Grass pollens are one of the most important airborne allergen sources worldwide. About 20 species from five subfamilies are considered to be the most frequent causes of grass pollen allergy, and the allergenic relationships among them closely follow their phylogenetic relationships. The allergic immune response to pollen of several grass species has been studied extensively over more than three decades. Eleven groups of allergens have been identified and described, in most cases from more than one species. The allergens range from 6 to 60 kD in apparent molecular weight and display a variety of physicochemical properties and structures. The most complete set of allergens has so far been isolated and cloned from Phleum pratense (timothy grass) pollen. Based on the prevalence of IgE antibody recognition among grass pollen-sensitized individuals, several allergens qualify as major, but members of two groups, groups 1 and 5, have been shown to dominate the immune response to grass pollen extract. Isoform variation has been detected in members of several of the allergen groups, which in some cases can be linked to observed genetic differences. N-linked glycosylation occurs in members of at least three groups. Carbohydrate- reactive IgE antibodies have been attributed to grass pollen sensitization and found to cross-react with glycan structures from other allergen sources, particularly vegetable foods. Another cause of extensive cross-reactivity are the group 12 allergens (profilins), which belong to a family of proteins highly conserved throughout the plant kingdom and present in all tissues. Members of eight allergen groups have been cloned and expressed as recombinant proteins capable of specific IgE binding. This development now allows diagnostic dissection of the immune response to grass pollen with potential benefits for specific immunotherapy.

1.
Lewis WH, Vinay P, Zenger VE: Airborne and Allergenic Pollen of North America. Baltimore, Johns Hopkins University Press, 1983.
2.
Clayton WD: Gramineae; in Heywood VH (ed): Flowering Plants of the World. New York, Oxford University Press, 1993, pp 285–290.
3.
Knox RB, Taylor P, Smith P, Hough T, Ong EK, Suphioglu C, Lavithis M, Davies S, Avjioglu A, Singh M: Pollen allergens: Botanical aspects; in Kraft D, Sehon A (eds): Molecular Biology and Immunology of Allergens. Boca Raton, CRC, 1993, pp 31–38.
4.
Evans R III: Epidemiology and natural history of asthma, allergic rhinitis, and atopic dermatitis; in Middleton E Jr, Reed CE, Ellis EF, Franklin Adkinson N Jr, Yunginger JW, Busse WW (eds): Allergy: Principles and Practice. St. Louis, Mosby Year Book, 1993, pp 1109–1136.
5.
Burney P, Malmberg E, Chinn S, Jarvis D, Luczynska C, Lai E: The distribution of total and specific serum IgE in the European Community Respiratory Health Survey. J Allergy Clin Immunol 1997;99:314–322.
6.
D’Amato G, Spieksma FTM, Liccardi G, Jäger S, Russo M, Kontoufili K, Nikkels H, Wüthrich B, Bonini S: Pollen-related allergy in Europe. Allergy 1998;53:567–578.
7.
van Ree R, van Leeuwen A, Aalberse RC: How far can we simplify in vitro diagnostics for grass pollen allergy? A study with 17 whole pollen extracts and purified natural and recombinant major allergens. J Allergy Clin Immunol 1998;102:184–190.
8.
Vrtala S, Grote M, Duchêne M, van Ree R, Kraft D, Scheiner O, Valenta R: Properties of tree and grass pollen allergens – reinvestigation of the linkage between solubility and allergenicity. Int Arch Allergy Immunol 1993;102:160–169.
9.
Schramm G, Petersen A, Bufe A, Schlaak M, Becker W-M: Identification and characterization of the major allergens of velvet grass (Holcus lanatus), Hol l 1 and Hol l 5. Int Arch Allergy Immunol 1996;110:354–363.
10.
Niederberger V, Laffer S, Fröschl R, Kraft D, Rumpold H, Kapiotis S, Valenta R, Spitzauer S: IgE antibodies to recombinant pollen allergens (Phl p 1, Phl p 2, Phl p 5, and Bet v 2) account for a high percentage of grass pollen-specific IgE. J Allergy Clin Immunol 1998;101:258–264.
11.
Behrendt H, Tomczok J, Sliwa-Tomczok W, Kasche A, Ebner von Eschenbach C, Becker W-M, Ring J: Timothy grass (Phleum pratense) pollen as allergen carriers and initiators of an allergic response. Int Arch Allergy Immunol 1999;118:414–418.
12.
Suphioglu C: What are the important allergens in grass pollen that are linked to human allergic disease? Clin Exp Allergy 2000;30:1335–1341.
13.
Laffer S, Vrtala S, Duchêne M, van Ree R, Kraft D, Scheiner O, Valenta R: IgE-binding capacity of recombinant timothy grass (Phleum pratense) pollen allergens. J Allergy Clin Immunol 1994;94:88–94.
14.
Smith PM, Avjioglu A, Ward LR, Simpson RJ, Knox RB, Singh MB: Isolation and characterization of group I isoallergens from Bermuda grass pollen. Int Arch Allergy Immunol 1994;104:57–64.
15.
Xu H, Theerakulpisut P, Goulding N, Suphioglu C, Singh MB, Bhalla PL: Cloning, expression and immunological characterization of Ory s 1, the major allergen of rice pollen. Gene 1995;164:255–259.
16.
Laffer S, Duchêne M, Reimitzer I, Susani M, Mannhalter C, Kraft D, Valenta R: Common epitopes of a recombinant major timothy grass pollen allergen, Phl p I, and natural group I grass pollen isoallergens. Mol Immunol 1996;33:417–426.
17.
Tamborini E, Faccini S, Lidholm J, Svensson M, Brandazza A, Longhi R, Grönlund H, Sidoli A, Arosio P: Biochemical and immunochemical characterization of recombinant allergen Lol p 1. Eur J Biochem 1997;249:886–894.
18.
Mecheri S, Peltre G, David B: Purification and characterization of a major allergen from Dactylis glomerata pollen: The Ag Dg1. Int Arch Allergy Appl Immunol 1985;78:283–289.
19.
Cottam GP, Moran DM, Standring R: Physicochemical and immunochemical characterization of allergenic proteins from rye-grass (Lolium perenne) pollen prepared by a rapid and efficient purification method. Biochem J 1986;234:305–310.
20.
