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      사과 알레르기 환자들의 임상적 특성과 원인 알레르겐의 규명 = Clinical Features of Patients with Apple Allergy and Identification of IgE-Binding Components of Apple사과 알레르기 환자들의 임상적 특성과 원인 알레르겐의 규명

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      다국어 초록 (Multilingual Abstract)

      Background: Hypersensitivity to Rosaceae fruits, especially apple, is often associated with birch pollinosis. As the sensitization to pollens has increased, apple allergy is more prevalent. However, the immunologic mechanism has not yet been evaluated in Korean adult patients. Objective: This study was conducted to characterize the clinical features of apple allergy and to identify its IgE- binding components. Method: Ten patients having apple allergy were enrolled. Skin prick tests to common allergens and pollens were performed. Serum specific IgE to apple was measured by ELISA, and IgE-binding components of apple allergen were identified by IgE immunoblot analysis.Result: Most patients showed positive responses to alder/ birch pollens by skin prick tests and high serum levels of specific IgE to apple by ELISA. The IgE-binding component of apple allergen with a molecular weight of 17 kDa was identified by IgE immunoblot in most patients. There was no significant difference in the level of specific IgE to apple between the patient group having oral allergy syndrome and the other group with additional systemic symptoms. Conclusion: We confirmed that apple allergy can develop in pollen-sensitized patients because a 17-kDa allergen is assumed as Mal d 1 which shares a common allergenic determinant with Bet v 1 of birch pollen. (Korean J Asthma Allergy Clin Immunol 2010;30:116-122)
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      Background: Hypersensitivity to Rosaceae fruits, especially apple, is often associated with birch pollinosis. As the sensitization to pollens has increased, apple allergy is more prevalent. However, the immunologic mechanism has not yet been evaluated...

      Background: Hypersensitivity to Rosaceae fruits, especially apple, is often associated with birch pollinosis. As the sensitization to pollens has increased, apple allergy is more prevalent. However, the immunologic mechanism has not yet been evaluated in Korean adult patients. Objective: This study was conducted to characterize the clinical features of apple allergy and to identify its IgE- binding components. Method: Ten patients having apple allergy were enrolled. Skin prick tests to common allergens and pollens were performed. Serum specific IgE to apple was measured by ELISA, and IgE-binding components of apple allergen were identified by IgE immunoblot analysis.Result: Most patients showed positive responses to alder/ birch pollens by skin prick tests and high serum levels of specific IgE to apple by ELISA. The IgE-binding component of apple allergen with a molecular weight of 17 kDa was identified by IgE immunoblot in most patients. There was no significant difference in the level of specific IgE to apple between the patient group having oral allergy syndrome and the other group with additional systemic symptoms. Conclusion: We confirmed that apple allergy can develop in pollen-sensitized patients because a 17-kDa allergen is assumed as Mal d 1 which shares a common allergenic determinant with Bet v 1 of birch pollen. (Korean J Asthma Allergy Clin Immunol 2010;30:116-122)

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      참고문헌 (Reference)

      1 오재원, "소아 알레르기 유발 가능성과 화분(꽃가루)농도와의 관련성" 대한 소아알레르기 호흡기학회 19 (19): 4-11, 2009

      2 양민석, "사과 의존성 운동 유발성 아나필락시스 환자 1예" 대한천식알레르기학회 26 (26): 242-245, 2006

      3 이근호, "면역치료로 치유된 구강 알레르기 증후군 1예" 대한천식알레르기학회 25 (25): 150-152, 2005

      4 Kivity S, "The pattern of food hypersensitivity in patients with onset after 10 years of age" 24 : 19-22, 1994

      5 Ebo DG, "Sensitization profiles in birch pollen-allergic patients with and without oral allergy syndrome to apple: lessons from multiplexed component-resolved allergy diagnosis" 40 : 339-47, 2010

      6 Crespo JF, "Reactivity to potential cross-reactive foods in fruit-allergic patients: implications for prescribing food avoidance" 57 : 946-9, 2002

      7 van Ree R, "Pollen-related allergy to peach and apple: an important role for profilin" 95 : 726-34, 1995

