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Serological and skin‐test diagnosis of birch pollen allergy with recombinant Bet v I, the major birch pollen allergen

1996/01/01 by Günter Menz, G. MENZ, C. DOLECEK +18 · 1 citation
Medicine · #Allergic Rhinitis and Sensitization #Contact Dermatitis and Allergies #Food Allergy and Anaphylaxis Research

paper · doi:10.1111/j.1365-2222.1996.tb00056.x

openalex publication_date 1996/01/01 · openalex created_date 2016/06/24 · openalex updated_date 2026/07/28

Abstract

BACKGROUND: Type I allergy represents a severe health problem in industrialized countries where up to 20% of the population suffer from allergic rhinitis, conjunctivitis and allergic asthma bronchiale and in severe cases from anaphylaxis, leading to death. OBJECTIVE: The aim of this study was to evaluate recombinant Bet v I, the major birch pollen allergen for in vivo and in vitro diagnosis of birch pollen allergy. METHODS: A group of 51 birch pollen allergic patients and eight non-allergic control individuals were tested for birch pollen allergy by skin-prick and intradermal testing, comparing commercial birch pollen extracts with recombinant Bet v I. Quantitative and qualitative serological testing was done with natural and recombinant allergens by radioallergosorbent test (RAST), enzyme-linked immunosorbent assay (ELISA) and immunoblotting. RESULTS: Recombinant Bet v I allowed accurate in vivo and in vitro diagnosis of tree pollen allergy in 49/51 patients tested. No false positive results were obtained in any in vitro assay system (ELISA, Western blot) or by skin testing (skin-prick, intradermal test) with recombinant Bet v I. CONCLUSION: Our results document that recombinant Bet v I produced in bacterial expression systems allows accurate in vitro and in vivo diagnosis of birch pollen allergy in > 95% of birch pollen allergic patients.

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