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2015 | OriginalPaper | Buchkapitel

10. Markerallergene und Panallergene bei Baum- und Gräserpollenallergie

verfasst von : DDr. med. Katharina Gangl, Univ.-Prof. Dr. Verena Niederberger, Univ.-Prof. Dr. med. Rudolf Valenta, Dr. rer. nat. Andreas Nandy

Erschienen in: Molekulare Allergiediagnostik

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Die molekulare Allergiediagnostik (komponentenaufgelöste Diagnostik, „component resolved diagnostic“, CRD) erlaubt bei Verdacht auf Gräser- und Baumpollenallergie die Identifikation der verantwortlichen Allergenquelle durch den Nachweis von spezifischem IgE. Insbesondere kann mit geeigneten Markerallergenen eine echte Sensibilisierung gegen Baum- oder Gräserpollen von der Kreuzreaktivität durch Pollenpanallergene (Profilin und Polcalcine) unterschieden und die fehlende analytische Spezifität von Allergenextrakten überwunden werden. Vor allem bei scheinbar polysensibilisierten Patienten mit zahlreichen Reaktionen auf Pollenextrakte ermöglicht die CRD somit eine allergenspezifische Diagnose unabhängig von den Panallergenen sowie eine fundierte Entscheidung für oder gegen eine spezifische Immuntherapie und ihre Zusammensetzung. Im folgenden Kapitel werden jene Allergene näher beschrieben, die eine eindeutige Sensibilisierung widerspiegeln und daher als Markerallergene für Baum- und Gräserpollenallergie gelten:
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Zurück zum Zitat Zafred D, Nandy A, Pump L, Kahlert H, Keller W (2013) Crystal structure and immunologic characterization of the major grass pollen allergen Phl p 4. J Allergy Clin Immunol 132:696–703CrossRefPubMed Zafred D, Nandy A, Pump L, Kahlert H, Keller W (2013) Crystal structure and immunologic characterization of the major grass pollen allergen Phl p 4. J Allergy Clin Immunol 132:696–703CrossRefPubMed
Metadaten
Titel
Markerallergene und Panallergene bei Baum- und Gräserpollenallergie
verfasst von
DDr. med. Katharina Gangl
Univ.-Prof. Dr. Verena Niederberger
Univ.-Prof. Dr. med. Rudolf Valenta
Dr. rer. nat. Andreas Nandy
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-45221-9_10

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