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Panallergens and their impact on the allergic patient 英文参考文献
Hauseretal.Allergy,AsthmaClinicalImmunology2010,6:1
/content/6/1/1
ALLERGY, ASTHMA CLINICAL
IMMUNOLOGY
REVIEW
OpenAccess
Panallergensandtheirimpactontheallergic
patient
MichaelHauser,AnargyrosRoulias,FátimaFerreira,MatthiasEgger*
Abstract
Thepanallergenconceptencompassesfamiliesofrelatedproteins,whichareinvolvedingeneralvitalprocesses
andthus,widelydistributedthroughoutnature.Plantpanallergenssharehighlyconservedsequenceregions,struc-
ture,andfunction.TheyareresponsibleformanyIgEcross-reactionsevenbetweenunrelatedpollenandplant
foodallergensources.Althoughusuallyconsideredasminorallergens,sensitizationtopanallergensmightbepro-
blematicasitbearstheriskofdevelopingmultiplesensitizations.Clinicalmanifestationsseemtobetightlycon-
nectedwithgeographicalandexposurefactors.Futurepopulation-anddisease-basedscreeningsshouldprovide
newinsightsonpanallergensandtheircontributiontodiseasemanifestations.Suchinformationrequiresmolecule-
baseddiagnosticsandwillbevaluablefordevelopingpatient-tailoredprophylacticandtherapeuticapproaches.In
thisarticle,wefocusonprofilins,non-specificlipidtransferproteins,polcalcins,andBetv1-relatedproteinsand
discusspossibleconsequencesofpanallergensensitizationfortheallergicpatient.BasedontheirpatternofIgE
cross-reactivity,whichisreflectedbytheirdistributionintheplantkingdom,weproposeanovelclassificationof
panallergensintoubiquitouslyspread“realpanallergens”(filins)andwidespread“eurallergens”(e.g.polcal-
cins).“Stenallergens”displaymorelimiteddistributionandcross-reactivitypatterns,and“monallergens”are
restrictedtoasingleallergensource.
Introduction
themajorityofpatients(bydefinition50%)reactingto
So far, from more than 200,000 known plant species, a given allergen source is sensitized, whereas minor
about50areregisteredintheofficialallergenlistofthe allergensarerecognizedbyalimitednumberofpatients.
International Union of Immunological Societies (IUIS) Inmanycasesmajorallergensserveasmarkerallergens
AllergenNomenclatureSubcommitteehttp:/
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