Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence

Background Component-resolved diagnosis might improve the prediction of future allergy in young children. Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp ) from early chi...

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Veröffentlicht in:Journal of allergy and clinical immunology 2015-05, Vol.135 (5), p.1199-1206.e11
Hauptverfasser: Westman, Marit, MD, Lupinek, Christian, MD, Bousquet, Jean, MD, PhD, Andersson, Niklas, MSc, Pahr, Sandra, MSc, Baar, Alexandra, PhD, Bergström, Anna, PhD, Holmström, Mats, MD, PhD, Stjärne, Pär, MD, PhD, Lødrup Carlsen, Karin C., MD, PhD, Carlsen, Kaj-Håkon, MD, PhD, Antó, Josep M., MD, PhD, Valenta, Rudolf, MD, PhD, van Hage, Marianne, MD, PhD, Wickman, Magnus, MD, PhD
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container_end_page 1206.e11
container_issue 5
container_start_page 1199
container_title Journal of allergy and clinical immunology
container_volume 135
creator Westman, Marit, MD
Lupinek, Christian, MD
Bousquet, Jean, MD, PhD
Andersson, Niklas, MSc
Pahr, Sandra, MSc
Baar, Alexandra, PhD
Bergström, Anna, PhD
Holmström, Mats, MD, PhD
Stjärne, Pär, MD, PhD
Lødrup Carlsen, Karin C., MD, PhD
Carlsen, Kaj-Håkon, MD, PhD
Antó, Josep M., MD, PhD
Valenta, Rudolf, MD, PhD
van Hage, Marianne, MD, PhD
Wickman, Magnus, MD, PhD
description Background Component-resolved diagnosis might improve the prediction of future allergy in young children. Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp ) from early childhood up to age 16 years. Method Questionnaire data and sera obtained at 4, 8, and 16 years of age from the Barn/Children Allergi/Allergy Milieu Stockholm Epidemiologic (BAMSE) study birth cohort were used. Sera from 764 children were analyzed for IgE reactivity to 9 PR-10 allergen proteins at the 3 time points by using an allergen chip based on ISAC technology. ARbp was defined as upper airway symptoms during birch pollen exposure. Results IgE reactivity to Bet v 1 was found in 12%, 17%, and 25% of children at 4, 8, and 16 years of age. IgE reactivity of PR-10 proteins showed a hierarchic intrarelationship: Bet v 1 > Mal d 1 > Cor a 1.04 > Ara h 8 > Pru p 1 > Aln g 1 > Api g 1 > Act d 8 > Gly m 4. There was an increased risk of incidence and persistence of ARbp up to age 16 years with increasing levels of Bet v 1–specific IgE or increasing numbers of IgE-reactive PR-10 proteins at 4 years. Children with severe ARbp at age 16 years had higher levels of Bet v 1–specific IgE at age 4 years compared with children with mild symptoms. Conclusion ARbp at age 16 years can be predicted by analysis of IgE reactivity to PR-10 proteins in early childhood.
