DISEASES AND PROBLEMS DISTINGUISHED BY WHO AND FAO / RESEARCH PAPER
THE ROLE OF COMPONENT-BASED DIAGNOSTICS IN HAZELNUT ALLERGY TESTING
 
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1
Faculty of Health Sciences, University of Miskolc, Hungary
 
2
Borsod-Abaúj-Zemplén County Central Hospital and University Teaching Hospital, Miskolc, Hungary
 
 
Submission date: 2023-08-04
 
 
Final revision date: 2023-09-06
 
 
Acceptance date: 2023-09-07
 
 
Publication date: 2023-09-20
 
 
Health Prob Civil. 2023;17(4):299-305
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Allergies have become a widespread disease in all parts of the world. Allergic diseases affect nearly 30% of the population in Hungary, of which food allergies account for a significant proportion. In this paper we analyzed the prevalence of hazelnut allergy.

Material and methods:
In the present study, the sensitivity to hazelnut, a specific and otherwise heathy food component, was investigated comparing it with the self-reported symptoms of the participants, and Component-Resolved Diagnostic (CRD) method. In the study a total of 229 persons were included, 87 men and 142 women.

Results:
Molecular allergy testing showed some serum immunoglobulin E level elevation related to hazelnut in 20 participants of which 1 individual was asymptomatic but CRD positive for hazelnut. There was positivity in 90% of the cases for the component Cor a 1, which is perhaps a consequence of a cross-reaction to the homologous component Bet v 1 of birch pollen. In 10% of cases, sensitization to components of Cor a 8 was found, which may be a consequence of cross-reactivity to the lipid transfer protein (LTP) component of other foods.

Conclusions:
Knowledge of hazelnut sensitization may be important for people affected, as avoiding consumption of raw hazelnut may theoretically prevent the development of hazelnut allergy.
REFERENCES (25)
1.
Sipka S. [The current prevalence of allergy and the possibility of its treatment in Debrecen]. Debreceni Szemle. 2016; 24(4): 429-436 (in Hungarian).
 
2.
Lucas JM. Microarrays: molecular allergology and nanotechnology for personalised medicine (I). Allergol Immunopathol (Madr). 2010; 38(3): 153-161. https://doi:10.1016/j.aller.20....
 
3.
Csima E, Cserháti E, Mezei Gy. [Oral allergy syndrome in childhood]. LAM. 2011; 21(6-7): 451-457 (in Hungarian).
 
4.
Carlson G, Coop C. Pollen food allergy syndrome (PFAS): A review of current available literature. Ann Allergy Asthma Immunol. 2019; 123(4): 359-365. https://doi.org/10.1016/j.anai....
 
5.
Bentrad S, Collin S, Brocart C, Pietrement C, Sabouraud D. Peanut or hazelnut? About two cases of severe anaphylaxis to hazelnut involving PR-10. World Allergy Organization J. 2020; 13(8): 192. https://doi.org/10.1016/j.waoj....
 
6.
Kleine-Tebbe J, Wangorsch A, Vogel L, Crowell DN, Haustein U-F, Vieths S. Severe oral allergy syndrome and anaphylactic reactions caused by a Bet v 1-related PR-10 protein in soybean, SAM22. J Allergy Clin Immunol. 2002; 110(5): 797-804. https://doi.org/10.1067/mai.20....
 
7.
Senders AS, Oropeza AR, Kristensen B, Eller E, Kjaer HF, Bindslev-Jensen C, et al. Food-dependent exerciseinduced anaphylaxis due to almond in a PR-10–sensitized patient. The J Allergy Clin Immunol: In Practice. 2018; 6(2): 683-684. https://doi.org/10.1016/j.jaip....
 
8.
Calamelli E, Trozzo A, Di Blasi E, Serra L, Bottau P. Hazelnut Allergy. Medicina. 2021; 57(1): 67. https://doi.org/10.3390/medici....
 
9.
Integrated Taxonomic Information System [Internet]. [access 2022 Jul 19]. Available from: https://www.itis.gov/servlet/S....
 
10.
Hofmann C, Scheurer S, Rost K, Graulich E, Jamin A, Foetisch K, et al. Cor a 1–reactive T cells and IgE are predominantly cross-reactive to Bet v 1 in patients with birch pollen–associated food allergy to hazelnut. J Allergy Clin Immunol. 2013; 131(5): 1384-1392. https://doi.org/10.1016/j.jaci....
 
