1.Shoot rot of Zizania latifolia and the first record of its pathogen Pantoea ananatis in China.
Zilan XIAO ; Jianping DENG ; Xiaojun ZHOU ; Liyan ZHU ; Xiaochan HE ; Jingwu ZHENG ; Deping GUO ; Jingze ZHANG
Journal of Zhejiang University. Science. B 2022;23(4):328-338
		                        		
		                        			
		                        			The aquatic grass Zizania latifolia grows symbiotically with the fungus Ustilago esculenta producing swollen structures called Jiaobai, widely cultivated in China. A new disease of Z. latifolia was found in Zhejiang Province, China. Initial lesions appeared on the leaf sheaths or sometimes on the leaves near the leaf sheaths. The lesions extended along the axis of the leaf shoots and formed long brown to dark brown streaks from the leaf sheath to the leaf, causing sheath rot and death of entire leaves on young plants. The pathogen was isolated and identified as the bacterium Pantoea ananatis, based on 16S ribosomal RNA (rRNA) gene sequencing, multilocus sequence analysis (atpD (β-subunit of ATP synthase F1), gyrB (DNA gyrase subunit B), infB (translation initiation factor 2), and rpoB (β-subunit of RNA polymerase) genes), and pathogenicity tests. Ultrastructural observations using scanning electron microscopy revealed that the bacterial cells colonized the vascular tissues in leaf sheaths, forming biofilms on the inner surface of vessel walls, and extended between vessel elements via the perforated plates. To achieve efficient detection and diagnosis of P. ananatis, species-specific primer pairs were designed and validated by testing closely related and unrelated species and diseased tissues of Z. latifolia. This is the first report of bacterial sheath rot disease of Z. latifolia caused by P. ananatis in China.
		                        		
		                        		
		                        		
		                        			Pantoea/genetics*
		                        			;
		                        		
		                        			Plant Diseases/microbiology*
		                        			;
		                        		
		                        			Poaceae/microbiology*
		                        			;
		                        		
		                        			Virulence
		                        			
		                        		
		                        	
2.Effect of fresh Phragmitis Rhizoma on airway inflammation in chronic bronchitis based on TGF-β signaling pathway.
Li-Hua CAO ; Yuan-Yuan ZHAO ; Jin-Xin MIAO ; Ming BAI ; Le KANG ; Ming-San MIAO ; Xiu-Min LI
China Journal of Chinese Materia Medica 2021;46(22):5887-5894
		                        		
		                        			
		                        			This study aims to explore the mechanism of fresh Phragmitis Rhizoma against chronic bronchitis airway inflammation. The SD rats of SPF grade were divided into control group, model group, Guilongkechuanning group(GLKCN, 1.125 g·kg~(-1)), high-dose fresh Phragmitis Rhizoma group(LG-HD, 15 g·kg~(-1)), and low-dose fresh Phragmitis Rhizoma group(LG-LD, 7.5 g·kg~(-1)). The chronic bronchitis models of rats in other groups except the control group were induced by the modified smoking method. From the 15 th day of modeling, the rats were given corresponding agents by gavage for 20 consecutive days. After the last administration, the rats were sacrificed for sample collection. Enzyme-linked immunosorbent assay(ELISA) was employed to detect serum transforming growth factor-β(TGF-β) and interleukin-6(IL-6) levels. The protein expression of TGF-β, IL-1β and IL-6 in lung tissue was detected by immunohistochemical method. Masson staining was performed to detect collagen fibers and muscle fibers in lung tissue, and HE staining to detect the pathological changes of lung tissue. Human bronchial epithelial(16 HBE) cells were cultured in vitro, and CCK-8(cell counting kit-8) method was used to detect the cytotoxicity of cigarette smoke extract(CSE) and fresh Phragmitis Rhizoma. After the exposure of 16 HBE cells to 3.5% CSE and appropriate concentration(800, 400 μg·mL~(-1)) of fresh Phragmitis Rhizoma for 24 h, quantitative real-time PCR was conducted to determine the mRNA levels of TGF-β and IL-1β, and Western blot was employed to determine the protein levels of TGF-β and IL-6 in the cells. The rat model of chronic bronchitis induced by smoking was successfully established. Fresh Phragmitis Rhizoma reduced serum TGF-β and IL-6 levels, down-regulated the protein levels of TGF-β, IL-1β, and IL-6 in lung tissue, and alleviated pathological changes and fibrotic lesions in lung tissue. Moreover, it down-regulated the CSE-induced protein expression of TGF-β and IL-6 as well as the mRNA level of TGF-β in 16 HBE cells. These results indicated that fresh Phragmitis Rhizoma could prevent airway inflammation from chronic bronchitis and promote cell repair by inhibiting the TGF-β signaling pathway.
		                        		
