The Diagnosis of Allergy to Lipid Transfer Proteins.

IF 5.4 2区 医学 Q1 ALLERGY Current Allergy and Asthma Reports Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI:10.1007/s11882-024-01164-8
Bianca Olivieri, Isabel J Skypala
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Abstract

Purpose of review: To provide an update on the diagnosis of non-specific Lipid Transfer Protein (nsLTP) allergy.

Recent findings: More publications report the presence of nsLTP allergy in Northern European countries and nsLTP sensitisation in children. Individuals are more likely to have severe reactions if there is recognition of increasing numbers of LTP components. Diagnosis is problematic; not all those with nsLTP allergy will have a positive test to a peach extract containing Pru p 3, the peach nsLTP. Sensitisation to nsLTP is being reported in more countries, including to the nsLTP in Cannabis Sativa in North America. Meals containing multiple nsLTP foods are more likely to be involved in co-factor reactions. Component-resolved diagnostics are superior to skin prick tests, to determine sensitisation to the individual nsLTP allergens causing symptoms and, in the future, the Basophil Activation test may best discriminate between sensitization and clinical allergy.

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脂质转移蛋白过敏的诊断。
综述的目的:提供有关非特异性脂质转移蛋白(nsLTP)过敏诊断的最新信息:更多出版物报道了北欧国家存在非特异性脂质转移蛋白过敏以及儿童对非特异性脂质转移蛋白过敏。如果认识到 LTP 成分的数量不断增加,则个体更有可能出现严重反应。诊断是个问题;并非所有对 nsLTP 过敏的人都会对含有 Pru p 3(桃子 nsLTP)的桃子提取物检测呈阳性。越来越多的国家报告了对 nsLTP 过敏的情况,包括北美对大麻中的 nsLTP 过敏。含有多种 nsLTP 食物的膳食更有可能涉及共因反应。成分分辨诊断法优于皮肤点刺试验,可确定对引起症状的单个 nsLTP 过敏原是否致敏,将来,嗜碱性粒细胞活化试验可能是区分致敏和临床过敏的最佳方法。
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来源期刊
CiteScore
11.20
自引率
1.80%
发文量
21
审稿时长
6-12 weeks
期刊介绍: The aim of Current Allergy and Asthma Reports is to systematically provide the views of highly selected experts on current advances in the fields of allergy and asthma and highlight the most important papers recently published. All reviews are intended to facilitate the understanding of new advances in science for better diagnosis, treatment, and prevention of allergy and asthma. We accomplish this aim by appointing international experts in major subject areas across the discipline to review select topics emphasizing recent developments and highlighting important new papers and emerging concepts. We also provide commentaries from well-known figures in the field, and an Editorial Board of internationally diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research. Over a one- to two-year period, readers are updated on all the major advances in allergy and asthma.
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