Molecular Classification
PR-10 protein (Bet v 1), Profilin (Bet v 2), Polcalcin (Bet v 3/4), Isoflavone reductase (Bet v 6), Cyclophilin (Bet v 7), Glutathione-S-transferase (Bet v 8), Allergen
Other Names
Birch pollen allergens, Bet v 1, Bet v 2, Bet v 3, Bet v 4, Bet v 6, Bet v 7, Bet v 8
Disease Roles
Allergic rhinitisAllergic conjunctivitisAsthma

Birch Group Pollen Allergens Overview

Birch group pollen allergens are a set of proteins found in the pollen of birch trees that are responsible for triggering allergic reactions in sensitized individuals. The primary allergenic protein is Bet v 1, a PR-10 protein. Other notable allergens include Bet v 2 (profilin) and Bet v 3/4 (polcalcins). These allergens exhibit significant cross-reactivity with other tree pollens and plant-derived foods, leading to conditions like oral allergy syndrome.

Mechanism of Action

Antihistamines block histamine receptors; corticosteroids reduce inflammation; allergen immunotherapy induces tolerance.

Biological Functions

Allergen-induced IgE production
Mast cell degranulation
Immune response
Cross-reactivity with plant proteins

Disease Associations

Allergic rhinitis
Allergic conjunctivitis
Asthma
Pollen-Food Allergy Syndrome (PFAS)
Oral Allergy Syndrome (OAS)

Safety Considerations

  • Anaphylaxis (rare with pollen exposure, more relevant with immunotherapy)
  • Cross-reactivity with food allergens
  • Side effects of antihistamines and corticosteroids

Interacting Drugs

Antihistamines
Corticosteroids
Decongestants
Allergen Immunotherapy (specific immunotherapy)

Associated Biomarkers

Biomarker
IgE antibodies to Bet v 1
IgE antibodies to Bet v 2
Skin prick test reactivity to birch pollen
Basophil activation test