Lin ZW, Ekramoddoullah AK, Kisil FT, Hebert J, Mourad W: Isolation and characterization of Poa p I allergens of Kentucky bluegrass pollen with a murine monoclonal anti-Lol p I antibody. Int Arch Allergy Appl Immunol 1988;87:294–300.
21.
Mourad W, Mecheri S, Peltre G, David B, Hebert J: Study of the epitope structure of purified Dac g I and Lol p I, the major allergens of Dactylis glomerata and Lolium perenne pollens, using monoclonal antibodies. J Immunol 1988;141:3486–3491.
22.
Matthiesen F, Schumacher MJ, Lowenstein H: Characterization of the major allergen of Cynodon dactylon (Bermuda grass) pollen, Cyn d I. J Allergy Clin Immunol 1991;88:763–774.
23.
Petersen A, Becker W-M, Schlaak M: Examination of microheterogeneity in grass pollen allergens. Electrophoresis 1992;13:736–739.
24.
Han S-H, Chang Z-N, Chi C-W, Peng H-J, Liu C-C, Tsai J-J, Tam MF: Use of monoclonal antibodies to isolate and characterize Cyn d I, the major allergen of Bermuda grass pollen. J Allergy Clin Immunol 1993;92:549–558.
25.
Howlett BJ, Vithanage HI, Knox RB: Immunofluorescent localization of two water-soluble glycoproteins including the major allergen from the pollen of ryegrass, Lolium perenne. Histochem J 1981;13:461–480.
26.
Taylor PE, Staff IA, Singh MB, Knox RB: Localization of the two major allergens in rye-grass pollen using specific monoclonal antibodies and quantitative analysis of immunogold labelling. Histochem J 1994;26:392–401.
27.
Grote M: In situ localization of pollen allergens by immunogold electron microscopy: Allergens at unexpected sites. Int Arch Allergy Immunol 1999;118:1–6.
28.
Staff IA, Schäppi G, Taylor PE: Localisation of allergens in ryegrass pollen and in airborne micronic particles. Protoplasma 1999;208:47–57.
29.
Johnson P, Marsh DG: The isolation and characterization of allergens from the pollen of rye grass (Lolium perenne). Eur Polymer J 1965;1:63–77.
30.
Ekramoddoullah AKM: Two-dimensional gel electrophoretic analyses of Kentucky bluegrass and rye grass pollen allergens. Detection with a murine monoclonal anti-Poa p I antibody and amino terminal amino acid sequence of Poa p I allergen. Int Arch Allergy Appl Immunol 1990;93:371–377.
31.
Petersen A, Becker W-M, Schlaak M: Epitope mapping of allergens and antigens of timothy pollen extract. Appl Theor Electrophor 1991;2:129–133.
32.
Brodard V, David B, Görg A, Peltre G: Two-dimensional gel electrophoretic analysis with immobilized pH gradients of Dactylis glomerata pollen allergens. Int Arch Allergy Immunol 1993;102:72–80.
33.
Chang Z-N, Liu C-C, Tam MF, Peng H-J, Tsai J-J, Han S-H: Characterization of the isoforms of the group I allergen of Cynodon dactylon. J Allergy Clin Immunol 1995;95:1206–1214.
34.
Petersen A, Grobe K, Lindner B, Schlaak M, Becker W-M: Comparison of natural and recombinant isoforms of grass pollen allergens. Electrophoresis 1997;18:819–825.
35.
Petersen A, Becker W-M, Schlaak M: Characterization of grass group I allergens in timothy grass pollen. J Allergy Clin Immunol 1993;92:789–796.
36.
Perez M, Ishioka GY, Walker LE, Chesnut RW: cDNA cloning and immunological characterization of the rye grass allergen Lol p I. J Biol Chem 1990;265:16210–16215.
37.
Griffith IJ, Smith PM, Pollock J, Theerakulpisut P, Avjioglu A, Davies S, Hough T, Singh MB, Simpson RJ, Ward LD, Knox RB: Cloning and sequencing of Lol p I, the major allergenic protein of rye-grass pollen. FEBS Lett 1991;279:210–215.
38.
Avjioglu A, Creaney J, Smith P, Taylor P, Singh M, Knox RB: Cloning and characterization of the major allergen of Sorghum halepense, a subtropical grass; in Kraft D, Sehon A (eds): Molecular Biology and Immunology of Allergens. Boca Raton, CRC, 1993, pp 161–164.
39.
Broadwater AH, Bedinger PA, Rubinstein AL, Chay CH, Klapper DG: Zea m I, the maize homolog of the allergen-encoding Lol p I gene of rye grass. Gene 1993;131:227–230.
40.
Laffer S, Valenta R, Vrtala S, Susani M, van Ree R, Kraft D, Schneider O, Duchêne M: Complementary DNA cloning of the major allergen Phl p I from timothy grass (Phleum pratense): Recombinant Phl p I inhibits IgE binding to group I allergens from eight different grass species. J Allergy Clin Immunol 1994;94:689–698.
41.
Suphioglu C, Singh MB: Cloning, sequencing and expression in E. coli of Pha a 1 and four isoforms of Pha a 5, the major allergens of canary grass pollen. Clin Exp Allergy 1995;25:853–865.
42.
Smith PM, Suphioglu C, Griffith IJ, Theriault K, Knox RB, Singh MB: Cloning and expression in yeast Pichia pastoris of a biologically active form of Cyn d 1, the major allergen of Bermuda grass pollen. J Allergy Clin Immunol 1996;98:331–343.
43.
Schramm G, Bufe A, Petersen A, Haas H, Schlaak M, Becker W-M: Mapping of IgE-binding epitopes on the recombinant major group I allergen of velvet grass pollen, rHol l 1. J Allergy Clin Immunol 1997;99:781–787.
44.
Johnson P, Marsh DG: Allergens from common rye grass pollen (Lolium perenne). II. The allergenic determinants and carbohydrate moiety. Immunochemistry 1966;3:101–110.
45.
Petersen A, Becker W-M, Moll H, Blumke M, Schlaak M: Studies on the carbohydrate moieties of the timothy grass pollen allergen Phl p I. Electrophoresis 1995;16:869–875.
46.
Hiller KM, Esch RE, Klapper DG: Mapping of an allergenically important determinant of grass group I allergens. J Allergy Clin Immunol 1997;100:335–340.
