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Serological and skin‐test diagnosis of birch pollen allergy with recombinantBet vI, the major birch pollen allergen

机译:Serological and skin‐test diagnosis of birch pollen allergy with recombinantBet vI, the major birch pollen allergen

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SummaryBackgroundType I allergy represents a severe health problem in industrialized countries where up to 20 of the population suffer froin allergic rhinitis, conjunctivitis and allergic asthma bronchiale and in severe cases from anaphylaxis. leading to death.ObjectiveThe aim of this study was to evaluate recombinantBet vI, the major birch pollen allergen forin vivoandin vitrodiagnosis of birch pollen allergy.MethodsA group of 51 birch pollen allergic patients and eight non‐allergic control individuals were tested for birch pollen allergy by skin‐prick and intradennal testing, comparing commercial birch pollen extracts with recombinantBet vI. Quantitative and qualitative serological testing was done with natural and recombinant allergens by radioallergosorbent test (RAST), enzyme‐linked immunosorbent assay (ELISA) and immunoblotting.ResultsRecombinantBetv I allowed accuratein vivoandin vitrodiagnosis of tree pollen allergy in 49/51 patients tested. No false positive results were obtained in anyin vitroassay system (ELISA. Westernblot) or by skin testing (skin‐prick, intradermal test) with recombinantBet vI.ConclusionOur results document that recombinantBet vI produced in bacterial expression systems allows accuratein vitroandin vivodiagnosis of birch pollen allergy in>95 of birch pollen allergic p
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