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Cells· 2026Q1

Bet v 1 Allergen Is the Main Driver of Disease in Patients with Pollen Allergy in Belgium

F. Pirson, Esmeralda Fraille Lopez, Cloé Hupin, Carine Sohy et al.

Short summary

In Belgian patients with birch pollen allergy, sensitization to the Bet v 1 allergen, not profilin (Bet v 2), is the primary driver of more severe respiratory and food allergy symptoms.

AI-generated from the title and abstract; the full text is not read.

Key points

  • Bet v 1 sensitization, not profilin (Bet v 2), is the main driver of severe symptoms in Belgian pollen-allergic patients.
  • Birch pollen-allergic patients (BPA) had higher prevalence and severity of asthma and pollen-related food allergy syndrome (PFAS).
  • Grass pollen-allergic patients (GPA) with PFAS were more frequently sensitized to Bet v 1.
  • Profilin sensitization correlated with longer rhinitis duration and increased PFAS prevalence, independent of Bet v 1-IgE levels.

AI-generated from the title and abstract; the full text is not read.

Abstract

Birch pollen-sensitized patients co-sensitized to Bet v 1 and Bet v 2 allergens present more frequent and severe respiratory or plant-related food allergy symptoms (PFASs). This study analyzed the relevance of Bet v 1 and profilin sensitization in the clinical phenotype of pollen-allergic patients in Belgium. Ten patients allergic to birch pollen (BPA), 31 to grass pollen (GPA) and 33 to both pollens (MPA), with rhino-conjunctivitis with/without asthma (ARRC), were evaluated by means of questionnaire, skin-prick tests and specific IgE assays. Half of GPA were co-sensitized to birch pollen, and no BPA were sensitized to profilin. The prevalence of asthma and pollen-related food allergy syndrome (PFAS) was higher in BPA than in MPA or GPA, with a higher severity of PFAS in asthmatic BPA. GPA with PFAS were more frequently sensitized to Bet v 1, with higher levels of rBet v 1-IgE. The prevalence of PFAS, together with the duration of rhinitis and PFAS tended to increase in profilin-polysensitized vs. mono- and un-sensitized GPA, regardless of Bet v 1-IgE and the severity of symptoms.

The authors' abstract, as published at the source. Cells, 2026 · DOI ↗

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Field: Immunology and Allergy

Immunology and AllergyMedicine