Target intelligence / Profile preview

Poa pratensis pollen allergen extract

Molecular classification
Allergen, Protein mixture, Complex biological extract
01

Overview

Poa pratensis pollen allergen extract is a complex biological preparation derived from the pollen of Kentucky bluegrass, a major source of seasonal aeroallergens worldwide (WHO/IUIS Allergen Nomenclature, 2024). The extract contains multiple allergenic proteins, most notably the major allergens Poa p 1 (a beta-expansin) and Poa p 5 (a ribonuclease-like protein), which trigger IgE-mediated type I hypersensitivity reactions in sensitized individuals (PubMed: 23574310). It is primarily used as the active component in allergen immunotherapy (AIT) for the treatment of grass pollen-induced allergic rhinitis and conjunctivitis (FDA: Oralair Label). The extract works by exposing the patient to controlled, gradually increasing or sustained doses of the allergen, which modulates the immune system to induce long-term tolerance. This process involves the induction of regulatory T cells, a shift from Th2 to Th1 cytokine profiles, and the production of 'blocking' IgG4 antibodies that prevent IgE-mediated allergic cascades (Clinical and Experimental Allergy, 2013). While highly effective for desensitization, the administration of the extract carries a risk of systemic allergic reactions, including anaphylaxis, necessitating careful clinical monitoring.

Other names
Kentucky bluegrass pollen allergen extractBluegrass pollen extractPoa p pollen extractKentucky blue grass pollen
02

Mechanism of action

Induces immunological tolerance by shifting the immune response from a Th2-dominated allergic profile to a Th1/Treg-dominated profile, increasing allergen-specific IgG4 antibodies and reducing IgE-mediated mast cell degranulation (Nature Reviews Immunology, 2023).

03

Biological functions

Immune response modulationInduction of immune toleranceHypersensitivity induction
04

Disease associations

Allergic rhinitisAllergic conjunctivitisAllergic asthma
05

Safety considerations

AnaphylaxisSystemic allergic reactionsLocal site reactions (e.g., oral pruritus, injection site swelling)Eosinophilic esophagitis
06

Interacting drugs

Omalizumab

3 more in the full profile.

07

Biomarkers

Specific IgE (sIgE)Specific IgG4 (sIgG4)Skin prick test (SPT) wheal diameterBasophil activation test (BAT)

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