47.
Becker WM, Grobe K, Petersen A: Cloning and characterization of Phl p I in different expression systems. Arb Paul Ehrlich Inst 2000;93:171–178.
48.
Cosgrove DJ, Bedinger P, Durachko DM: Group I allergens of grass pollen as cell wall-loosening agents. Proc Natl Acad Sci USA 1997;94:6559–6564.
49.
Cosgrove DJ: Loosening of plant cell walls by expansins. Nature 2000;407:321–326.
50.
Li L-C, Cosgrove DJ: Grass group I pollen allergens (β-expansins) lack proteinase activity and do not cause wall loosening via proteolysis. Eur J Biochem 2001;268:4217–4226.
51.
Valenta R, Lidholm J, Niederberger V, Hayek B, Kraft D, Grönlund H: The recombinant allergen-based concept of component-resolved diagnostics and immunotherapy (CRD and CRIT). Clin Exp Allergy 1999;29:896–904.
52.
Rossi RE, Monasterolo G, Operti D, Operti R, Berlen R: Evaluation of IgE antibodies to recombinant pollen allergens (Phl p 1, Phl p 2, and Phl p 5) in a random sample of patients with specific IgE to Phleum pratense. Allergy 2000;55:181–184.
53.
Rossi RE, Monasterolo G, Monasterolo S: Measurement of IgE and IgG4 antibodies against purified grass pollen allergens (Phl p 1, Phl p 2, Phl p 5 and Bet v 2) and natural extracts after short-term grass immunotherapy. Allerg Int 2001;50:81–88.
54.
Rossi RE, Monasterolo G, Monasterolo S: Measurement of IgE antibodies against purified grass-pollen allergens (Phl p 1, 2, 3, 4, 5, 6, 7, 11, and 12) in sera of patients allergic to grass pollen. Allergy 2001;56:1180–1185.
55.
Grobe K, Becker W-M, Schlaak M, Petersen A: Grass group I allergens (β-expansins) are novel, papain-related proteinases. Eur J Biochem 1999;263:33–40.
56.
Grobe K, Pöppelmann M, Becker W-M, Petersen A: Properties of group I allergens from grass pollen and their relation to cathepsin B, a member of the C1 family of cysteine proteinases. Eur J Biochem 2002;269:2083–2092.
57.
Johnson P, Marsh DG: ‘Isoallergens’ from rye grass pollen. Nature 1965;206:935–937.
58.
Johnson P, Marsh DG: Allergens from common rye gras (Lolium perenne). I. Chemical composition and structure. Immunochemistry 1966;3:91–100.
59.
Lowenstein H: Isolation and partial characterization of three allergens of timothy pollen. Allergy 1978;33:30–41.
60.
Dolecek C, Vrtala S, Laffer S, Steinberger P, Kraft D, Scheiner O, Valenta R: Molecular characterization of Phl p II, a major timothy grass (Phleum pratense) pollen allergen. FEBS Lett 1993;335:299–304.
61.
Ansari AA, Shenbagamurthi P, Marsh DG: Complete amino acid sequence of a Lolium perenne (perennial rye grass) pollen allergen, Lol p II. J Biol Chem 1989;264:11181–11185.
62.
Ansari AA, Shenbagamurthi P, Marsh DG: Complete primary structure of a Lolium perenne (perennial rye grass) pollen allergen, Lol p III: Comparison with known Lol p I and II sequences. Biochemistry 1989;28:8665–8670.
63.
Sidoli A, Tamborini E, Giuntini I, Levi S, Volonté G, Paini C, De Lalla C, Siccardi AG, Baralle FE, Galliani S, Arosio P: Cloning, expression, and immunological characterization of recombinant Lolium perenne allergen Lol p II. J Biol Chem 1993;268:21819–21825.
64.
Roberts AM, Bevan LJ, Flora PS, Jepson I, Walker MR: Nucleotide sequence of cDNA encoding the group II allergen of cocksfoot/orchard grass (Dactylis glomerata), Dac g II. Allergy 1993;48:615–623.
65.
Guérin-Marchand C, Sénéchal H, Bouin A-P, Leduc-Brodard V, Taudou G, Weyer A, Peltre G, David B: Cloning, sequencing and immunological characterization of Dac g 3, a major allergen from Dactylis glomerata pollen. Mol Immunol 1996;33:797–806.
66.
Barre A, Rougé P: Homology modeling of the cellulose-binding domain of a pollen allergen from rye grass: Structural basis for the cellulose recognition and associated allergenic properties. Biochem Biophys Res Commun 2002;296:1346–1351.
67.
De Marino S, Morelli MAC, Fraternali F, Tamborini E, Musco G, Vrtala S, Dolecek C, Arosio P, Valenta R, Pastore A: An immunoglobulin-like fold in a major plant allergen: The solution structure of Phl p 2 from timothy grass pollen. Structure 1999;7:943–952.
68.
Ansari A, Kihara T, Marsh D: Immunochemical studies of Lolium perenne (rye grass) pollen allergens, Lol p I, II, and III. J Immunol 1987;139:4034–4041.
69.
van Ree R, van Leeuwen A, van den Berg M, Weller HH, Aalberse RC: IgE and IgG cross-reactivity among Lol p I and Lol p II/III. Identification of the C-termini of Lol p I, II, and III as cross-reactive structures. Allergy 1994;49:254–261.
70.
Fedorov AA, Ball T, Valenta R, Almo SC: X-ray crystal structures of birch pollen profilin and Phl p 2. Int Arch Allergy Immunol 1997;113:109–113.
71.
Nalefski EA, Falke JJ: The C2 domain calcium-binding motif: Structural and functional diversity. Protein Sci 1996;5:2375–2390.
72.
Freidhoff LR, Ehrlich-Kautzky E, Grant JH, Meyers DA, Marsh DG: A study of the human immune response to Lolium perenne (rye) pollen and its components, Lol p I and Lol p II (rye I and rye II). I. Prevalence of reactivity to the allergens and correlations among skin test, IgE antibody, and IgG antibody data. J Allergy Clin Immunol 1986;78:1190–1201.
73.