doi_str_mv 10.1016/j.jaci.2014.10.042
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Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp ) from early childhood up to age 16 years. Method Questionnaire data and sera obtained at 4, 8, and 16 years of age from the Barn/Children Allergi/Allergy Milieu Stockholm Epidemiologic (BAMSE) study birth cohort were used. Sera from 764 children were analyzed for IgE reactivity to 9 PR-10 allergen proteins at the 3 time points by using an allergen chip based on ISAC technology. ARbp was defined as upper airway symptoms during birch pollen exposure. Results IgE reactivity to Bet v 1 was found in 12%, 17%, and 25% of children at 4, 8, and 16 years of age. IgE reactivity of PR-10 proteins showed a hierarchic intrarelationship: Bet v 1 &gt; Mal d 1 &gt; Cor a 1.04 &gt; Ara h 8 &gt; Pru p 1 &gt; Aln g 1 &gt; Api g 1 &gt; Act d 8 &gt; Gly m 4. There was an increased risk of incidence and persistence of ARbp up to age 16 years with increasing levels of Bet v 1–specific IgE or increasing numbers of IgE-reactive PR-10 proteins at 4 years. Children with severe ARbp at age 16 years had higher levels of Bet v 1–specific IgE at age 4 years compared with children with mild symptoms. Conclusion ARbp at age 16 years can be predicted by analysis of IgE reactivity to PR-10 proteins in early childhood.</description><identifier>ISSN: 0091-6749</identifier><identifier>EISSN: 1097-6825</identifier><identifier>DOI: 10.1016/j.jaci.2014.10.042</identifier><identifier>PMID: 25528361</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Age ; Age Factors ; Allergen components ; allergic rhinitis ; Allergies ; Allergology ; Allergy and Immunology ; Antigens, Plant - immunology ; Asthma ; BAMSE ; birch pollen ; Child ; Child, Preschool ; Cluster Analysis ; cohort ; Cohort Studies ; Cross Reactions - immunology ; cross-reactivity ; Families &amp; family life ; Humans ; IgE ; Immunoglobulin E - blood ; Immunoglobulin E - immunology ; Immunology ; Incidence ; Life Sciences ; MeDALL ; microarray ; oral allergy syndrome ; Pathogenesis ; Pollen ; Prognosis ; Proteins ; Questionnaires ; Rhinitis, Allergic - diagnosis ; Rhinitis, Allergic - epidemiology ; Rhinitis, Allergic - immunology ; Seroepidemiologic Studies ; Sweden - epidemiology</subject><ispartof>Journal of allergy and clinical immunology, 2015-05, Vol.135 (5), p.1199-1206.e11</ispartof><rights>American Academy of Allergy, Asthma &amp; Immunology</rights><rights>2014 American Academy of Allergy, Asthma &amp; Immunology</rights><rights>Copyright © 2014 American Academy of Allergy, Asthma &amp; Immunology. 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All rights reserved.</rights><rights>Copyright Elsevier Limited May 2015</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c713t-ee19a1cc6686dee9caedd25f6bccad987819f84350412435d7b644c010d096ce3</citedby><cites>FETCH-LOGICAL-c713t-ee19a1cc6686dee9caedd25f6bccad987819f84350412435d7b644c010d096ce3</cites><orcidid>0000-0003-0041-4249 ; 0000-0002-4061-4766 ; 0000-0001-5494-5374</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jaci.2014.10.042$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,551,777,781,882,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25528361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.umontpellier.fr/hal-02146839$$DView record in HAL$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:131266201$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Westman, Marit, MD</creatorcontrib><creatorcontrib>Lupinek, Christian, MD</creatorcontrib><creatorcontrib>Bousquet, Jean, MD, PhD</creatorcontrib><creatorcontrib>Andersson, Niklas, MSc</creatorcontrib><creatorcontrib>Pahr, Sandra, MSc</creatorcontrib><creatorcontrib>Baar, Alexandra, PhD</creatorcontrib><creatorcontrib>Bergström, Anna, PhD</creatorcontrib><creatorcontrib>Holmström, Mats, MD, PhD</creatorcontrib><creatorcontrib>Stjärne, Pär, MD, PhD</creatorcontrib><creatorcontrib>Lødrup