Evidence map›Paper›PMID 41853255›Full record

ArticleFrontiers in immunology2026

The molecular landscape of peach allergy in Tunisia: new insights.

Nader Ben Nejma, Dhouha Krir, Yousr Galai, Ahlem Ben Hmid, Ines Ben Sghaier, Yosra Nasri, Wassila Abdennadher, Hayet Kbaier, Hechmi Louzir, Nissaf Bouaffif Alaya and 3 more

Abstract read
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Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Nader Ben Nejma *Laboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Dhouha Krir *Laboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Yousr GalaiLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Ahlem Ben HmidLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Ines Ben SghaierLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Yosra NasriLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Wassila AbdennadherFaculty of Medicine de Tunis, University of Tunis El Manar, Tunis, Tunisia.
Hayet KbaierLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Hechmi LouzirLaboratory of Transmission, Control and Immunobiology of Infection, Institut Pasteur de Tunis, Tunis, Tunisia.
Nissaf Bouaffif AlayaFaculty of Medicine de Tunis, University of Tunis El Manar, Tunis, Tunisia.
Mélika Ben AhmedLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Imen ZamaliLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.
Samar SamoudLaboratory of Clinical Immunology, Institut Pasteur de Tunis, Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Peach allergy represents a significant clinical problem in Mediterranean populations, yet molecular characterization remains limited in North African countries. This study provides the first comprehensive analysis of peach sensitization patterns in Tunisia using component-resolved diagnostics. Objective: To characterize molecular sensitization profiles to peach allergen components, correlate these with clinical manifestations, and evaluate predictive biomarkers in a Tunisian cohort. Methods: A retrospective study was conducted including 63 patients referred for suspected peach allergy to the Pasteur Institute of Tunisia between March 2022 and March 2025. After application of exclusion criteria, 49 patients were included in the final analysis. Total and specific IgE levels were measured using ImmunoCAP Results: Thirty-eight patients (77.5%) demonstrated peach allergy with median age 10 years [7-14]. Clinical manifestations included urticaria (86.6%), angioedema (39.4%), respiratory symptoms (rhinitis 42.1%, bronchospasm 23.6%), oral allergy syndrome (32.4%), and anaphylaxis (10.5%). Pru p 3 was predominant (84.2% of patients, median 1.215 kUA/L). Pru p 7, Pru p 1, and Pru p 4 sensitization occurred in 10.5%, 7.8%, and 2% respectively. Peach-specific IgE predicted Pru p 3 sensitization with 100% sensitivity and 66.7% specificity (cut-off 0.23 kUA/L). Strong correlation existed between peach-specific IgE and Pru p 3 levels (ρ = 0.942). No associations were identified between biomarkers and clinical severity. Conclusions: Peach allergy in Tunisia follows the Mediterranean phenotype with predominant Pru p 3 sensitization and significant clinical severity. These findings establish the molecular foundation for evidence-based diagnosis while highlighting the need for region-specific therapeutic approaches.

Indexed as

AllergensAntigens, PlantFood HypersensitivityPrunus persicaAdolescentBiomarkersChildFemaleHumansImmunoglobulin EMaleRetrospective StudiesTunisiaAllergensAntigens, PlantBiomarkersImmunoglobulin Emolecular allergenpeach allergysensitization profilespecific IgETunisia

Identifiers

PMID41853255
PMCPMC12992302

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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.