Laffer S, Spitzauer S, Susani M, Pairleithner H, Schweiger C, Grönlund H, Menz G, Pauli G, Ishii T, Nolte H, Ebner C, Sehon AH, Kraft D, Eichler HG, Valenta R: Comparison of recombinant timothy grass pollen allergens with natural extract for diagnosis of grass pollen allergy in different populations. J Allergy Clin Immunol 1996;98:652–658.
74.
Ekramoddoullah AK, Kisil FT, Sehon AH: Immunochemical characterization of a high molecular weight basic allergen (HMBA) of rye grass (Lolium perenne) pollen. Mol Immunol 1983;20:465–473.
75.
Haavik S, Paulsen BS, Wold JK: Glycoprotein allergens in pollen of timothy. II. Isolation and characterization of a basic glycoprotein allergen. Int Arch Allergy Appl Immunol 1985;78:260–268.
76.
Ford SA, Baldo BA: A re-examination of ryegrass (Lolium perenne) pollen allergens. Int Arch Allergy Appl Immunol 1986;81:193–203.
77.
Leduc-Brodard V, Inacio F, Jaquinod M, Forest E, David B, Peltre G: Characterization of Dac g 4, a major basic allergen from Dactylis glomerata pollen. J Allergy Clin Immunol 1996;98:1065–1072.
78.
Potter PC, Mather S, Lockey P, Ainslie G, Cadman A: IgE specific immune responses to an African grass (Kikuyu, Pennisetum clandestinum). Clin Exp Allergy 1993;23:581–586.
79.
Fischer S, Grote M, Fahlbusch B, Müller W-D, Kraft D, Valenta R: Characterization of Phl p 4, a major timothy grass (Phleum pratense) pollen allergen. J Allergy Clin Immunol 1996;98:189–198.
80.
Fahlbusch B, Müller W-D, Rudeschko O, Jäger L, Cromwell O, Fiebig H: Detection and quantification of group 4 allergens in grass pollen extracts using monoclonal antibodies. Clin Exp Allergy 1998;28:799–807.
81.
Kumar L, Sridhara S, Singh BP, Gangal SV: Characterization of Cogon grass (Imperata cylindrica) pollen extract and preliminary analysis of grass group 1, 4 and 5 homologues using monoclonal antibodies to Phleum pratense. Int Arch Allergy Immunol 1998;117:174–179.
82.
Stumvoll S, Lidholm J, Thunberg R, Markell DeWitt Å, Eibensteiner P, Swoboda I, Bugajska-Schretter A, Spitzauer S, Vangelista L, Kazemi-Shirazi L, Sperr WR, Valent P, Kraft D, Valenta R: Purification, structural and immunological characterization of a timothy grass (Phleum pratense) pollen allergen, Phl p 4, with cross-reactive potential. Biol Chem 2002;383:1383–1396.
83.
Fahlbusch B, Müller W-D, Diener CH, Jäger L: Detection of crossreactive determinants in grass pollen extracts using monoclonal antibodies against group IV and group V allergens. Clin Exp Allergy 1993;23:51–60.
84.
Suck R, Hagen S, Cromwell O, Fiebig H: Rapid and efficient purification of Phleum pratense major allergens Phl p 1 and group Phl p 2/3 using a two-step procedure. J Immunol Methods 1999;229:73–80.
85.
Gavrovic-Jankulovic M, Cirkovic T, Bukilica M, Fahlbusch B, Petrovic S, Jankov RM: Isolation and partial characterization of Fes p 4 allergen. J Investig Allergol Clin Immunol 2000;10:361–367.
86.
Grote M, Stumvoll S, Reichelt R, Lidholm J, Valenta R: Identification of an allergen related to Phl p 4, a major timothy grass pollen allergen, in pollens, vegetables, and fruits by immunogold electron microscopy. Biol Chem 2002;383:1441–1445.
87.
Su SN, Lau GX, Tsai JJ, Yang SY, Shen HD, Han SH: Isolation and partial characterization of Bermuda grass pollen allergen, BG-60a. Clin Exp Allergy 1991;21:449–455.
88.
Su SN, Huang SW, Lee YC: Study of Bermuda pollen IgE-binding protein, BG60: Characterization of its physiochemical property. J Allergy Clin Immunol 1996;97:210.
89.
Ohsuga H, Su SN, Takahashi N, Yang SY, Nakagawa H, Shimada I, Arata Y, Lee YC: The carbohydrate moiety of the Bermuda grass antigen BG60. New oligosaccharides of plant origin. J Biol Chem 1996;271:26653–26658.
90.
Wilson IBH, Altmann F: Structural analysis of N-glycans from allergenic grass, ragweed and tree pollens: Core α1,3-linked fucose and xylose present in all pollens examined. Glycoconj J 1998;15:1055–1070.
91.
Liaw S-H, Lee DY, Chow L-P, Lau G-X, Su S-N: Structural characterization of the 60-kDa Bermuda grass pollen isoallergens, a covalent flavoprotein. Biochem Biophys Res Commun 2001;280:738–743.
92.
Matthiesen F, Lowenstein H: Group V allergens in grass pollens. II. Investigation of group V allergens in pollens from 10 grasses. Clin Exp Allergy 1991;21:309–320.
93.
Smith PM, Ong EK, Knox RB, Singh MB: Immunological relationships among group I and group V allergens from grass pollen. Mol Immunol 1994;31:491–498.
94.
van Ree R, Clemens JG, Aalbers M, Stapel SO, Aalberse RC: Characterization with monoclonal and polyclonal antibodies of a new major allergen from grass pollen in the group I molecular weight range. J Allergy Clin Immunol 1989;83:144–151.
95.
Mohapatra SS, Hill R, Astwood J, Ekramoddoullah AK, Olsen E, Silvanovitch A, Hatton T, Kisil FT, Sehon AH: Isolation and characterization of a cDNA clone encoding an IgE-binding protein from Kentucky bluegrass (Poa pratensis) pollen. Int Arch Allergy Appl Immunol 1990;91:362–368.
96.
Olsen E, Zhang L, Hill RD, Kisil FT, Sehon AH, Mohapatra SS: Identification and characterization of the Poa p IX group of basic allergens of Kentucky bluegrass pollen. J Immunol 1991;147:205–211.
97.
Klysner S, Welinder KG, Lowenstein H, Matthiesen F: Group V allergens in grass pollens. IV. Similarities in amino acid compositions and NH2-terminal sequences of the group V allergens from Lolium perenne, Poa perenne and Dactylis glomerata. Clin Exp Allergy 1992;22:491–497.