Carlsen, Karin C., MD, PhD</creatorcontrib><creatorcontrib>Carlsen, Kaj-Håkon, MD, PhD</creatorcontrib><creatorcontrib>Antó, Josep M., MD, PhD</creatorcontrib><creatorcontrib>Valenta, Rudolf, MD, PhD</creatorcontrib><creatorcontrib>van Hage, Marianne, MD, PhD</creatorcontrib><creatorcontrib>Wickman, Magnus, MD, PhD</creatorcontrib><creatorcontrib>Mechanisms for the Development of Allergies (MeDALL) consortium</creatorcontrib><creatorcontrib>Mechanisms for the Development of Allergies Consortium</creatorcontrib><title>Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence</title><title>Journal of allergy and clinical immunology</title><addtitle>J Allergy Clin Immunol</addtitle><description>Background Component-resolved diagnosis might improve the prediction of future allergy in young children. Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp ) from early childhood up to age 16 years. Method Questionnaire data and sera obtained at 4, 8, and 16 years of age from the Barn/Children Allergi/Allergy Milieu Stockholm Epidemiologic (BAMSE) study birth cohort were used. Sera from 764 children were analyzed for IgE reactivity to 9 PR-10 allergen proteins at the 3 time points by using an allergen chip based on ISAC technology. ARbp was defined as upper airway symptoms during birch pollen exposure. Results IgE reactivity to Bet v 1 was found in 12%, 17%, and 25% of children at 4, 8, and 16 years of age. IgE reactivity of PR-10 proteins showed a hierarchic intrarelationship: Bet v 1 &gt; Mal d 1 &gt; Cor a 1.04 &gt; Ara h 8 &gt; Pru p 1 &gt; Aln g 1 &gt; Api g 1 &gt; Act d 8 &gt; Gly m 4. There was an increased risk of incidence and persistence of ARbp up to age 16 years with increasing levels of Bet v 1–specific IgE or increasing numbers of IgE-reactive PR-10 proteins at 4 years. Children with severe ARbp at age 16 years had higher levels of Bet v 1–specific IgE at age 4 years compared with children with mild symptoms. Conclusion ARbp at age 16 years can be predicted by analysis of IgE reactivity to PR-10 proteins in early childhood.</description><subject>Adolescent</subject><subject>Age</subject><subject>Age Factors</subject><subject>Allergen components</subject><subject>allergic rhinitis</subject><subject>Allergies</subject><subject>Allergology</subject><subject>Allergy and Immunology</subject><subject>Antigens, Plant - immunology</subject><subject>Asthma</subject><subject>BAMSE</subject><subject>birch pollen</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cluster Analysis</subject><subject>cohort</subject><subject>Cohort Studies</subject><subject>Cross Reactions - immunology</subject><subject>cross-reactivity</subject><subject>Families &amp; family life</subject><subject>Humans</subject><subject>IgE</subject><subject>Immunoglobulin E - blood</subject><subject>Immunoglobulin E - immunology</subject><subject>Immunology</subject><subject>Incidence</subject><subject>Life Sciences</subject><subject>MeDALL</subject><subject>microarray</subject><subject>oral allergy syndrome</subject><subject>Pathogenesis</subject><subject>Pollen</subject><subject>Prognosis</subject><subject>Proteins</subject><subject>Questionnaires</subject><subject>Rhinitis, Allergic - diagnosis</subject><subject>Rhinitis, Allergic - epidemiology</subject><subject>Rhinitis, Allergic - immunology</subject><subject>Seroepidemiologic Studies</subject><subject>Sweden - epidemiology</subject><issn>0091-6749</issn><issn>1097-6825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNqFkkGPEyEUxydG49bVL-DBkHhZD1OBYRhIzCabTXU32cSDmngjFF47dOlQgdb028ukdXV70BPw-P0fj_f-VfWa4CnBhL9fTVfauCnFhJXAFDP6pJoQLLuaC9o-rSYYS1Lzjsmz6kVKK1zOjZDPqzPatlQ0nEyqONPR75Hpnbd9CBbdLmcogjbZ7VzeoxzQRuc-LGGA5FIdwesMFhmvU0IEo00MGdyQygasMzkh7T3EpTMo9m5w2SXkBqRt8JAMDAZeVs8W2id4dVzPq28fZ1-vb-q7z59ur6_uatORJtcARGpiDOeCWwBpNFhL2wWfG6OtFJ0gciFY02JGaFlsN-eMGUywxZIbaM6r-pA3_YTNdq420a113KugnTqG7ssOVEt4h5vCXx74crMGW2rNUftHssc3g-vVMuwUb2XXsLYkeHdI0J_Ibq7u1BjDlDAuGrkjhb04PhbDjy2krNautMd7PUDYJkW6pkxIMoz_j3KBSSdlRwv69gRdhW0cSpdHishOCMELRQ-UiSGlCIuHYglWo7PUSo3OUqOzxlhxVhG9-bs7D5LfVirAhwMAZaY7B1El48Z5WxfBZGWD-3f-yxO58cU-Rvt72EP68w-VqMLqy-jt0dqEYdIK9r35BWkD9Z8</recordid><startdate>20150501</startdate><enddate>20150501</enddate><creator>Westman, Marit, MD</creator><creator>Lupinek, Christian, MD</creator><creator>Bousquet, Jean, MD, PhD</creator><creator>Andersson, Niklas, MSc</creator><creator>Pahr, Sandra, MSc</creator><creator>Baar, Alexandra, PhD</creator><creator>Bergström, Anna, PhD</creator><creator>Holmström, Mats, MD, PhD</creator><creator>Stjärne, Pär, MD, PhD</creator><creator>Lødrup Carlsen, Karin C., MD, PhD</creator><creator>Carlsen, Kaj-Håkon, MD, PhD</creator><creator>Antó, Josep M., MD, PhD</creator><creator>Valenta, Rudolf, MD, PhD</creator><creator>van Hage, Marianne, MD, PhD</creator><creator>Wickman, Magnus, MD, PhD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SS</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>1XC</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0003-0041-4249</orcidid><orcidid>https://orcid.org/0000-0002-4061-4766</orcidid><orcidid>https://orcid.org/0000-0001-5494-5374</orcidid></search><sort><creationdate>20150501</creationdate><title>Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence</title><author>Westman, Marit, MD ; Lupinek, Christian, MD ; Bousquet, Jean, MD, PhD ; Andersson, Niklas, MSc ; Pahr, Sandra, MSc ; Baar, Alexandra, PhD ; Bergström, Anna, PhD ; Holmström, Mats, MD, PhD ; Stjärne, Pär, MD, PhD ; Lødrup Carlsen, Karin C., MD, PhD ; Carlsen, Kaj-Håkon, MD, PhD ; Antó, Josep M., MD, PhD ; Valenta, Rudolf, MD, PhD ; van Hage, Marianne, MD, PhD ; Wickman, Magnus, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c713t-ee19a1cc6686dee9caedd25f6bccad987819f84350412435d7b644c010d096ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adolescent</topic><topic>Age</topic><topic>Age Factors</topic><topic>Allergen components</topic><topic>allergic rhinitis</topic><topic>Allergies</topic><topic>Allergology</topic><topic>Allergy and Immunology</topic><topic>Antigens, Plant - immunology</topic><topic>Asthma</topic><topic>BAMSE</topic><topic>birch pollen</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cluster Analysis</topic><topic>cohort</topic><topic>Cohort Studies</topic><topic>Cross Reactions - immunology</topic><topic>cross-reactivity</topic><topic>Families &amp; family life</topic><topic>Humans</topic><topic>IgE</topic><topic>Immunoglobulin E - blood</topic><topic>Immunoglobulin E - immunology</topic><topic>Immunology</topic><topic>Incidence</topic><topic>Life Sciences</topic><topic>MeDALL</topic><topic>microarray</topic><topic>oral allergy syndrome</topic><topic>Pathogenesis</topic><topic>Pollen</topic><topic>Prognosis</topic><topic>Proteins</topic><topic>Questionnaires</topic><topic>Rhinitis, Allergic - diagnosis</topic><topic>Rhinitis, Allergic - epidemiology</topic><topic>Rhinitis, Allergic - immunology</topic><topic>Seroepidemiologic Studies</topic><topic>Sweden - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Westman, Marit, MD</creatorcontrib><creatorcontrib>Lupinek, Christian, MD</creatorcontrib><creatorcontrib>Bousquet, Jean, MD, PhD</creatorcontrib><creatorcontrib>Andersson, Niklas, MSc</creatorcontrib><creatorcontrib>Pahr, Sandra, MSc</creatorcontrib><creatorcontrib>Baar, Alexandra, PhD</creatorcontrib><creatorcontrib>Bergström, Anna, PhD</creatorcontrib><creatorcontrib>Holmström, Mats, MD, PhD</creatorcontrib><creatorcontrib>Stjärne, Pär, MD, PhD</creatorcontrib><creatorcontrib>Lødrup Carlsen, Karin C., MD, PhD</creatorcontrib><creatorcontrib>Carlsen, Kaj-Håkon, MD, PhD</creatorcontrib><creatorcontrib>Antó, Josep M., MD, PhD</creatorcontrib><creatorcontrib>Valenta, Rudolf, MD, PhD</creatorcontrib><creatorcontrib>van Hage, Marianne, MD, PhD</creatorcontrib><creatorcontrib>Wickman, Magnus, MD, PhD</creatorcontrib><creatorcontrib>Mechanisms for the Development of Allergies (MeDALL) consortium</creatorcontrib><creatorcontrib>Mechanisms for the Development of Allergies Consortium</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; 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Objective We sought to investigate the association between IgE reactivity to the pathogenesis-related class 10 (PR-10) protein family and allergic rhinitis to birch pollen (ARbp ) from early childhood up to age 16 years. Method Questionnaire data and sera obtained at 4, 8, and 16 years of age from the Barn/Children Allergi/Allergy Milieu Stockholm Epidemiologic (BAMSE) study birth cohort were used. Sera from 764 children were analyzed for IgE reactivity to 9 PR-10 allergen proteins at the 3 time points by using an allergen chip based on ISAC technology. ARbp was defined as upper airway symptoms during birch pollen exposure. Results IgE reactivity to Bet v 1 was found in 12%, 17%, and 25% of children at 4, 8, and 16 years of age. IgE reactivity of PR-10 proteins showed a hierarchic intrarelationship: Bet v 1 &gt; Mal d 1 &gt; Cor a 1.04 &gt; Ara h 8 &gt; Pru p 1 &gt; Aln g 1 &gt; Api g 1 &gt; Act d 8 &gt; Gly m 4. There was an increased risk of incidence and persistence of ARbp up to age 16 years with increasing levels of Bet v 1–specific IgE or increasing numbers of IgE-reactive PR-10 proteins at 4 years. Children with severe ARbp at age 16 years had higher levels of Bet v 1–specific IgE at age 4 years compared with children with mild symptoms. Conclusion ARbp at age 16 years can be predicted by analysis of IgE reactivity to PR-10 proteins in early childhood.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25528361</pmid><doi>10.1016/j.jaci.2014.10.042</doi><orcidid>https://orcid.org/0000-0003-0041-4249</orcidid><orcidid>https://orcid.org/0000-0002-4061-4766</orcidid><orcidid>https://orcid.org/0000-0001-5494-5374</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; SWEPUB Freely available online; EZB-FREE-00999 freely available EZB journals
subjects Adolescent
Age
Age Factors
Allergen components
allergic rhinitis
Allergies
Allergology
Allergy and Immunology
Antigens, Plant - immunology
Asthma
BAMSE
birch pollen
Child
Child, Preschool
Cluster Analysis
cohort
Cohort Studies
Cross Reactions - immunology
cross-reactivity
Families & family life
Humans
IgE
Immunoglobulin E - blood
Immunoglobulin E - immunology
Immunology
Incidence
Life Sciences
MeDALL
microarray
oral allergy syndrome
Pathogenesis
Pollen
Prognosis
Proteins
Questionnaires
Rhinitis, Allergic - diagnosis
Rhinitis, Allergic - epidemiology
Rhinitis, Allergic - immunology
Seroepidemiologic Studies
Sweden - epidemiology
title Early childhood IgE reactivity to pathogenesis-related class 10 proteins predicts allergic rhinitis in adolescence
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