Target intelligence / Profile preview

Human Immunoglobulin E specific for Bet v 1 (Bet v 1-sIgE) (Bet v 1-sIgE)

Target
Bet v 1-sIgE
Molecular classification
Immunoglobulin, Antibody, Glycoprotein, Other
01

Overview

Human Immunoglobulin E (IgE) specific for Bet v 1 is a key mediator of birch pollen allergy, which affects a significant portion of the population in temperate climates (Gould & Sutton, 2008, Nature). Bet v 1 is the major allergen of birch pollen, and the production of specific IgE antibodies against it leads to Type I hypersensitivity reactions (Neudecker et al., 2001, Journal of Biological Chemistry). These antibodies bind to high-affinity FcεRI receptors on the surface of mast cells and basophils; upon subsequent exposure to birch pollen, the allergen cross-links the IgE molecules, triggering the release of inflammatory mediators like histamine (NIH/NIAID). This process results in clinical symptoms such as allergic rhinitis, conjunctivitis, and asthma. Therapeutically, this target is addressed through monoclonal antibodies like omalizumab, which sequester free IgE, or through allergen-specific immunotherapy (AIT), which aims to desensitize the immune system and induce protective IgG4 antibodies (Valenta et al., 2019, Nature Reviews Immunology). Monitoring levels of Bet v 1-specific IgE is a standard diagnostic procedure for identifying birch pollen sensitization and assessing the risk of cross-reactive food allergies, known as oral allergy syndrome (StatPearls).

Other names
Anti-Bet v 1 IgEBirch pollen-specific IgEBet v 1-specific IgEAllergen-specific IgE to Bet v 1
02

Mechanism of action

Omalizumab binds to the Cε3 domain of the IgE molecule, preventing its interaction with the high-affinity FcεRI receptor on mast cells and basophils (Gould & Sutton, 2008, Nature). Allergen-specific immunotherapy (AIT) works by inducing the production of allergen-specific IgG4 antibodies that act as blocking antibodies, competing with IgE for allergen binding and thus preventing mast cell degranulation (Valenta et al., 2019, Nature Reviews Immunology).

03

Biological functions

Immune responseHypersensitivityMast cell degranulationBasophil activationOther
04

Disease associations

InflammationAllergic rhinitisAllergic asthmaBirch pollen allergyOral allergy syndromeOther
05

Safety considerations

Risk of anaphylaxis during allergen-specific immunotherapySystemic allergic reactionsInjection site reactionsImmunogenicity
06

Interacting drugs

Omalizumab

3 more in the full profile.

07

Biomarkers

Serum Bet v 1-specific IgE levelsBasophil activation test (BAT)Skin prick test (SPT) reactivity

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