PMID- 32150106 OWN - NLM STAT- MEDLINE DCOM- 20200316 LR - 20221005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 99 IP - 10 DP - 2020 Mar TI - Molecular sensitization patterns in birch pollen-sensitized Korean children according to the presence of oral allergy syndrome. PG - e19469 LID - 10.1097/MD.0000000000019469 [doi] LID - e19469 AB - The profiles of sensitization based on component-resolved diagnosis (CRD) differ from region to region in populations sensitized to birch pollen. We investigated the endotypes of birch pollen-sensitized Korean children with allergic diseases using CRD and distinguished the endotypes of oral allergy syndrome (OAS) among them.Thirty-one birch pollen-sensitized children with allergic diseases were enrolled. Specific immunoglobulin E (IgE) to birch pollen and fruit including apple, peach, and kiwi were evaluated via skin prick tests and ImmunoCAP in all subjects. Sensitization profiles based on CRD were evaluated with the Immuno-solid-phase Allergen Chip for birch pollen-sensitization using birch pollen components (Bet v 1, Bet v 2, and Bet v 4), and for OAS using the allergen families pathogenesis-related class 10 proteins (PR-10), lipid transfer proteins, and profilin.All patients (n = 13) with OAS were sensitive to Bet v 1. However, 61% (11/18) of patients without OAS were sensitized to Bet v 1. The level of specific IgE to Bet v 1 was higher in patients with OAS than in those without OAS. All birch pollen-sensitized Korean children with OAS were sensitized to PR-10, and 69% (9/13) of them were mono-sensitized to PR-10. Among patients without OAS, 33% (6/18) were not sensitized to any of the allergen families.Birch pollen-sensitized Korean children with allergic diseases showed unique patterns of sensitization to Bet v 1, Bet v 2, and Bet v 4, and the sensitization profiles based on CRD were totally different according to the presence of OAS. FAU - Baek, Hey-Sung AU - Baek HS AD - Department of Pediatrics, Hallym University Kangdong Sacred Heart Hospital, Seoul. FAU - Jeong, Jae-Won AU - Jeong JW AD - Inje University Ilsan Paik Hospital, Goyang. FAU - Lee, Ha-Baik AU - Lee HB AD - Department of Pediatrics, Hanyang University Hospital, Seoul. FAU - Kwon, Jae-Woo AU - Kwon JW AD - Division of Allergy and Clinical Immunology, Kangwon National University School of Medicine, Chuncheon, Republic of Korea. LA - eng PT - Evaluation Study PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Allergens) SB - IM MH - Adolescent MH - Allergens/*immunology MH - Betula/*immunology MH - Child MH - Child, Preschool MH - Cross Reactions MH - Female MH - Food Hypersensitivity/complications/*immunology MH - Fruit/immunology MH - Humans MH - Male MH - Pollen/*immunology MH - Reproducibility of Results MH - Republic of Korea MH - Sensitivity and Specificity MH - Skin Tests PMC - PMC7478691 COIS- The authors have no conflicts of interest to disclose. EDAT- 2020/03/10 06:00 MHDA- 2020/03/17 06:00 PMCR- 2020/03/06 CRDT- 2020/03/10 06:00 PHST- 2020/03/10 06:00 [entrez] PHST- 2020/03/10 06:00 [pubmed] PHST- 2020/03/17 06:00 [medline] PHST- 2020/03/06 00:00 [pmc-release] AID - 00005792-202003060-00062 [pii] AID - MD-D-19-05912 [pii] AID - 10.1097/MD.0000000000019469 [doi] PST - ppublish SO - Medicine (Baltimore). 2020 Mar;99(10):e19469. doi: 10.1097/MD.0000000000019469.