Summary
Ole e 9 is a component found in olive pollen with a molecular weight of 46 kDa. Olive pollen allergy is a frequent allergy affecting people in the Mediterranean region. During the peak olive pollen season when olive pollen counts are high, Ole e 9 has been known to cause sensitization among 50 % of allergic patients from this region). Ole e 9 is a marker of severe allergic reactions in olive pollen allergic patients causing mainly asthmatic symptoms. Furthermore, it is found to be associated with moderate-to-severe atopic dermatitis. Ole e 9 is cross-reactive with latex, vegetables (including potato), fruits (including tomato and banana) and Ole e 10, due to sequence homology.
Epidemiology
Worldwide distribution
In Spain, the second most prevalent cause of allergy after grasses is olive (1, 2). Ole e 9, a component of olive pollen, has been reported to induce sensitization among 50% of allergy patients from some Mediterranean regions when olive pollen counts are high (> 5000 grains per m3) during pollen season (3, 4). Compared to the olive pollen allergen Ole e 1, sensitization to Ole e 9 was lower (10.7%) in geographic areas where olive pollen counts were also low, but higher (over 35%) in areas with high olive pollen exposure (5).
Environmental Characteristics
Source and tissue
Ole e 9 is an allergen found in olive pollen (6). The detection of Ole e 9 is often challenging from the available antigenic extracts, therefore recombinant (r)Ole e 9 has been expressed using Pichia pastoris (P. pastoris) (2, 7, 8)
Clinical Relevance
Disease severity
Ole e 9 is a marker of severe allergic illness in olive pollen allergic patients (5, 9). Moreover, Ole e 9 sensitized patients are almost twice as likely to have asthmatic symptoms compared to only Ole e 1 sensitized patients (5).
Ole e 9 IgE recognition has been associated with atopic dermatitis (AD) (3). A study involving 588 patients (with 173 mild, 257 moderate, and 158 severe patients) with AD showed a significant correlation between rOle e 9 levels and the manifestation of AD. Furthermore, specific IgE to rOle e 9 was found to be prevalent in 36.7% of patients with severe AD (10).
Cross-reactive molecules
Ole e 9 comprises two independent domains, including the N-terminal domain (NtD; 320-350 amino acids) and the C-terminal domain (CtD; 100 amino acid). The rNtD-specific polyclonal antiserum and sera derived from patients with olive pollen allergy confirmed the presence of IgE and IgG reactive epitopes common to 1,3 β-glucanase in Ole e 9 and also in tomato, banana, potato, and latex extracts. Furthermore, the study highlights that 1,3 β-glucanase from different allergens can be involved in pollen-fruit-latex cross-reactivity (7).
Molecular Aspects
Biochemistry
Ole e 9 is a 46 kDa, elongated 1,3-β-glucanase, found to be responsible for the degradation of β-1,3 glucans such as callose (4, 11). Ole e 9 is made up of a single, glycosylated polypeptide chain with two independent domains (10 kDa and 36 kDa) (10, 11). The NtD contains a catalytic domain, and the CtD has a carbohydrate-binding domain (12), the latter belonging to the pathogenesis-related protein family 2 (PR-2), which might be involved in latex-pollen-vegetable food allergy syndrome (10).
Isoforms, epitopes, antibodies
Ole e 9.0101 is an isoallergen of Ole e 9 (13).
Cross-reactivity due to structural similarity
The CtD of Ole e 9 has sequence homology (53% identity) with Ole e 10, resulting in cross-reactivity between them (14, 15).
Diagnostic Relevance
Cross-Reactivity
Cross-reactivity has been observed between Ole e 9 and the extracts from latex, tomato, potato, and banana (7).
Compiled By
Author: Turacoz Healthcare Pvt. Ltd
Reviewer: Dr. Michael Thorpe
Last reviewed:February 2022