Many pathogenesis-related (PR)
proteins from plants are allergenic. We review the evidence that PR
proteins represent an increasingly important group of plant-derived
allergens.
DATA SOURCES: A detailed literature search was conducted through PubMed and GenBank databases.
STUDY SELECTION: Production of PR
proteins by plants is induced in plants by stress. Members of PR-
protein groups 2, 3, 4, 5, 8, 10, and 14 have demonstrated allergenicity. PR2-, 3-, 4-, and 8-homologous
allergens are represented by the
latex allergens. Cross-reactivity of PR3
latex allergen, Hev b 6.02, with some fruit
allergens may be a reflection of the representation of homologous PR
proteins among varied plants. The expression of one of the representative PR5-homologous cedar pollen
allergens, Jun a 3, is highly variable across years and geographic areas, possibly because of variable induction of this PR
protein by environmental factors. PR10-homologous birch pollen
allergen, Bet v 1, is structurally similar to and cross-reacts with PR10
proteins from fruits (eg, Mal d 1) which cause oral
allergy syndrome.
PR14 allergens (eg, Zea m 14) consist of
lipid transfer
proteins found in grains and fruits and are inducers of
anaphylaxis.
CONCLUSIONS: PR-homologous
allergens are pervasive in nature. Similarity in the amino acid sequences among members of PR
proteins may be responsible for cross-reactivity among
allergens from diverse plants. Induced expression of PR-homologous
allergens by environmental factors may explain varying degrees of allergenicity. Man-made
environmental pollutants may also alter the expression of some PR
protein allergens.