Summary
Sal k 1 is a major allergen of the Russian thistle (Salsola kali) weed pollen. Sal k 1 belongs to the pectin methylesterase family and is N-glycosylated. Relevant cross-reactivity to Sal k 1 is limited to pollen homologues from other Salsola species. Of note, Chenopodium album, which grows in the same arid regions as S. kali, lacks a Sal k 1 homologue. Therefore, Sal k 1 sensitization is a marker of genuine sensitization to pollen from S. kali.
Epidemiology
Worldwide distribution
Russian thistle (Salsola kali) is a weed growing in a semi-desertic environment, naturally found in the Northern hemisphere and Australia, and widely employed for ornamental purposes under similar climate conditions [1, 2]. Therefore, S. kali is a major cause of pollen sensitization in exposed populations [1].
Sal k 1 is a major S. kali pollen allergen, binding IgE from 67% - 85% of patients sensitized to S. kali [2, 3]. The prevalence of Sal k 1 sensitization reached 71% in atopic asthmatic patients from Iran, greater than 18% seen with the next most frequent pollen allergens, grass components Phl p 1 and Phl p 5 [4]. At the low end, outside the geographical area of distribution of S. kali, the prevalence of Sal k 1 IgE is low, reported at 0.5% in a population of pollen-sensitized patients with doctor-diagnosed allergy [5].
Monosensitization to Sal k 1 is frequent in areas of high prevalence [1].
Environmental Characteristics
Source and tissue
Sal k 1 is present in S. kali pollen [3].
Risk factors
The main risk factor for developing sensitization to Sal k 1 is exposure to S. kali pollen [1].
Clinical Relevance
Detailed information regarding S. kali pollen is available in the whole allergen section. S. kali pollinosis manifests as allergic rhinitis and asthma
Disease severity and prediction
Sal k 1 sensitization is associated with intermittent allergic rhinitis, rhinoconjunctivitis, and asthma with a seasonal pattern [1, 6]. In atopic asthmatic patients from Iran, who displayed a 71% prevalence of Sal k 1 sensitization, no association was found between levels of Sal k 1 IgE and the severity of asthma [4].
Cross-reactive molecules
Sal k 1 exhibits limited cross-reactivity outside the Salsola genus [1, 2]. Cross-reactivity borne by Sal k 1 and its homologues may be low even among Salsola species, as reported in a study addressing IgE responses to S. kali and S. imbricata in patients living in Kuwait [6]. Proteins similar to Sal k 1 were reported in pollen from other weeds, such as Kochia scoparia, Salicornia sp and Arabidopsis thaliana as well as in tree pollen (e.g. Ole e 11), some plant foods, mainly Solanum tuberosum (potato), Arachis hypogea, Prunus dulcis, and Solanum esculentum [7, 8].
Molecular Aspects
Biochemistry
Sal k 1 has a molecular weight of 43 kDa, is found in multiple isoforms, and bears N-linked glycans [1, 2, 9]. Sal k 1 is a pectin methylesterase, belonging to a large multigenic family of enzymes involved in plant cell wall metabolism via demethyl esterification of galacturonic acid residues in pectin, a step resulting in either loosening or stiffening of the cell wall depending on the enzymatic partners involved [10, 11].
Isoforms, epitopes, antibodies
As of December 1st, 2021, four isoallergens of Sal k 1 have been included in the World Health Organization (WHO) and International Union of Immunological Societies (IUIS) Allergen Nomenclature [12], among six isoallergens reported in the literature [2].
Cross-reactivity due to structural similarity
Sal k 1 shares sequence identity of 57% with olive pollen pectin methylesterase, and at lower levels of 20% or less with plant food homologues found in kiwifruit, avocado, or pear [7].
Diagnostic Relevance
Marker allergen for genuine sensitization to Salsola pollens
Sal k 1 is a marker of genuine sensitization to S. kali pollen [1]. Inhibition experiments showed that Sal k 1 IgE accounts for 92% or the reactivity to S. kali extract [3]. In patients with IgE to plant carbohydrates, Sal k 1 IgE may be found positive due to N-glycosylation [1].
Cross-Reactivity
Sal k 1 cross-reactivity is limited to few weed pollen allergens, mainly within the Salsola genus [1]. Ole e 11, a pectin methylesterase from olive tree pollen display, was reported to display 70% sequence homology with Sal k 1 [8].
AIT Prescription
Detectable Sal k 1 IgE confirms genuine sensitization to S. kali, hence assisting with AIT selection [1, 9].
Exposure
The main route of exposure is through inhalation of S. kali pollen.
Compiled By
Author: Joana Vitte
Reviewer: Dr. Christian Fischer
Last reviewed:February 2022