Interpreting epidemiologic distribution of total and specific IgE levels for food allergy in Southern China from 2004 to 2023: understanding the mechanisms and focusing on prevention.


Journal

BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562

Informations de publication

Date de publication:
31 Oct 2024
Historique:
received: 20 11 2023
accepted: 21 10 2024
medline: 1 11 2024
pubmed: 1 11 2024
entrez: 1 11 2024
Statut: epublish

Résumé

The burgeoning prevalence of food allergy-related diseases is closely associated with geographical allergen distribution and societal lifestyle paradigms. This study aims to shed light on the distribution patterns of specific IgE (sIgE) and total IgE (tIgE) reactivity to common food allergens in the Southern Chinese populace. Employing an analytical technique spanning two decades, we conducted specific IgE and total IgE on serum samples harvested from patients with food allergy-related pathologies at First Affiliated Hospital of Guangzhou Medical University from 2004 to 2023. This comprehensive examination of eight prototypical food allergens: egg white, milk, wheat, sesame, peanut, soybean, shrimp, and crab. Our analysis showed a 100% positivity rate for sIgE and an 86.54% positivity rate for tIgE. Milk had the highest positive response rate, followed by egg white and shrimp. Age-stratified data indicated that milk sensitization peaked in children aged 2 years or younger, while egg white sensitization peaked between 3 and 5 years of age. Sensitization rates for the remaining six allergens increased with age. Additionally, co-sensitization was observed between milk, egg white, crab, and shrimp with other allergens. In common allergens of Southern China, egg white, milk, and shrimp ascend as the dominant subjects, underlining their imperative role in food allergy pathogenesis. This landscape-wide allergenic profiling, segregated across age clusters and enhanced by co-sensitization data, augments our power for early diagnosis and strategic intervention in food allergy diseases.

Sections du résumé

BACKGROUND BACKGROUND
The burgeoning prevalence of food allergy-related diseases is closely associated with geographical allergen distribution and societal lifestyle paradigms. This study aims to shed light on the distribution patterns of specific IgE (sIgE) and total IgE (tIgE) reactivity to common food allergens in the Southern Chinese populace.
METHODS METHODS
Employing an analytical technique spanning two decades, we conducted specific IgE and total IgE on serum samples harvested from patients with food allergy-related pathologies at First Affiliated Hospital of Guangzhou Medical University from 2004 to 2023. This comprehensive examination of eight prototypical food allergens: egg white, milk, wheat, sesame, peanut, soybean, shrimp, and crab.
RESULTS RESULTS
Our analysis showed a 100% positivity rate for sIgE and an 86.54% positivity rate for tIgE. Milk had the highest positive response rate, followed by egg white and shrimp. Age-stratified data indicated that milk sensitization peaked in children aged 2 years or younger, while egg white sensitization peaked between 3 and 5 years of age. Sensitization rates for the remaining six allergens increased with age. Additionally, co-sensitization was observed between milk, egg white, crab, and shrimp with other allergens.
CONCLUSION CONCLUSIONS
In common allergens of Southern China, egg white, milk, and shrimp ascend as the dominant subjects, underlining their imperative role in food allergy pathogenesis. This landscape-wide allergenic profiling, segregated across age clusters and enhanced by co-sensitization data, augments our power for early diagnosis and strategic intervention in food allergy diseases.

Identifiants

pubmed: 39482634
doi: 10.1186/s12889-024-20470-4
pii: 10.1186/s12889-024-20470-4
doi:

Substances chimiques

Immunoglobulin E 37341-29-0
Allergens 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3022

Subventions

Organisme : Guangdong Zhong Nanshan Medical Foundation
ID : ZNSXS-20220011
Organisme : Natural Science Foundation of Guangdong Province
ID : 2021B1515230008
Organisme : Guangdong Key Areas R&D Program
ID : 2022B0202030002

Informations de copyright

© 2024. The Author(s).

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Auteurs

Mingtao Liu (M)

Department of Clinical Laboratory of the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, 510120, China.

Li Liu (L)

KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou, 511495, China.

Weitian Qi (W)

Second Clinical Medical School, Southern Medical University, Guangzhou, 510515, China.

Xianhui Zheng (X)

Department of Clinical Laboratory of the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, 510120, China.

Jiaxi Chen (J)

KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou, 511495, China.

Jiani Yao (J)

KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou, 511495, China.

Yufeng Li (Y)

Second Clinical Medical School, Southern Medical University, Guangzhou, 510515, China.

Jinhong Lin (J)

KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou, 511495, China.

Xiangyu Li (X)

KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou, 511495, China.

Xiangyi Hu (X)

College of Plant Protection, China Agricultural University, Beijing, 100091, China.

Zhangkai J Cheng (ZJ)

Department of Clinical Laboratory of the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, 510120, China. jasontable@gmail.com.

Huimin Huang (H)

Department of Clinical Laboratory of the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, 510120, China. huanghuimin311@126.com.

Baoqing Sun (B)

Department of Clinical Laboratory of the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Center for Respiratory Medicine, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou, 510120, China. sunbaoqing@vip.163.com.
Guangzhou Laboratory, Guangzhou, 510005, China. sunbaoqing@vip.163.com.

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