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Olea europaea pollen allergens are a complex group of proteins found in the pollen of the olive tree, which serve as major triggers for seasonal respiratory allergies in Mediterranean regions and other olive-growing areas worldwide (WHO/IUIS Allergen Nomenclature, 2023). The primary allergen, Ole e 1, is a glycoprotein associated with pollen tube extension and is recognized by the immune system of over 70% of individuals allergic to olive pollen, making it a critical focus for diagnosis and therapy (Palao-Ochoa et al., 2022). Other notable components include Ole e 2 (profilin), Ole e 7 (lipid transfer protein), and Ole e 9 (beta-1,3-glucanase), which contribute to cross-reactivity and clinical severity (Barber et al., 2008). In a therapeutic context, these allergens are the active components in allergen-specific immunotherapy (AIT), where they act as pharmacological targets to induce immune tolerance. AIT modifies the disease by expanding regulatory T-cell populations and inducing 'blocking' IgG4 antibodies that prevent IgE-mediated mast cell degranulation (Akdis & Akdis, 2014). Effective treatment often requires component-resolved diagnosis to tailor the allergen extract to the patient's specific sensitization profile.
Allergen immunotherapy (desensitization) works by the repeated administration of specific allergen extracts to modulate the immune system, shifting the response from a Th2-mediated allergic profile to a Th1 and T-regulatory (Treg) cell response, which induces the production of allergen-specific IgG4 blocking antibodies.
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