北京地区变态反应性疾病患者常见花粉及相关过敏原成分分析。

IF 3.3 Q2 ALLERGY
Frontiers in allergy Pub Date : 2024-11-21 eCollection Date: 2024-01-01 DOI:10.3389/falgy.2024.1478392
Yi-Bo Hou, Jin-Lu Sun
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引用次数: 0

摘要

背景:花粉是引起变应性鼻炎和哮喘最常见的室外变应原,严重影响患者的生活质量,花粉变应原之间存在广泛的交叉反应。方法:本研究纳入了84例呼吸道过敏患者,至少有一例花粉过敏。应用免疫印迹法检测花粉呼吸道过敏阳性患者血清中特异性ige。使用荧光编码微球法评估各组份和交叉反应性碳水化合物决定因子(CCD)的IgE。结果:北方地区以苦艾、寻常蒿、葎草、苋属、薇甘菊属花粉过敏最为常见,杂草花粉仍是北方地区主要的花粉过敏原。在不同年龄组中,≤18岁患者的花粉过敏原阳性率明显高于≥18岁患者(55.56% vs. 9.17%, χ²= 0.55),桦花粉过敏原阳性率(20.00% vs. 37.93, χ²= 7.87,p = 0.005)和花粉过敏原阳性率(27.27% vs. 51.72%, χ²= 11.05,p = 0.0008)均高于单纯变应性鼻炎患者,但性别间差异无统计学意义。过敏原成分sIgE阳性与临床症状无相关性,抗ccd IgE阳性比例为1.19%(1/84)。结论:本研究发现了北京市不同年龄、性别、不同变态反应性疾病患者常见花粉过敏原的分布特点,以及花粉过敏原成分与症状的关系。北京市呼吸道变态反应性疾病的CCD阳性率也不高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Common pollen and related allergen components in patients with allergic diseases in the Beijing area.

Background: Pollen is the most common outdoor allergen that causes allergic rhinitis and asthma, which seriously affects patient quality of life and extensive cross-reactivity occurs between pollen allergens.

Methods: The study enrolled 84 patients with respiratory allergies and at least one pollen allergy who visited the clinic. Specific-IgE was detected via immunoblotting in the sera of patients with positive respiratory allergies to pollen. IgE of the components and cross-reactive carbohydrate determinants (CCD) were evaluated using a fluorescence-encoded microsphere assay.

Results: Our results suggest that Artemisia absinthium, Artemisia vulgaris, Humulus scandens, Amaranthus, Parietaria micrantha allergies are most common in the northern region, and that weed pollen remains the major pollen allergen in the northern region. Among the different age groups, the positive rate of Platanus pollen allergens was significantly higher in patients ≤18 years of age than in those aged >18 years (55.56% vs. 9.17%, χ² = 0.55, p < 0.027). Patients with allergic rhinitis and asthma had an increased positive rate for Betula pollen allergen (20.00% vs. 37.93 χ² = 7.87, p = 0.005) and Platanus pollen allergen (27.27% vs. 51.72%, χ² = 11.05, p = 0.0008) than those with allergic rhinitis alone, although the allergen positivity rate did not significantly differ between sexes. In addition, the positivity of sIgE of allergen components did not reveal a correlation with clinical symptoms and anti-CCD IgE positivity was 1.19% (1/84) among all patients.

Conclusion: The study found the distribution characteristics of common pollen allergens in Beijing among patients of different ages and genders and with different allergic diseases, as well as the relationship between pollen allergen components and symptoms. The positivity rate of CCD for respiratory allergic diseases in Beijing was not high as well.

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