Evidence map›Paper›PMID 41229350›Full record

ArticleAllergy2026

Molecular IgE Reactivity Profiling With Micro-Arrayed Allergens Reveals Distinct Interregional Patterns of Sensitization and a Hypoallergenic Region in Türkiye.

Alp Kazancioglu, Huey-Jy Huang, Sengul Aksakal, Ismet Bulut, Maria-Roxana Buzan, Kuan-Wei Chen, Monica Daniela Cotarcă, Alexandra Dubovets, Pia Gattinger, Okan Gulbahar and 13 more

Abstract read
In one paragraph

Article in Allergy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Exposome-driven molecular sensitization signatures in pediatric rhinitis and asthma across Spanish regions.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2026
    Observational
  4. Article
  5. Article
  6. Review
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

23 authors.

Alp KazanciogluDepartment of Pediatric Allergy, Hacettepe University School of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-7185-8512
Huey-Jy HuangDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5464-0132
Sengul AksakalDepartment of Immunology and Allergy, Samsun Training and Research Hospital, Samsun, Türkiye.ORCID https://orcid.org/0000-0001-7818-5680
Ismet BulutDepartment of Allergy and Immunology, Süreyyapasa Training and Research Hospital, University of Health Sciences, İstanbul, Türkiye.ORCID https://orcid.org/0000-0002-8111-6149
Maria-Roxana BuzanOncoGen Center, Pius Brinzeu County Clinical Emergency Hospital, Timisoara, Romania.ORCID https://orcid.org/0000-0001-5030-3235
Kuan-Wei ChenOncoGen Center, Pius Brinzeu County Clinical Emergency Hospital, Timisoara, Romania.ORCID https://orcid.org/0000-0001-5899-5766
Monica Daniela CotarcăCenter of Immuno-Physiology and Biotechnologies, Department of Functional Sciences, Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.ORCID https://orcid.org/0009-0005-8779-7220
Alexandra DubovetsLaboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0002-9804-4364
Pia GattingerDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-6724-8543
Okan GulbaharDivision of Allergy and Clinical Immunology, Department of Internal Medicine, Ege University School of Medicine, İzmir, Türkiye.ORCID https://orcid.org/0000-0002-5341-9070
Ali Fuat KalyoncuDivision of Allergy and Clinical Immunology, Department of Chest Diseases, Hacettepe University School of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0001-7475-3775
Alexander KaraulovLaboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0002-1930-5424
Evgenii KozlovLaboratory of Immunopathology, Department of Clinical Immunology and Allergy, Sechenov First Moscow State Medical University, Moscow, Russia.ORCID https://orcid.org/0000-0001-6244-1088
Carmen PanaitescuOncoGen Center, Pius Brinzeu County Clinical Emergency Hospital, Timisoara, Romania.ORCID https://orcid.org/0000-0001-8749-9972
Thomas SchledererDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Daria TrifonovaDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0002-4305-0529
Mikhail TulaevDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0009-0003-3338-9606
Murat TurkClinic of Immunologic and Allergic Diseases, Kayseri City Education and Research Hospital, Kayseri, Türkiye.ORCID https://orcid.org/0000-0002-3290-2661
Susanne VrtalaDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0003-4250-8243
Milena WeberDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-6126-4075
Lauriana-Eunice ZbîrceaOncoGen Center, Pius Brinzeu County Clinical Emergency Hospital, Timisoara, Romania.ORCID https://orcid.org/0000-0003-1582-7740
Bulent Enis SekerelDepartment of Pediatric Allergy, Hacettepe University School of Medicine, Ankara, Türkiye.ORCID https://orcid.org/0000-0003-4232-3396
Rudolf ValentaDivision of Immunopathology, Department of Pathophysiology and Allergy Research, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0001-5944-3365

Funding

The Danube Allergy Research Cluster program of the Country of Lower AustriaThe European Regional Development Fund (ERDF) COP 2014-2020 92/09.09.2016The INSPIRED (Inovative Strategies for Prevention, diagnosis and therapy of ragweed pollen Induced REspiratoryDiseases) projectThe Romanian National Budget P_37_747The Russian Science Foundation in its part related to allergen characterization 23-75-30016
6 · The paper itself

Abstract

backgroundMolecular immunoglobulin E (IgE) reactivity profiling with multiple micro-arrayed allergens is a valuable tool in allergy diagnosis and has provided fundamental insights into the evolution of allergic sensitization in longitudinal birth cohort studies. However, there is a need for systematic cross-sectional population-based studies.

methodsA prospective, systematic and cross-sectional population study was performed involving 1000 adult subjects from five centers (İstanbul, Ankara, İzmir, Kayseri, Samsun) representing different climatic areas of Türkiye (Turkey). In each center adult subjects with (n = 100) and without (n = 100) allergic symptoms who were born and grew up in the region were recruited. Subjects underwent skin prick testing with a panel of common aeroallergen extracts and were tested for IgE reactivity to 108 micro-arrayed allergen molecules.

resultsIgE reactivity profiles of respiratory allergens differed in the five centers according to the regional allergen exposome and climate. Interestingly, Kayseri with a high-altitude, continental climate was identified as hypoallergenic region with low frequency of allergic symptoms and strongly reduced molecular sensitization rates. Between 31%-55% of subjects without allergic symptoms showed IgE sensitization to at least one of the allergens tested but allergen-specific IgE levels, numbers of recognized allergens and rates of poly-sensitization were more frequent in symptomatic individuals.

conclusionsThis is the first comprehensive, systematic, prospective and cross-sectional study investigating molecular IgE sensitization profiles in a region at the crossroads of Europe, Asia, and Africa with different climatic conditions. It reveals clinically relevant differences in regional molecular IgE sensitization profiles depending on the allergen exposome and identifies a hypoallergenic region with distinct climatic features.

Indexed as

AllergensHypersensitivityImmunoglobulin EAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedProspective StudiesSkin TestsTurkeyYoung AdultAllergensImmunoglobulin Eallergenallergen micro‐arrayallergypopulation studyTurkey

Identifiers

PMID41229350
PMCPMC13040638

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