		                        		
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Bronchitis, Chronic/genetics*
		                        			;
		                        		
		                        			Drugs, Chinese Herbal/pharmacology*
		                        			;
		                        		
		                        			Inflammation
		                        			;
		                        		
		                        			Lung
		                        			;
		                        		
		                        			Poaceae/chemistry*
		                        			;
		                        		
		                        			Rats
		                        			;
		                        		
		                        			Rats, Sprague-Dawley
		                        			;
		                        		
		                        			Rhizome
		                        			;
		                        		
		                        			Signal Transduction
		                        			;
		                        		
		                        			Transforming Growth Factor beta/genetics*
		                        			
		                        		
		                        	
3.Allergenic Pollen Calendar in Korea Based on Probability Distribution Models and Up-to-Date Observations
Ju Young SHIN ; Mae Ja HAN ; Changbum CHO ; Kyu Rang KIM ; Jong Chul HA ; Jae Won OH
Allergy, Asthma & Immunology Research 2020;12(2):259-273
		                        		
		                        			
		                        			PURPOSE: The pollen calendar is the simplest forecasting method for pollen concentrations. As pollen concentrations are liable to seasonal variations due to alterations in climate and land-use, it is necessary to update the pollen calendar using recent data. To attenuate the impact of considerable temporal and spatial variability in pollen concentrations on the pollen calendar, it is essential to employ a new methodology for its creation.METHODS: A pollen calendar was produced in Korea using data from recent observations, and a new method for creating the calendar was proposed, considering both risk levels and temporal resolution of pollen concentrations. A probability distribution was used for smoothing concentrations and determining risk levels. Airborne pollen grains were collected between 2007 and 2017 at 8 stations; 13 allergenic pollens, including those of alder, Japanese cedar, birch, hazelnut, oak, elm, pine, ginkgo, chestnut, grasses, ragweed, mugwort and Japanese hop, were identified from the collected grains.RESULTS: The concentrations of each pollen depend on locations and seasons due to large variability in species distribution and their environmental condition. In the descending order of concentration, pine, oak and Japanese hop pollens were found to be the most common in Korea. The pollen concentrations were high in spring and autumn, and those of oak and Japanese hop were probably the most common cause of allergy symptoms in spring and autumn, respectively. High Japanese cedar pollen counts were observed in Jeju, while moderate concentrations were in Jeonju, Gwangju and Busan.CONCLUSIONS: A new methodology for the creation of a pollen calendar was developed to attenuate the impact of large temporal and spatial variability in pollen concentrations. This revised calendar should be available to the public and allergic patients to prevent aggravation of pollen allergy.
		                        		
