PMID- 22444546 OWN - NLM STAT- MEDLINE DCOM- 20120808 LR - 20151119 IS - 1995-9133 (Electronic) IS - 1684-1182 (Linking) VI - 45 IP - 2 DP - 2012 Apr TI - Patterns of sensitization to peanut allergen components in Taiwanese Preschool children. PG - 90-5 LID - 10.1016/j.jmii.2011.11.001 [doi] AB - BACKGROUND/PURPOSE: Peanut allergy is very common in Western countries, although it is seldom encountered in Eastern countries. Peanuts are comprised of at least 11 components, but the contribution to clinical symptoms by each component in each individual is not known. This study investigated the distributions of sensitivity to peanut allergen components among Taiwanese children who were sensitized to peanuts and followed the evolution of sensitization patterns to these components. METHODS: We enrolled 29 preschool children (age=2.11+/-1.36 years) who were sensitized to peanuts above class 3. Serum was analyzed for specific immunoglobulin E (IgE) antibodies to recombinant Ara h 1, Ara h 2, Ara h 3, Ara h 8, and Ara h 9. Allergen component-specific IgE >/=0.35 kU(A)/L was defined as positive. Eighteen children were retested 22.64+/-5.1 months later. Peanut allergy symptoms were recorded from detailed questionnaires. RESULTS: The percentages of children sensitized to Ara h 1, 2, 3, 8, and 9 were, respectively, 51.8%, 65.5%, 62.1%, 13.8%, and 24.1%. Regarding changing patterns of peanut component sensitization at follow-up, children with clinical symptoms to peanuts had persistent elevations of Ara h 2-specific IgE: 12.6+/-1.01 up to 34.15+/-19.4 kU(A)/L; p=0.144. In contrast, Ara h 2 concentrations decreased significantly in children without clinical symptoms. Ara h 8 and 9 were nonspecific for children with or without symptoms. CONCLUSION: Ara h 1, Ara h 2, and Ara h 3 were major components contributing to peanut sensitization in Taiwanese children. Ara h 2 was probably the most important component that contributed to clinical symptoms and remained steady in children who had peanut allergy. CI - Copyright (c) 2011. Published by Elsevier B.V. FAU - Lin, Yang-Te AU - Lin YT AD - Division of Allergy Asthma and Rheumatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan. FAU - Wu, Chih-Te Charles AU - Wu CT FAU - Cheng, Ju-Hui AU - Cheng JH FAU - Huang, Jing-Long AU - Huang JL FAU - Yeh, Kuo-Wei AU - Yeh KW LA - eng PT - Journal Article DEP - 20120321 PL - England TA - J Microbiol Immunol Infect JT - Journal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi JID - 100956211 RN - 0 (Allergens) RN - 0 (Antibodies) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/*analysis/*immunology MH - Antibodies/blood MH - Arachis/*chemistry/*immunology MH - Child, Preschool MH - Female MH - Food Hypersensitivity/*epidemiology MH - Humans MH - Immunoglobulin E/blood MH - Infant MH - Male MH - Taiwan/epidemiology EDAT- 2012/03/27 06:00 MHDA- 2012/08/09 06:00 CRDT- 2012/03/27 06:00 PHST- 2011/07/08 00:00 [received] PHST- 2011/07/13 00:00 [revised] PHST- 2011/09/13 00:00 [accepted] PHST- 2012/03/27 06:00 [entrez] PHST- 2012/03/27 06:00 [pubmed] PHST- 2012/08/09 06:00 [medline] AID - S1684-1182(11)00202-7 [pii] AID - 10.1016/j.jmii.2011.11.001 [doi] PST - ppublish SO - J Microbiol Immunol Infect. 2012 Apr;45(2):90-5. doi: 10.1016/j.jmii.2011.11.001. Epub 2012 Mar 21.