98.
Vrtala S, Sperr WR, Reimitzer I, van Ree R, Laffer S, Müller W-D, Valent P, Lechner K, Rumpold H, Kraft D, Scheiner O, Valenta R: cDNA cloning of a major allergen from timothy grass (Phleum pratense) pollen; characterization of the recombinant Phl p V allergen. J Immunol 1993;151:4773–4781.
99.
Petersen A, Becker W-M, Schlaak M: Characterization of isoforms of the major allergen Phl p V by two-dimensional immunoblotting and microsequencing. Int Arch Allergy Immunol 1992;98:105–109.
100.
Roberts AM, van Ree R, Emly J, Cardy SM, Rottier MMA, Walker MR: N-terminal amino acid sequence homologies of group V grass pollen allergens. Int Arch Allergy Immunol 1992;98:178–180.
101.
Petersen A, Schramm G, Becker W-M, Schlaak M: Comparison of four grass pollen species concerning their allergens of grass group V by 2D immunoblotting and microsequencing. Biol Chem Hoppe Seyler 1993;374:855–861.
102.
Astwood JD, Hill RD: Cloning and expression pattern of Hor v 9, the group 9 pollen isoallergen from barley. Gene 1996;182:53–62.
103.
Singh MB, Hough T, Theerakulpisut P, Avjioglu A, Davies S, Smith PM, Taylor P, Simpson RJ, Ward LD, McCluskey J, Puy R, Knox RB: Isolation of cDNA encoding a newly identified major allergenic protein of rye-grass pollen: Intracellular targeting to the amyloplast. Proc Natl Acad Sci USA 1991;88:1384–1388.
104.
Matthiesen F, Lowenstein H: Group V allergens in grass pollens. I. Purification and characterization of the group V allergen from Phleum pratense pollen, Phl p V. Clin Exp Allergy 1991;21:297–307.
105.
Petersen A, Becker W-M, Schlaak M: Epitope analysis of isoforms of the major allergen Phl p V by fingerprinting and microsequencing. Clin Exp Allergy 1994;24:250–256.
106.
Maglio O, Saldanha JW, Vrtala S, Spitzauer S, Valenta R, Pastore A: A major IgE epitope-containing grass pollen allergen domain from Phl p 5 folds as a four-helix bundle. Protein Eng 2002;15:635–642.
107.
Rajashankar K, Bufe A, Weber W, Eschenburg S, Lindner B, Betzel C: Structure of the functional domain of the major grass-pollen allergen Phl p 5b. Acta Crystallogr D Biol Crystallogr 2002;58:1175–1181.
108.
Gehlhar K, Petersen A, Schramm G, Becker W-M, Schlaak M, Bufe A: Investigation of different recombinant isoforms of grass group-V allergens (timothy grass pollen) isolated by low-stringency cDNA hybridization. Antibody binding capacity and allergenic activity. Eur J Biochem 1997;247:217–223.
109.
Schramm G, Bufe A, Petersen A, Schlaak M, Becker W-M: Molecular and immunological characterization of group V allergen isoforms from velvet grass pollen (Holcus lanatus). Eur J Biochem 1998;252:200–206.
110.
Müller W-D, Karamfilov T, Kahlert H, Stüwe HT, Fahlbusch B, Cromwell O, Fiebig H, Jäger L: Mapping of T-cell epitopes of Phl p 5:Evidence for crossreacting and non-crossreacting T-cell epitopes within Phl p 5 isoallergens. Clin Exp Allergy 1998;28:1538–1548.
111.
van Neerven R, Wissenbach M, Ipsen H, Bufe A, Arnved J, Würtzen PA: Differential recognition of recombinant Phl p 5 isoallergens by Phl p 5-specific T cells. Int Arch Allergy Immunol 1999;118:125–128.
112.
Würtzen PA, Wissenbach M, Ipsen H, Bufe A, Arnved J, van Neerven RJJ: Highly heterogeneous Phl p 5-specific T cells from patients with allergic rhinitis differentially recognize recombinant Phl p 5 isoallergens. J Allergy Clin Immunol 1999;104:115–122.
113.
Ong EK, Griffith IJ, Knox RB, Singh MB: Cloning of a cDNA encoding a group-V (group-IX) allergen isoform from rye-grass pollen that demonstrates specific antigenic immunoreactivity. Gene 1993;134:235–240.
114.
Bufe A, Becker W-M, Schramm G, Petersen A, Mamat U, Schlaak M: Major allergen Phl p Va (timothy grass) bears at least two different IgE-reactive epitopes. J Allergy Clin Immunol 1994;94:173–181.
115.
Ong EK, Knox RB, Singh MB: Mapping of the antigenic and allergenic epitopes of Lol p Vb using gene fragmentation. Mol Immunol 1995;32:295–302.
116.
van Oort E, de Heer PG, Lerouge P, Faye L, Aalberse RC, van Ree R: Immunochemical characterization of two Pichia pastoris-derived recombinant group 5 Dactylis glomerata isoallergens. Int Arch Allergy Immunol 2001;126:196–205.
117.
Silvanovich A, Astwood J, Zhang L, Olsen E, Kisil F, Sehon A, Mohapatra S, Hill R: Nucleotide sequence analysis of three cDNAs coding for Poa p IX isoallergens of Kentucky bluegrass pollen. J Biol Chem 1991;266:1204–1210.
118.
Bufe A, Schramm G, Keown MB, Schlaak M, Becker W-M: Major allergen Phl p Vb in timothy grass is a novel pollen RNase. FEBS Lett 1995;363:6–12.
119.
Suphioglu C, Mawdsley D, Schäppi G, Gruehn S, de Leon M, Rolland JM, O’Hehir RE: Molecular cloning, expression and immunological characterisation of Lol p 5C, a novel allergen isoform of rye grass pollen demonstrating high IgE reactivity. FEBS Lett 1999;462:435–441.
120.
Bufe A, Betzel C, Schramm G, Petersen A, Becker W-M, Schlaak M, Perbandt M, Dauter Z, Weber W: Crystallization and preliminary diffraction data of a major pollen allergen – crystal growth separates a low molecular weight form with elevated biological activity. J Biol Chem 1996;271:27193–27196.
