There are 7 allergens associated with allergy to birch pollen. The most important of which is called Bet v 1. These proteins are sometimes also called PR-10 as they are used by the plant in pathogenesis (defence against disease).
Bet v 2 is a profilin allergen, which is another common group of proteins.
Bet v 3 and 4 are both polcalcin proteins, these are another group of panallergens (where there are more allergens across plants and food groups), these are associated with calcium binding in the plant.
Birch pollen occurs in the UK between March and June, peaking in April. This varies in different countries. It is considered to have high allergenicity.
You will see the Bet v 1 allergen mentioned in many pages on this website as it is a protein that has a common shape. If you are allergic to birch pollen, particularly the Bet v 1 protein then you can suffer oral allergy type symptoms to other fruits, nuts, herbs, spices and vegetables if they are similarly shaped. This is known as Pollen-Food Allergy Syndrome.
You may be suffering from this syndrome if you suffer from oral allergy symptoms to 3 or more of the foods mentioned in cross reactivity section.
An allergy to birch pollen is strongly associated with seasonal allergic rhinitis (hayfever) as well as asthma, rhinoconjunctivitis and atopic dermatitis.
If sensitised to birch pollen you may have Pollen Food Allergy Syndrome and may also react to foods such as kiwi, pear, peach, plum, nectarine, apricots, cherries, tomato, celery, carrot, potato, parsnip, pepper, dill, cumin, peas, coriander, fennel, hazelnut, walnut, almonds, apples, lentils and green beans
Other tree pollens with Bet v 1 like proteins are alder, hazel and hornbeam.
Profilin allergens can be considered both pollen allergens and food allergens. Other plant pollens containing profilin are ragweed, mugwort, bermuda grass, sunflower, olive, rice, timothy grass, poplar, mesquite and maize. Foods containing profilin proteins are kiwi, pineapple, celery,
Other plant pollens which contain polcalcin proteins are ragweed, mugwort, birch, timothy grass, lilac and olive. There is also a polcalcin protein in turnips which is associated with this allergy presenting itself as a food allergy.
Worcester Pollen Forecast
Allergen Encyclopedia - Birch Pollen
Allergy UK - Allergic rhinitis
Allergy UK - Managing your asthma and your allergic rhinitis throughout the seasons
Articles and Journals
Birch allergen challenges in allergic conjunctivitis using standard conjunctival allergen challenge and environmental exposure chamber, 2021
Birch pollen allergy in Europe, 2019
Real‐world benefits of allergen immunotherapy for birch pollen‐associated allergic rhinitis and asthma, 2018
Tree pollen allergens—an update from a molecular perspective, 2015
Glutathione-S-transferase: a minor allergen in birch pollen due to limited release from hydrated pollen, 2014
Panallergens and their impact on the allergic patient, 2010
Different IgE reactivity profiles in birch pollen-sensitive patients from six European populations revealed by recombinant allergens: an imprint of local sensitization, 2002
Molecular cloning and characterization of a birch pollen minor allergen, Bet v 5, belonging to a family of isoflavone reductase-related proteins, 1999
Immunological and biological properties of Bet v 4, a novel birch pollen allergen with two EF-hand calcium-binding domains, 1997
Characterization of a birch pollen allergen, Bet v III, representing a novel class of Ca2+ binding proteins: specific expression in mature pollen and dependence of patients' IgE binding on protein-bound Ca2+, 1994
Isolation and immunochemical characterization of the major allergen of birch pollen (Betula verrucosa), 1983
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