Knol E, Aalberse RC. Moving from peanut extract to peanut components: towards validation of component-resolved IgE tests. Allergy. 2013;68(6):748–56. Oleosins are mentioned as potential component candidates that behave differently in RAST and immunoblots

5. • Beyer K, Grabenhenrich L, Haertl M, Beder A, Kalb B, Ziegert M, et al. Predictive values of component-specific IgE for the outcome of peanut and hazelnut food challenges in children. Allergy. 2015;70(1):90–8. This investigation showed the value of Ara h 2- specific IgE (>42.2 kU/L) to estimate the probability for a positive challenge outcome in the diagnostic work-up of peanut allergy making some food challenges superfluous, confirming previous reports on Ara h 2 as marker allergen for the severity of the allergic reaction

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