121.
Vrtala S, Fischer S, Grote M, Vangelista L, Pastore A, Sperr WR, Valent P, Reichelt R, Kraft D, Valenta R: Molecular, immunological, and structural characterization of Phl p 6, a major allergen and P-particle-associated protein from timothy grass (Phleum pratense) pollen. J Immunol 1999;163:5489–5496.
122.
Lowenstein H: Immunological partial identity and in vitro inhibitory effect of two major timothy pollen allergens to whole pollen extract of four grasses. Int Arch Allergy Appl Immunol 1978;57:379–383.
123.
Matthiesen F, Friberg L, Olsen M, Lowenstein H: Purification and characterization of the Phleum pratense (timothy) pollen allergen Phl p IV; in Kraft D, Sehon A (eds): Molecular Biology and Immunology of Allergens. Boca Raton, CRC, 1993, pp 189–191.
124.
Petersen A, Bufe A, Schramm G, Schlaak M, Becker W-M: Characterization of the allergen group VI in timothy grass pollen (Phl p 6). I. Immunological and biochemical studies. Int Arch Allergy Immunol 1995;108:49–54.
125.
Petersen A, Bufe A, Schramm G, Schlaak M, Becker W-M: Characterization of the allergen group VI in timothy grass pollen (Phl p 6). II. cDNA cloning of Phl p 6 and structural comparison to grass group V. Int Arch Allergy Immunol 1995;108:55–59.
126.
Suphioglu C, Singh MB, Taylor P, Bellomo R, Holmes P, Puy R, Knox RB: Mechanism of grass-pollen-induced asthma. Lancet 1992;339:569–572.
127.
Smith PM, Xu H, Swoboda I, Singh MB: Identification of a Ca2+ binding protein as a new Bermuda grass pollen allergen Cyn d 7:IgE cross-reactivity with oilseed rape pollen allergen Bra r 1. Int Arch Allergy Immunol 1997;114:265–271.
128.
Suphioglu C, Ferreira F, Knox RB: Molecular cloning and immunological characterisation of Cyn d 7, a novel calcium-binding allergen from Bermuda grass pollen. FEBS Lett 1997;402:167–172.
129.
Toriyama K, Okada T, Watanabe M, Ide T, Ashida T, Xu H, Singh MB: A cDNA clone encoding an IgE-binding protein from Brassica anther has significant sequence similarity to Ca2+-binding proteins. Plant Mol Biol 1995;29:1157–1165.
130.
Engel E, Richter K, Obermeyer G, Briza P, Kungl AJ, Simon B, Auer M, Ebner C, Rheinberger HJ, Breitenbach M, Ferreira F: Immunological and biological properties of Bet v 4, a novel birch pollen allergen with two EF-hand calcium-binding domains. J Biol Chem 1997;272:28630–28637.
131.
Twardosz A, Hayek B, Seiberler S, Vangelista L, Elfman L, Grönlund H, Kraft D, Valenta R: Molecular characterization, expression in Escherichia coli, and epitope analysis of a two EF-hand calcium-binding birch pollen allergen, Bet v 4. Biochem Biophys Res Commun 1997;239:197–204.
132.
Ledesma A, Villalba M, Batanero E, Rodriguez R: Molecular cloning and expression of active Ole e 3, a major allergen from olive-tree pollen and member of a novel family of Ca2+-binding proteins (polcalcins) involved in allergy. Eur J Biochem 1998;258:454–459.
133.
Niederberger V, Hayek B, Vrtala S, Laffer S, Twardosz A, Vangelista L, Sperr WR, Valent P, Rumpold H, Kraft D, Ehrenberger K, Valenta R, Spitzauer S: Calcium-dependent immunoglobulin E recognition of the apo- and calcium-bound form of a cross-reactive two EF-hand timothy grass pollen allergen, Phl p 7. FASEB J 1999;13:843–856.
134.
Verdino P, Westritschnig K, Valenta R, Keller W: The cross-reactive calcium-binding pollen allergen, Phl p 7, reveals a novel dimer assembly. EMBO J 2002;21:5007–5016.
135.
Hayek B, Vangelista L, Pastore A, Sperr WR, Valent P, Vrtala S, Niederberger V, Twardosz A, Kraft D, Valenta R: Molecular and immunologic characterization of a highly cross-reactive two EF-hand calcium-binding alder pollen allergen, Aln g 4: Structural basis for calcium-modulated IgE recognition. J Immunol 1998;161:7031–7039.
136.
Tinghino R, Twardosz A, Barletta B, Puggioni EM, Iacovacci P, Butteroni C, Afferni C, Mari A, Hayek B, Di Felice G, Focke M, Westritschnig K, Valenta R, Pini C: Molecular, structural, and immunologic relationships between different families of recombinant calcium-binding pollen allergens. J Allergy Clin Immunol 2002;109:314–320.
137.
Ekramoddoullah AK, Kisil FT, Sehon AH: Isolation of allergenically active cytochrome c from Kentucky blue grass pollen. Int Arch Allergy Appl Immunol 1981;65:367–376.
138.
Ekramoddoullah AKM, Kisil FT, Sehon AH: Allergenic cross-reactivity of cytochromes c isolated from Kentucky blue, timothy, perennial rye grass pollen (abstract). Fed Proc Fedn Am Soc Exp Biol 1981;969.
139.
Ekramoddoullah AKM, Kisil FT, Sehon AH: Allergenic cross-reactivity of cytochromes c of Kentucky bluegrass and perennial ryegrass pollens. Mol Immunol 1982;19:1527–1534.
140.
Schumacher MJ, Wagner CM, Cusanovich MA: Cytochrome c as a possible allergen in Bermuda grass pollen extract. J Allergy Clin Immunol 1982;69:145.
141.
Ansari AA, Killoran EA, Marsh DG: An investigation of human immune response to perennial ryegrass (Lolium perenne) pollen cytochrome c (Lol p X). J Allergy Clin Immunol 1987;80:229–235.
142.
van Ree R, Hoffman DR, van Dijk W, Brodard V, Mahieu K, Koeleman CAM, Grande M, van Leeuwen WA, Aalberse RC: Lol p XI, a new major grass pollen allergen, is a member of a family of soybean trypsin inhibitor-related proteins. J Allergy Clin Immunol 1995;95:970–978.
