PMID- 37445644 OWN - NLM STAT- MEDLINE DCOM- 20230717 LR - 20230718 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 24 IP - 13 DP - 2023 Jun 21 TI - Molecular Mapping of Allergen Exposome among Different Atopic Phenotypes. LID - 10.3390/ijms241310467 [doi] LID - 10467 AB - Climate change and exposure to environmental pollutants play a key role in the onset and aggravation of allergic diseases. As different climate-dependent patterns of molecular immunoglobulin E (IgE) reactivity have been regionally described, we sought to investigate the evolving allergen exposome in distinctive allergic phenotypes and subtropical weather conditions through a Precision Allergy Molecular Diagnosis (PAMD@) model. Concurrent sensitization to several house dust mites (HDM) and storage mite molecules were broadly dominant in the investigated cohort, followed by the major cat allergen Fel d 1, and regardless of the basal allergic disease. Although a complex repertoire of allergens was recognized, a steadily increasing number of IgE binding molecules was associated with the complexity of the underlying atopic disease. Besides the highly prevalent IgE responses to major HDM allergens, Der p 21, Der p 5, and Der p 7 also showed up as serodominant molecules, especially in subjects bothered by asthma and atopic dermatitis. The accurate characterization of the external exposome at the molecular level and their putative role as clinically relevant allergens is essential to elucidate the phenotypic diversity of atopic disease in terms of personalized diagnosis and therapy. FAU - Gonzalez-Perez, Ruperto AU - Gonzalez-Perez R AUID- ORCID: 0000-0002-6664-0276 AD - Allergy Department, Hospital Universitario de Canarias, 38320 Tenerife, Spain. AD - Severe Asthma Unit, Hospital Universitario de Canarias, 38320 Tenerife, Spain. FAU - Poza-Guedes, Paloma AU - Poza-Guedes P AUID- ORCID: 0000-0001-8516-6648 AD - Allergy Department, Hospital Universitario de Canarias, 38320 Tenerife, Spain. AD - Severe Asthma Unit, Hospital Universitario de Canarias, 38320 Tenerife, Spain. FAU - Pineda, Fernando AU - Pineda F AUID- ORCID: 0000-0001-8366-9145 AD - Inmunotek SL Laboratories, 28805 Madrid, Spain. FAU - Galan, Tania AU - Galan T AD - Inmunotek SL Laboratories, 28805 Madrid, Spain. FAU - Mederos-Luis, Elena AU - Mederos-Luis E AUID- ORCID: 0000-0001-5298-6447 AD - Allergy Department, Hospital Universitario de Canarias, 38320 Tenerife, Spain. FAU - Abel-Fernandez, Eva AU - Abel-Fernandez E AUID- ORCID: 0000-0002-5309-2434 AD - Inmunotek SL Laboratories, 28805 Madrid, Spain. FAU - Martinez, Maria Jose AU - Martinez MJ AD - Inmunotek SL Laboratories, 28805 Madrid, Spain. FAU - Sanchez-Machin, Inmaculada AU - Sanchez-Machin I AD - Allergy Department, Hospital Universitario de Canarias, 38320 Tenerife, Spain. AD - Allergen Immunotherapy Unit, Hospital Universitario de Canarias, 38320 Tenerife, Spain. LA - eng GR - grant number OA17/042/: This research was funded by Fundacion Canaria Instituto de Investigacion Sanitaria de Cana-rias (FIISC), Servicio Canario de Salud./ PT - Journal Article DEP - 20230621 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) RN - 0 (Antigens, Dermatophagoides) SB - IM MH - Humans MH - Allergens MH - *Exposome MH - *Hypersensitivity MH - *Dermatitis, Atopic/diagnosis MH - Phenotype MH - Immunoglobulin E MH - Antigens, Dermatophagoides PMC - PMC10341948 OTO - NOTNLM OT - airborne allergens OT - allergic rhinitis OT - asthma OT - atopic dermatitis OT - atopy OT - climate change OT - exposome COIS- The authors declare no conflict 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- 2023/07/14 13:06 MHDA- 2023/07/17 06:42 PMCR- 2023/06/21 CRDT- 2023/07/14 01:12 PHST- 2023/04/29 00:00 [received] PHST- 2023/06/18 00:00 [revised] PHST- 2023/06/20 00:00 [accepted] PHST- 2023/07/17 06:42 [medline] PHST- 2023/07/14 13:06 [pubmed] PHST- 2023/07/14 01:12 [entrez] PHST- 2023/06/21 00:00 [pmc-release] AID - ijms241310467 [pii] AID - ijms-24-10467 [pii] AID - 10.3390/ijms241310467 [doi] PST - epublish SO - Int J Mol Sci. 2023 Jun 21;24(13):10467. doi: 10.3390/ijms241310467.