Investigation of the sensitization rate for gibberellin-regulated protein in patients with Japanese cedar pollinosis

Yuji Mori, Fumiko Okazaki, Keiko Momma, Hiroshi Narita, Yasuto Kondo

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Background: Pollen-food allergy syndrome (PFAS) usually manifests as an itching sensation in the mouth and throat immediately after eating fresh fruits and vegetables. However, some patients with PFAS experience systemic symptoms including anaphylaxis. In Europe, cypress gibberellin-regulated protein (GRP) has been noted to cause allergenicity and exhibit cross-reactivity with peach GRP. Japanese cedar (Cryptomeria japonica), classified in the cypress family, is the primary causative substance among all environmental allergens in Japan. However, studies on the prevalence of GRP sensitization in patients with cedar pollinosis are lacking. Objective: This study examined the prevalence of GRP sensitization in patients with Japanese cedar pollinosis. Methods: We enrolled 52 patients who had requested sublingual immunotherapy treatment with mild-to-severe rhinitis during spring, and had a JCP-specific immunoglobulin E (IgE) levels of >0.7 UA/mL. Peach GRP was purified using affinity chromatography with a monoclonal antibody column. Specific IgE levels to peach GRP were measured using an enzyme-linked immunosorbent assay. Samples exhibiting absorbance at 450 nm of over mean plus three standard deviations of the negative control value were defined as positive. Sera from three patients with severe peach allergy were used as positive controls. Results: Eleven sera from 52 patients with JCP-induced allergic rhinitis were positive for peach GRP. Conclusion: Twenty percent of patients with cedar pollinosis were sensitized to peach GRP. Well-powered studies are needed to clarify whether these patients are at an increased risk for systemic symptoms or whether they primarily demonstrate only localized symptoms.

Original languageEnglish
Pages (from-to)89-92
Number of pages4
JournalAllergologia et Immunopathologia
Issue number2
Publication statusPublished - 2022

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Immunology
  • Pulmonary and Respiratory Medicine


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