143.
van Ree R, Cabanes-Macheteau M, Akkerdaas J, Milazzo J-P, Loutelier-Bourhis C, Rayon C, Villalba M, Koppelman S, Aalberse R, Rodriguez R, Faye L, Lerouge P: β(1,2)-xylose and α(1,3)-fucose residues have a strong contribution in IgE binding to plant glycoallergens. J Biol Chem 2000;275:11451–11458.
144.
Marknell DeWitt Å, Niederberger V, Lehtonen P, Spitzauer S, Sperr WR, Valent P, Valenta R, Lidholm J: Molecular and immunological characterization of a novel timothy grass (Phleum pratense) pollen allergen, Phl p 11. Clin Exp Allergy 2002;32:1329–1340.
145.
Sohn RH, Goldschmidt-Clermont PJ: Profilin: At the crossroads of signal transduction and the actin cytoskeleton. Bioessays 1994;16:465–472.
146.
Valenta R, Duchêne M, Pettenburger K, Sillaber C, Valent P, Bettelheim P, Breitenbach M, Rumpold H, Kraft D, Scheiner O: Identification of profilin as a novel pollen allergen; IgE autoreactivity in sensitized individuals. Science 1991;253:557–560.
147.
Valenta R, Duchêne M, Vrtala S, Valent P, Sillaber C, Ferreira F, Tejkl M, Hirschwehr R, Ebner C, Kraft D, Scheiner O: Profilin, a novel plant pan-allergen. Int Arch Allergy Immunol 1992;99:271–273.
148.
van Ree R, Voitenko V, van Leeuwen WA, Aalberse RC: Profilin is a cross-reactive allergen in pollen and vegetable foods. Int Arch Allergy Immunol 1992;98:97–104.
149.
Valenta R, Duchêne M, Ebner C, Valent P, Sillaber C, Deviller P, Ferreira F, Tejkl M, Edelmann H, Kraft D, Scheiner O: Profilins constitute a novel family of functional plant pan-allergens. J Exp Med 1992;175:377–385.
150.
Lindberg U, Schutt CE, Hellsten E, Tjäder A-C, Hult T: The use of poly(L-proline)-Sepharose in the isolation of profilin and profilactin complexes. Biochim Biophys Acta 1988;967:391–400.
151.
Movérare R, Westritschnig K, Svensson M, Hayek B, Bende M, Pauli G, Sorva R, Haahtela T, Valenta R, Elfman L: Different IgE reactivity profiles in birch pollen-sensitive patients from six European populations revealed by recombinant allergens: An imprint of local sensitization. Int Arch Allergy Immunol 2002;128:325–335.
152.
Vallverdú A, García-Ortega P, Martínez J, Martínez A, Esteban MI, de Molina M, Fernández-Távora L, Fernández J, Bartolomé B, Palacios R: Mercurialis annua: Characterization of main allergens and cross-reactivity with other species. Int Arch Allergy Immunol 1997;112:356–364.
153.
van Ree R, van Leeuwen WA, Akkerdaas JH, Aalberse RC: How far can we simplify in vitro diagnostics for Fagales tree pollen allergy? A study with three whole pollen extracts and purified natural and recombinant allergens. Clin Exp Allergy 1999;29:848–855.
154.
Wensing M, Akkerdaas JH, van Leeuwen A, Stapel SO, Bruijnzeel-Koomen C, Aalberse RC, Bast B, Knulst AC, van Ree R: IgE to Bet v 1 and profilin: Cross-reactivity patterns and clinical relevance. J Allergy Clin Immunol 2002;110:435–442.
155.
Staiger CJ, Goodbody KC, Hussey PJ, Valenta R, Drobak BK, Lloyd CW: The profilin multigene family of maize – differential expression of three isoforms. Plant J 1993;4:631–641.
156.
Valenta R, Ball T, Vrtala S, Duchêne M, Kraft D, Scheiner O: cDNA cloning and expression of timothy grass (Phleum pratense) pollen profilin in Escherichia coli: Comparison with birch pollen profilin. Biochem Biophys Res Commun 1994;199:106–118.
157.
Asturias JA, Arilla MC, Gomez-Bayon N, Martínez J, Martínez A, Palacios R: Cloning and high level expression of Cynodon dactylon (Bermuda grass) pollen profilin (Cyn d 12) in Escherichia coli: Purification and characterization of the allergen. Clin Exp Allergy 1997;27:1307–1313.
158.
Ye Q, Xu Y, Yan F, Tang L, Chen F: Molecular cloning and characterization of rice pollen profilin. Acta Biochim Biophys Sin 2001;33:452–456.
159.
Asturias JA, Arilla MC, Bartolomé B, Martínez J, Martínez A, Palacios R: Sequence polymorphism and structural analysis of timothy grass pollen profilin allergen (Phl p 11). Biochim Biophys Acta 1997;1352:253–257.
160.
Gibbon BC, Zonia LE, Kovar DR, Hussey PJ, Staiger CJ: Pollen profilin function depends on interaction with proline-rich motifs. Plant Cell 1998;10:981–993.
161.
Vrtala S, Wiedemann P, Mittermann I, Eichler H-G, Sperr WR, Valent P, Kraft D, Valenta R: High-level expression in Escherichia coli and purification of recombinant plant profilins: Comparison of IgE-binding capacity and allergenic activity. Biochem Biophys Res Commun 1996;226:42–50.
162.
Fedorov AA, Ball T, Mahoney NM, Valenta R, Almo SC: The molecular basis for allergen cross-reactivity: Crystal structure and IgE-epitope mapping of birch pollen profilin. Structure 1997;5:33–45.
163.
Suck R, Hagen S, Cromwell O, Fiebig H: The high molecular mass allergen fraction of timothy grass pollen (Phleum pratense) between 50–60 kDa is comprised of two major allergens: Phl p 4 and Phl p 13. Clin Exp Allergy 2000;30:1395–1402.
164.
Petersen A, Suck R, Hagen S, Cromwell O, Fiebig H, Becker W-M: Group 13 grass allergens: Structural variability between different grass species and analysis of proteolytic stability. J Allergy Clin Immunol 2001;107:856–862.
165.
