IgE-mediated reactions
Rape seed pollen (and related irritants) can induce asthma, allergic rhinitis and allergic conjunctivitis. (1) It is still unclear whether Rape pollen is a common cause of allergic symptoms, or whether volatile organic compounds from Rape are more frequently responsible for these symptoms.
Early studies indicating a high incidence of Rapeseed allergenicity (2,3) have been challenged by recent studies showing that such allergies are uncommon, even in areas of intense Rapeseed cultivation. (1,4-8)
Fell et al. reported a low prevalence of allergy to Rape pollen (less than 0.2%), unless subjects were occupationally exposed. (6)
Soutar et al. took samples from 1000 randomly chosen adults, general practice patients living in two villages surrounded by Rape fields, and from 1000 adults from one village far from such cultivation. On a previously validated questionnaire, there were small but significant excesses of cough, wheeze, and headaches in spring in the Rape area (2.3% v. 1.1%, 6.8% v. 4.6%, and 4.8% v. 2.8%, respectively). Counts of Oilseed Rape pollen were generally low except adjacent to the Rape fields. Oilseed Rape was shown to give off terpenes, and these were detected close to fields. (7)
In a study of patients with a history of reactions to Rape pollen, only 2 of 23 tested showed evidence of allergy to Rape, and only 10 of 23 tested, including these 2, were shown to be atopic. Eye, nasal, and headache symptoms increased in the Rape season in some patients, validating a previous cross-sectional questionnaire. Twelve of 16 cases tested and 7 of 15 controls showed a seasonal fall in PC20; the fall in the cases was significantly greater than in the controls. However, peak flow charts showed no evidence of a fall or of increased variability during the Rape pollen season. The authors conclude that people who complained of symptoms in relation to the flowering of Rape were rarely allergic to the plant and fewer than half were atopic. Nevertheless, they usually showed increased bronchial reactivity during the season, which may have been due in some cases to other allergens but in others to non-specific irritant effects of the air. (9)
These results conflict with those of other studies. In southern and central Sweden, where Rape is cultivated, Rape pollen allergy was reported to occur quite frequently in patients with bronchial asthma and other allergic manifestations. In 366 consecutive patients, IgE antibodies to Rape pollen extracts was found in 23%. Of 54 patients with IgE antibodies to Rape pollen, 81% were positive on Rape pollen provocation tests. (2)
In 4,468 patients with suspected inhalant allergy investigated between June 1994 and May 1995, routine skin-prick testing demonstrated Rape pollen sensitisation in 7.1% of those found to be pollen-allergic. Mono-sensitisation was detected in nine patients. (4)
Twenty-five residents of a small Scottish village reported symptoms when Rape virtually surrounded the village. Symptoms varied during the growing season of the crop and were at their highest coincident with peak flowering. Increased symptoms were reported by 12 of the subjects, though only 7 of these were judged to be atopic. At the same period of the following year when the crop was absent, symptom reporting was significantly lower. The symptoms were sneezing, cough, headache, and eye irritation. The symptoms did not correlate with levels of Oilseed Rape pollen but there was no clear evidence as to which of the other factors associated with the crop might be the cause. (3)
Rape dust, and not pollen, should be considered as an asthma trigger. IgE- mediated occupational asthma was reported in an individual working with Rapeseed in the grain industry. (10)
Other reactions
Allergic reactions to Rapeseed and by-products, i.e., Rapeseed flour, have been described.
More than 22 volatile compounds have been identified as being emitted during the flowering period. The main constituents were the monoterpenes limonene, sabinene, beta-myrcene and alpha-farnesene (a sesquiterpene), linalool (a monoterpene alcohol), and the 'green leaf' volatile (E)-3-hexen-1-ol acetate. These compounds constituted between 50 and 87% (mean 68%) of the total volatiles emitted in all of the entrainments carried out with flowering Rape plants. The minor constituents included monoterpenes, sesquiterpenes, short-chain aldehydes and ketones, other 'green leaf' volatiles, and organic sulphides, including the respiratory irritant dimethyl disulphide. (11,12)