11.
De Knop KJ, Verweij MM, Grimmelikhuijsen M, Philipse E, Hagendorens MM, Bridts CH, et al. Age-related sensitization profiles for hazelnut (Corylus avellana) in a birch-endemic region. Pediatr Allergy Immunol. 2011; 22(1): 139-149. https://doi.org/10.1111/j.1399....
 
12.
Inoue Y, Sato S, Takahashi K, Yanagida N, Yamamoto H, Shimizu N, et al. Component-resolved diagnostics can be useful for identifying hazelnut allergy in Japanese children. Allergol Int. 2020; 69(2): 239-245. https://doi.org/10.1016/j.alit....
 
13.
Erhard SM, Bellach J, Yürek S, Tschirner S, Trendelenburg V, Grabenhenrich LB, et al. Primary and pollenassociated hazelnut allergy in school-aged children in Germany: a birth cohort study. Allergol Int. 2021; 70(4): 463-470. https://doi.org/10.1016/j.alit....
 
14.
Kleine-Tebbe J, Jakob T. Molecular allergy diagnostics. Switzerland: Springer International Publishing; 2017.
 
15.
McWilliam V, Koplin J, Lodge C, Tang M, Dharmage S, Allen K. The prevalence of tree nut allergy: a systematic review. Curr Allergy Asthma. 2015; 15(54). https://doi.org/10.1007/s11882....
 
16.
Datema MR, van Ree R, Asero R, Barreales L, Belohlavkova S, de Blay F, et al. Component-resolved diagnosis and beyond: multivariable regression models to predict severity of hazelnut allergy. Allergy. 2018; 73(3): 549-559. https://doi.org/10.1111/all.13....
 
17.
Datema MR, Zuidmeer-Jongejan L, Asero R, Barreales L, Belohlavkova S, de Blay F, et al. Hazelnut allergy across Europe dissected molecularly: a EuroPrevall outpatient clinic survey. J Allergy Clin Immunol. 2015; 136(2): 382-391. https://doi.org/10.1016/j.jaci....
 
18.
Ciprandi G, Pistorio A, Silvestri M, Rossi GA, Tosca MA. Hazelnut anaphylaxis: the usefulness of molecularbased allergy diagnostics. Rev Fr Allergol. 2015; 55(2): 100-102. https://doi.org/10.1016/j.reva....
 
19.
Hansen KS, Ballmer-Weber BK, Sastre J, Lidholm J, Andersson K, Oberhofer H, et al. Component-resolved in vitro diagnosis of hazelnut allergy in Europe. J Allergy Clin Immunol. 2009; 123(5): 1134-1141. https://doi.org/10.1016/j.jaci....
 
20.
Valcour A, Lidholm J, Borres MP, Hamilton RG. Sensitization profiles to hazelnut allergens across the United States. Ann Allergy Asthma Immunol. 2019; 122(1): 111-116. https://doi.org/10.1016/j.anai....
 
21.
Buyuktiryaki B, Cavkaytar O, Sahiner UM, Yilmaz EA, Yavuz ST, Soyer O, et al. Cor a 14, Hazelnut-Specific IgE, and SPT as a reliable tool in hazelnut allergy diagnosis in Eastern Mediterranean children. J Allergy Clin Immunol: In Practice. 2016; 4(2): 265-272. https://doi.org/10.1016/j.jaip....
 
22.
Masthoff LJN, Mattsson L, Zuidmeer-Jongejan L, Lidholm J, Andersson K, Akkerdaas JH, et al. Sensitization to Cor a 9 and Cor a 14 is highly specific for a hazelnut allergy with objective symptoms in Dutch children and adults. J Allergy Clin Immunol. 2013; 132(2): 393-399. https://doi.org/10.1016/j.jaci....
 
23.
Masthoff LJN, Blom WM, Rubingh CM, Klemans RJB, Remington BC, Bruijnzeel-Koomen CAFM, et al. Sensitization to Cor a 9 or Cor a 14 has a strong impact on the distribution of thresholds to hazelnut. J Allergy Clin Immunol. In Practice. 2018; 6(6): 2112-2114. https://doi.org/10.1016/j.jaip....
 
24.
Blanc F, Bernard H, Ah-Leung S, Przybylski-Nicaise L, Skov PS, Purohit A, et al. Further studies on the biological activity of hazelnut allergens. Clin Transl Allergy. 2015; 5(26). https://doi.org/10.1186/s13601....
 
25.
Foong R-X, Dantzer JA, Wood RA, Santos AF. Improving diagnostic accuracy in food allergy. J Allergy Clin Immunol In Practice. 2021; 9(1): 71-80. https://doi.org/10.1016/j.jaip....
 
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