PMID- 35805985 OWN - NLM STAT- MEDLINE DCOM- 20220712 LR - 20220716 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 23 IP - 13 DP - 2022 Jun 23 TI - Molecular Allergen-Specific IgE Recognition Profiles and Cumulative Specific IgE Levels Associated with Phenotypes of Cat Allergy. LID - 10.3390/ijms23136984 [doi] LID - 6984 AB - Cat allergy is a major trigger factor for respiratory reactions (asthma and rhinitis) in patients with immunoglobulin E (IgE) sensitization. In this study, we used a comprehensive panel of purified cat allergen molecules (rFel d 1, nFel d 2, rFel d 3, rFel d 4, rFel d 7, and rFel d 8) that were obtained by recombinant expression in Escherichia coli or by purification as natural proteins to study possible associations with different phenotypes of cat allergy (i.e., rhinitis, conjunctivitis, asthma, and dermatitis) by analyzing molecular IgE recognition profiles in a representative cohort of clinically well-characterized adult cat allergic subjects (n = 84). IgE levels specific to each of the allergen molecules and to natural cat allergen extract were quantified by ImmunoCAP measurements. Cumulative IgE levels specific to the cat allergen molecules correlated significantly with IgE levels specific to the cat allergen extract, indicating that the panel of allergen molecules resembled IgE epitopes of the natural allergen source. rFel d 1 represented the major cat allergen, which was recognized by 97.2% of cat allergic patients; however, rFel d 3, rFel d 4, and rFel d 7 each showed IgE reactivity in more than 50% of cat allergic patients, indicating the importance of additional allergens in cat allergy. Patients with cat-related skin symptoms showed a trend toward higher IgE levels and/or frequencies of sensitization to each of the tested allergen molecules compared with patients suffering only from rhinitis or asthma, while there were no such differences between patients with rhinitis and asthma. The IgE levels specific to allergen molecules, the IgE levels specific to cat allergen extract, and the IgE levels specific to rFel d 1 were significantly higher in patients with four different symptoms compared with patients with 1-2 symptoms. This difference was more pronounced for the sum of IgE levels specific to the allergen molecules and to cat extract than for IgE levels specific for rFel d 1 alone. Our study indicates that, in addition to rFel d 1, rFel d 3, rFel d 4, and rFel d 7 must be considered as important cat allergens. Furthermore, the cumulative sum of IgE levels specific to cat allergen molecules seems to be a biomarker for identifying patients with complex phenotypes of cat allergy. These findings are important for the diagnosis of IgE sensitization to cats and for the design of allergen-specific immunotherapies for the treatment and prevention of cat allergy. FAU - Riabova, Ksenja AU - Riabova K AD - Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, 119991 Moscow, Russia. FAU - Karsonova, Antonina V AU - Karsonova AV AD - Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, 119991 Moscow, Russia. FAU - van Hage, Marianne AU - van Hage M AUID- ORCID: 0000-0003-3091-1596 AD - Division of Immunology and Allergy, Department of Medicine Solna, Karolinska Institutet and Karolinska University Hospital, SE-171 77 Stockholm, Sweden. FAU - Kack, Ulrika AU - Kack U AD - Department of Clinical Science and Education, Sodersjukhuset, Karolinska Institutet, SE-171 77 Stockholm, Sweden. FAU - Konradsen, Jon R AU - Konradsen JR AUID- ORCID: 0000-0001-7745-8624 AD - Astrid Lindgren Children's Hospital, Karolinska University Hospital, SE-171 64 Stockholm, Sweden. AD - Department of Women's and Children's Health, Karolinska Institutet, SE-171 77 Stockholm, Sweden. FAU - Gronlund, Hans AU - Gronlund H AUID- ORCID: 0000-0003-4882-7624 AD - Therapeutic Immune Design Unit, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden. FAU - Fomina, Daria AU - Fomina D AD - Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, 119991 Moscow, Russia. AD - Moscow City Center of Allergy and Immunology, Clinical City Hospital #52, 123182 Moscow, Russia. FAU - Beltyukov, Evgeny AU - Beltyukov E AD - Ural State Medical University, 620014 Ekaterinburg, Russia. FAU - Glazkova, Polina A AU - Glazkova PA AUID- ORCID: 0000-0002-8830-7503 AD - Laboratory of Medical and Physics Research, Moscow Regional Research and Clinical Institute ("MONIKI"), 129110 Moscow, Russia. FAU - Semenov, Dmitry Yu AU - Semenov DY AD - Thoracic Surgery Center, Saint-Petersburg State Research Institute of Phthisiopulmonology of the Ministry of Healthcare of the Russian Federation, 194291 Saint-Petersburg, Russia. FAU - Valenta, Rudolf AU - Valenta R AD - Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, 119991 Moscow, Russia. AD - Karl Landsteiner University for Healthcare Sciences, 3500 Krems, Austria. AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, 1090 Vienna, Austria. FAU - Karaulov, Alexander AU - Karaulov A AUID- ORCID: 0000-0002-1930-5424 AD - Laboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, 119991 Moscow, Russia. FAU - Curin, Mirela AU - Curin M AD - Division of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, 1090 Vienna, Austria. LA - eng GR - na/DARC Program of the Country of Lower Austria/ PT - Journal Article DEP - 20220623 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Allergens) RN - 0 (Glycoproteins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens MH - *Alveolitis, Extrinsic Allergic MH - *Asthma MH - Glycoproteins/genetics MH - Humans MH - *Hypersensitivity/diagnosis MH - Immunoglobulin E/genetics MH - Phenotype MH - *Rhinitis PMC - PMC9266786 OTO - NOTNLM OT - IgE reactivity OT - allergen molecules OT - allergy OT - allergy diagnosis OT - allergy phenotypes OT - cat allergens OT - cat allergy COIS- Rudolf Valenta has received research grants from WORG Pharmaceutical (Hangzhou, China), HVD Biotech (Vienna, Austria), and Viravaxx AG (Vienna, Austria). He serves as a consultant for WORG and Viravaxx. The other authors declare no conflicts of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. EDAT- 2022/07/10 06:00 MHDA- 2022/07/14 06:00 PMCR- 2022/06/23 CRDT- 2022/07/09 01:10 PHST- 2022/05/06 00:00 [received] PHST- 2022/06/13 00:00 [revised] PHST- 2022/06/17 00:00 [accepted] PHST- 2022/07/09 01:10 [entrez] PHST- 2022/07/10 06:00 [pubmed] PHST- 2022/07/14 06:00 [medline] PHST- 2022/06/23 00:00 [pmc-release] AID - ijms23136984 [pii] AID - ijms-23-06984 [pii] AID - 10.3390/ijms23136984 [doi] PST - epublish SO - Int J Mol Sci. 2022 Jun 23;23(13):6984. doi: 10.3390/ijms23136984.