Volume 8 Supplement 1

3rd WAO International Scientific Conference (WISC) 2014

Open Access

Skin prick test assessment of sensitization to profilin in pollen allergic patients in the population of south-west Poland

  • Anna Kosowska1, 2,
  • Marek Jutel1, 2 and
  • Joanna Przezdziecka-Dolyk1, 2
World Allergy Organization Journal20158(Suppl 1):A197

https://doi.org/10.1186/1939-4551-8-S1-A197

Published: 8 April 2015

Background

Panallergens (profilins, polcalcins and non-specific lipid transfer proteins) are responsible for polysensitization to various allergens including pollen and food allergens in a number of individuals which might account for a problem in distinguishing between true allergy from cross reactivity in allergy testing.

A broad range of pollen- and plant-derived allergens contain profilins and it has been shown in selected populations that 10% to 20% of patients with pollen allergy are sensitized to them. Patients with profilin-specific IgE antibodies in serum show higher risk of developing of the sensitization to multiple allergens.

Methods

Sensitization to common pollen allergens using commercial extracts (Allergopharma, Germany) and profilin (provided by ALK) was assessed in 77 patients suffering from seasonal allergic rhinitis during the pollen season (37 men, 40 women, age 18-76 years) by skin prick tests (SPT). The wheal mean diameter of > 3 mm was considered positive.

Results

18,18% of patients showed positive test results to profilin. 62,33% of patients had positive SPT to grass pollen and 57,14% were sensitized to mugwort pollen. Profilin positive subjects were sensitized to various pollen allergens and in some cases also to fungal allergens, but those patients were most frequently sensitized to mugwort, birch and plantain pollen (p<0,05). In both, birch or mugwort pollen positive patients sensitization to profilin was more prevalent than in the birch or mugwort negative subjects (both p<0,05).

Conclusions

Sensitization to profilin is prevalent among pollen allergic population in South-West Poland. Prevalence of sensitization to profilin can differ in patients allergic to mugwort, birch or plantain. Profilin sensitization is a risk factor for allergic reactions to multiple pollen and food allergen sources. Patients sensitized to panallergens should be tested by an adequate panel of allergenic molecules in order to identify the allergens that are responsible for the allergic disease.

Authors’ Affiliations

(1)
Department of Clinical Immunology, Wroclaw Medical University
(2)
All-Med Medical Research Institute

Copyright

© Kosowska et al; licensee BioMed Central Ltd. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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