      8 Cho YS, "Oral allergy syndrome in pollen-sentized patients" 18 : 458-65, 1998

      9 Amlot PL, "Oral allergy syndrome (OAS): symptoms of IgE-mediated hypersensitivity to foods" 17 : 33-42, 1987

      10 Kondo Y, "Oral allergy syndrome" 58 : 485-91, 2009

      1 오재원, "소아 알레르기 유발 가능성과 화분(꽃가루)농도와의 관련성" 대한 소아알레르기 호흡기학회 19 (19): 4-11, 2009

      2 양민석, "사과 의존성 운동 유발성 아나필락시스 환자 1예" 대한천식알레르기학회 26 (26): 242-245, 2006

      3 이근호, "면역치료로 치유된 구강 알레르기 증후군 1예" 대한천식알레르기학회 25 (25): 150-152, 2005

      4 Kivity S, "The pattern of food hypersensitivity in patients with onset after 10 years of age" 24 : 19-22, 1994

      5 Ebo DG, "Sensitization profiles in birch pollen-allergic patients with and without oral allergy syndrome to apple: lessons from multiplexed component-resolved allergy diagnosis" 40 : 339-47, 2010

      6 Crespo JF, "Reactivity to potential cross-reactive foods in fruit-allergic patients: implications for prescribing food avoidance" 57 : 946-9, 2002

      7 van Ree R, "Pollen-related allergy to peach and apple: an important role for profilin" 95 : 726-34, 1995

      8 Cho YS, "Oral allergy syndrome in pollen-sentized patients" 18 : 458-65, 1998

      9 Amlot PL, "Oral allergy syndrome (OAS): symptoms of IgE-mediated hypersensitivity to foods" 17 : 33-42, 1987

      10 Kondo Y, "Oral allergy syndrome" 58 : 485-91, 2009

      11 Herndl A, "Mapping of Malus domestica allergens by 2-D electrophoresis and IgE-reactivity" 28 : 437-48, 2007

      12 Smole U, "Mal d 2, the thaumatin-like allergen from apple, is highly resistant to gastrointestinal digestion and thermal processing" 147 : 289-98, 2008

      13 Sanchez-Monge R, "Lipid-transfer proteins are relevant allergens in fruit allergy" 103 : 514-9, 1999

      14 Kim M, "Korean ginseng makes oral allergy syndrome in birch-sensitized respiratory allergy patients" 121 : 187-, 2008

      15 Martinez A F-RM, "Improvement of fruit allergenic extracts for immunobiotting experiments" 52 : 155-61, 1997

      16 Bircher AJ, "IgE to food allergens are highly prevalent in patients allergic to pollens, with and without symptoms of food allergy" 24 : 367-74, 1994

      17 Lahti A, "Hypersensitivity to apple and carrot can be reliably detected with fresh material" 33 : 143-6, 1978

      18 Asero R, "How long does the effect of birch pollen injection SIT on apple allergy last?" 58 : 435-8, 2003

      19 Dreborg S, "Food allergy in pollen-sensitive patients" 61 : 41-6, 1988

      20 Asero R, "Effects of birch pollen-specific immunotherapy on apple allergy in birch pollen-hypersensitive patients" 28 : 1368-73, 1998

      21 Bohle B, "Cooking birch pollen-related food: divergent consequences for IgE- and T cell-mediated reactivity in vitro and in vivo" 118 : 242-9, 2006

      22 Ebner C, "Common epitopes of birch pollen and apples-- studies by western and northern blot" 88 : 588-94, 1991

      23 Vanek-Krebitz M, "Cloning and sequencing of Mal d 1, the major allergen from apple (Malus domestica), and its immunological relationship to Bet v 1, the major birch pollen allergen" 214 : 538-51, 1995

      24 Sicherer SH, "Clinical implications of cross-reactive food allergens" 108 : 881-90, 2001

      25 김세훈, "Chinese Bellflower Root Anaphylaxis: IgE-Binding Components and Cross-Reactivity With Mugwort and Birch" 대한내과학회 24 (24): 279-282, 2009

      26 Inschlag C, "Biochemical characterization of Pru a 2, a 23-kD thaumatin-like protein representing a potential major allergen in cherry (Prunus avium)" 116 : 22-8, 1998

      27 Fernandez-Rivas M, "Apple allergy across Europe: how allergen sensitization profiles determine the clinical expression of allergies to plant foods" 118 : 481-8, 2006

      28 Shin DJ, "A case of fruits allergy due to Rosasease plants" 10 : 261-5, 1990

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      2006-07-18 학술지명변경 한글명 : 천식 및 알레르기</br>외국어명 : 미등록 KCI등재
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