Evidence map›Paper›PMID 36036236›Full record

ArticleClinical and translational allergy2022

Identification of apple cultivars hypoallergenic for birch pollen-allergic individuals by a multidisciplinary in vitro and in vivo approach.

Maria R Strobl, Ute Vollmann, Julia Eckl-Dorna, Astrid Radakovics, Verena Ibl, Madeleine Schnurer, Martin Brenner, Georgi Dermendjiev, Wolfram Weckwerth, Michael Neumüller and 5 more

Abstract read
In one paragraph

Article in Clinical and translational allergy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Maria R StroblInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.
Ute VollmannInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.
Julia Eckl-DornaDepartment of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.
Astrid RadakovicsInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.
Verena IblDepartment of Functional and Evolutionary Ecology, Division of Molecular Systems Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria.
Madeleine SchnurerDepartment of Functional and Evolutionary Ecology, Division of Molecular Systems Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria.
Martin BrennerDepartment of Functional and Evolutionary Ecology, Division of Molecular Systems Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria.
Georgi DermendjievDepartment of Functional and Evolutionary Ecology, Division of Molecular Systems Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria.
Wolfram WeckwerthDepartment of Functional and Evolutionary Ecology, Division of Molecular Systems Biology, Faculty of Life Sciences, University of Vienna, Vienna, Austria.
Michael NeumüllerBavarian Centre of Pomology and Fruit Breeding, Hallbergmoos, Germany.ORCID https://orcid.org/0000-0003-0439-6228
Florian FrommletCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Medical Statistics, Medical University of Vienna, Vienna, Austria.
Hilal DemirInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.
Merima BublinInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.ORCID https://orcid.org/0000-0002-7191-9431
Christian MüllerDepartment of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.
Barbara BohleInstitute of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Wien, Austria.ORCID https://orcid.org/0000-0002-5105-7985

Funding

Austrian Jubiläumsfond ÖNB17947Austrian Science Fund FWF P 32953Austrian Science Funds P33891 (to VI), W1212, P32953, I4437Danube Allergy Research ClusterMedical University of Vienna
6 · The paper itself

Abstract

backgroundBirch pollen-related apple allergy is the most frequent IgE-mediated food allergy in Central-Northern Europe with Mal d 1 as major allergen. Its concentration in apples varies with the cultivar and storage time. Year-round appealing, hypoallergenic cultivars still are needed to satisfy the nutritional needs of affected individuals. We characterized three promising cultivars by multidisciplinary in vitro assays including long-term storage and by clinical challenges of allergic individuals before and after the birch pollen season.

methodsProteins were extracted from fruits of 'Santana', 'Golden Delicious' (GD), and three genuine cultivars in November 2018 and April 2019. Mal d 1-levels were analysed by mass spectrometry, SDS-PAGE, immunoblotting, competitive ELISA, and basophil activation tests. Twenty-eight allergic individuals underwent single-blinded open food challenges and skin testing with the cultivars and birch pollen in November 2018 and May 2019. Allergen-specific IgE-levels were determined.

resultsAfter storage all cultivars except 'Santana' were of appealing appearance and taste. Their Mal d 1 content had increased, also reflected by significantly amplified basophil activation and stronger reactions in clinical challenges. Besides, individuals showed boosted reactivity after pollen exposure indicated by enhanced allergen-specific IgE-levels and skin reactions to birch pollen. Still, all cultivars remained significantly less allergenic than GD and comparable to Santana in November 2018 in all assessments except for skin testing.

conclusionsCombined expertise in pomology and allergology identified promising new cultivars for allergic consumers. The evaluation of hypoallergenic apples should incorporate long-term storage and birch pollen exposure. Basophil activation tests may be suitable in the selection of promising cultivars for oral challenges.

Indexed as

applebasophil activation testbirch pollen-associated food allergyMal d 1

Identifiers

PMID36036236
PMCPMC9412969

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.