Suck R, Petersen A, Hagen S, Cromwell O, Becker W-M, Fiebig H: Complementary DNA cloning and expression of a newly recognized high molecular mass allergen Phl p 13 from timothy grass pollen (Phleum pratense). Clin Exp Allergy 2000;30:324–332.
166.
Niogret MF, Dubald M, Mandaron P, Mache R: Characterization of pollen polygalacturonase encoded by several cDNA clones in maize. Plant Mol Biol 1991;17:1155–1164.
167.
Hadfield KA, Bennett AB: Polygalacturonases: Many genes in search of a function. Plant Physiol 1998;117:337–343.
168.
Wilson IBH: Glycosylation of proteins in plants and invertebrates. Curr Opin Struct Biol 2002;12:569–577.
169.
Voet D, Voet JG: Biochemistry. New York, John Wiley & Sons, 1990.
170.
Lerouge P, Cabanes-Macheteau M, Rayon C, Fischette-Lainé AC, Gomord V, Faye L: N-glycoprotein biosynthesis in plants – recent developments and future trends. Plant Mol Biol 1998;38:31–48.
171.
Aalberse RC, Koshte V, Clemens JG: Immunoglobulin E antibodies that crossreact with vegetable foods, pollen, and Hymenoptera venom. J Allergy Clin Immunol 1981;68:356–364.
172.
Petersen A, Vieths S, Aulepp H, Schlaak M, Becker W-M: Ubiquitous structures responsible for IgE cross-reactivity between tomato fruit and grass pollen allergens. J Allergy Clin Immunol 1996;98:805–815.
173.
Fötisch K, Fäh J, Wüthrich B, Altmann F, Haustein D, Vieths S: IgE antibodies specific for carbohydrates in a patient allergic to gum arabic (Acacia senegal). Allergy 1998;53:1043–1051.
174.
Fötisch K, Altmann F, Haustein D, Vieths S: Involvement of carbohydrate epitopes in the IgE response of celery-allergic patients. Int Arch Allergy Immunol 1999;120:30–42.
175.
Petersen A, Mundt C: Investigations on the carbohydrate moieties of glycoprotein allergens. J Chromatogr B Biomed Sci Appl 2001;756:141–150.
176.
Wilson IB, Zeleny R, Kolarich D, Staudacher E, Stroop CJ, Kamerling JP, Altmann F: Analysis of Asn-linked glycans from vegetable foodstuffs: Widespread occurrence of Lewis a, core α1,3-linked fucose and xylose substitutions. Glycobiology 2001;11:261–274.
177.
Garcia-Casado G, Sanchez-Monge R, Chrispeels MJ, Armentia A, Salcedo G, Gomez L: Role of complex asparagine-linked glycans in the allergenicity of plant glycoproteins. Glycobiology 1996;6:471–477.
178.
Wilson IBH, Harthill JE, Mullin NP, Ashford DA, Altmann F: Core α1,3-fucose is a key part of the epitope recognized by antibodies reacting against plant N-linked oligosaccharides and is present in a wide variety of plant extracts. Glycobiology 1998;8:651–661.
179.
Fötisch K, Vieths S: N- and O-linked oligosaccharides of allergenic glycoproteins. Glycoconj J 2001;18:373–390.
180.
Petersen A, Schramm G, Schlaak M, Becker W-M: Post-translational modifications influence IgE reactivity to the major allergen Phl p 1 of timothy grass pollen. Clin Exp Allergy 1998;28:315–321.
181.
van der Veen MJ, van Ree R, Aalberse RC, Akkerdaas J, Koppelman SJ, Jansen HM, van der Zee JS: Poor biologic activity of cross-reactive IgE directed to carbohydrate determinants of glycoproteins. J Allergy Clin Immunol 1997;100:327–334.
182.
Mari A, Iacovacci P, Afferni C, Barletta B, Tinghino R, Di Felice G, Pini C: Specific IgE to cross-reactive carbohydrate determinants strongly affect the in vitro diagnosis of allergic diseases. J Allergy Clin Immunol 1999;103:1005–1011.
183.
van Ree R: Specific IgE without clinical allergy. J Allergy Clin Immunol 1999;103:1000–1001.
184.
Batanero E, Crespo JF, Monsalve RI, Martin-Esteban M, Villalba M, Rodriguez R: IgE-binding and histamine-release capabilities of the main carbohydrate component isolated from the major allergen of olive tree pollen, Ole e 1. J Allergy Clin Immunol 1999;103:147–153.
185.
van Ree R: Carbohydrate epitopes and their relevance for the diagnosis and treatment of allergic diseases. Int Arch Allergy Immunol 2002;129:189–197.
186.
Kazemi-Shirazi L, Niederberger V, Linhart B, Lidholm J, Kraft D, Valenta R: Recombinant marker allergens: Diagnostic gatekeepers for the treatment of allergy. Int Arch Allergy Immunol 2002;127:259–268.
187.
Orren A, Dowdle EB: Studies on Bermuda grass pollen allergens. S Afr Med J 1977;51:586–591.
188.
Sturaro M, Viotti A: Sequence database entry 1998. Acc. Nos. CAA10345 through CAA10349.
189.
Hanson DD, Hamilton DA, Travis JL, Bashe DM, Mascarenhas JP: Characterization of a pollen-specific cDNA clone from Zea mays and its expression. Plant Cell 1989;1:173–179.
190.
Heiss S, Flicker S, Hamilton DA, Kraft D, Mascarenhas JP, Valenta R: Expression of Zm13, a pollen specific maize protein, in Escherichia coli reveals IgE-binding capacity and allergenic potential. FEBS Lett 1996;381:217–221.
191.
van Ree R: Sequence database entry 2001. Acc. No. CAD20406.
192.
Walsh DJ, Matthews JA, Denmeade R, Maxwell P, Davidson M, Walker MR: Monoclonal antibodies to proteins from cocksfoot grass (Dactylis glomerata) pollen: Isolation and N-terminal sequence of a major allergen. Int Arch Allergy Appl Immunol 1990;91:419–425.
193.
Suphioglu C, Singh M, Simpson R, Ward L, Knox RB: Identification of canary grass (Phalaris aquatica) pollen allergens by immunoblotting: IgE and IgG antibody-binding studies. Allergy 1993;48:273–281.
194.
Sturaro M, Viotti A: Sequence database entry 2000. Acc. No. AAG42254.
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