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Anti-rPru p 3 IgE levels are inversely related to the age at onset of peach-induced severe symptoms reported by peach-allergic adults.

Abstract
Sensitisation to peach lipid transfer protein (LTP; Pru p 3) is significantly associated with severe allergic symptoms in adults, but little is known about the age at onset of peach allergy. We investigated a possible correlation between specific IgE levels to Pru p 3 and the age at onset of peach allergy. One hundred and forty-eight patients allergic to peach were divided into 6 classes according to the age at onset. Sera were analyzed for IgE antibodies to peach, rPru p 3, rPru p 1, rPru p 4, rBet v 1, rBet v 2, total IgE titre, and tryptase; all collected data were statistically analysed. A significant inverse correlation was found between the age at onset of peach allergy and anti-rPru p 3 IgE levels at diagnosis (p < 0.0005; Spearman's ρ = -0.3833). In contrast, the age at onset was directly correlated with both anti-rPru p 1 IgE levels (p = 0.0001; Spearman's ρ = 0.3197) and anti-rBet v 1 IgE levels (p = 0.0006; Spearman's ρ = 0.2914) at diagnosis. No correlations were detected between the reported age at onset and anti-peach, anti-rPru p 4, anti-rBet v 2 IgE and total IgE values and serum tryptase levels. At diagnosis, when peach allergy starts at a younger age, it is likely associated with Pru p 3 sensitisation, and the younger the onset, the higher the IgE titres. When peach allergy starts at an older age, it is more likely the result of cross-reactivity to Bet v1.
AuthorsElide Anna Pastorello, Laura Farioli, Chrysi Stafylaraki, Ambra Mascheri, Joseph Scibilia, Valerio Pravettoni, Laura Primavesi, Marta Piantanida, Michele Nichelatti, Riccardo Asero
JournalInternational archives of allergy and immunology (Int Arch Allergy Immunol) Vol. 162 Issue 1 Pg. 45-9 ( 2013) ISSN: 1423-0097 [Electronic] Switzerland
PMID23817315 (Publication Type: Journal Article)
CopyrightCopyright © 2013 S. Karger AG, Basel.
Chemical References
  • Antibodies, Anti-Idiotypic
  • Antigens, Plant
  • Plant Proteins
  • Pru p 3 allergen
  • anti-IgE antibodies
  • Immunoglobulin E
Topics
  • Adolescent
  • Adult
  • Age of Onset
  • Antibodies, Anti-Idiotypic
  • Antigens, Plant (immunology)
  • Female
  • Food Hypersensitivity (immunology)
  • Humans
  • Immunoglobulin E
  • Male
  • Middle Aged
  • Plant Proteins (immunology)
  • Prunus

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