		                        		
		                        		
		                        			Alnus
		                        			;
		                        		
		                        			Ambrosia
		                        			;
		                        		
		                        			Artemisia
		                        			;
		                        		
		                        			Asian Continental Ancestry Group
		                        			;
		                        		
		                        			Betula
		                        			;
		                        		
		                        			Busan
		                        			;
		                        		
		                        			Climate
		                        			;
		                        		
		                        			Corylus
		                        			;
		                        		
		                        			Cryptomeria
		                        			;
		                        		
		                        			Forecasting
		                        			;
		                        		
		                        			Ginkgo biloba
		                        			;
		                        		
		                        			Gwangju
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypersensitivity
		                        			;
		                        		
		                        			Jeollabuk-do
		                        			;
		                        		
		                        			Korea
		                        			;
		                        		
		                        			Methods
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Pollen
		                        			;
		                        		
		                        			Rhinitis, Allergic, Seasonal
		                        			;
		                        		
		                        			Seasons
		                        			
		                        		
		                        	
4.Genome-wide identification and expression analysis of gibberellin biosynthesis, metabolism and signaling family genes in Phyllostachys edulis.
Jiaqi YE ; Yuting ZHANG ; Ying FU ; Mingbing ZHOU ; Dingqin TANG
Chinese Journal of Biotechnology 2019;35(4):647-666
		                        		
		                        			
		                        			Gibberellin is an essential plant hormone that plays an important regulatory role throughout the life cycle of higher plants. A total of 23 genes involved in gibberellin action were identified from Phyllostachys edulis genome, including 8 GA20ox and 1 GA3ox genes involved in the gibberellin biosynthesis, 8 GA2ox genes involved in the metabolism of gibberellin, 2 GID1 genes involved in gibberellin perception, 2 GID2 genes and 2 DELLA genes involved in gibberellin signal transduction. Phylogenetic analysis of these genes from Arabidopsis, Oryza sativa and Phyllostachys edulis revealed that gibberellin biosynthesis, metabolism, and signaling pathways are conserved in these species. Treatment of seeds and seedlings of bamboo with exogenous gibberellin revealed that gibberellin significantly increased seed germination rate and stem elongation of seedlings, and had the best concentration of action. The expression levels of GA20ox and GA3ox genes in the bamboo seedlings were down-regulated and the expression of the active gibberellin-degrading gene GA2ox was up-regulated after GA3 treatment, and the transcriptional level of the gibberellin receptor GID1 and the positive regulatory gene GID2 was significantly increased while the expression of the negative regulatory gene DELLA was decreased. These genes have significant differences in the expression of different spatial locations of bamboo shoot stems, GA20ox, GA3ox, GA2ox, GID1 and GID2 are all expressed in the upper part of bamboo shoots, while the repressor gene DELLA accumulates at the bottom of the shoots and is hardly expressed at the top.
		                        		
		                        		
		                        		
		                        			Arabidopsis
		                        			;
		                        		
		                        			Gene Expression Regulation, Plant
		                        			;
		                        		
		                        			Gibberellins
		                        			;
		                        		
		                        			biosynthesis
		                        			;
		                        		
		                        			Phylogeny
		                        			;
		                        		
		                        			Plant Growth Regulators
		                        			;
		                        		
		                        			Plant Proteins
		                        			;
		                        		
		                        			Poaceae
		                        			
		                        		
		                        	
5.Identification and expression pattern analysis of a Moso Bamboo LTR retrotransposon.
Feixiang PAN ; Dingqin TANG ; Mingbing ZHOU
Chinese Journal of Biotechnology 2019;35(3):445-457
		                        		
		                        			
		                        			To develop more active LTR retrotransposons in Phyllostachys edulis, a Ph. edulis LTR retrotransposon (Ph-LTR2) was identified, and the expression pattern of the transposon under stress was systematically analyzed. Ph-LTR2 transposon is 6 030 bp in length and belongs to the Reina subfamily in the Ty3-Gypsy family. With the similarity of 96.41% of both LTR sequences, the Ph-LTR2 transposon inserted the moso bamboo genome about 61.92 thousand years ago. There are 5 copies identified in the genome. The Ph-LTR2 transposon domain includes GAG (gag protein) protein domain, PR (Proteases) protein domain, RT (Reverse transcriptase) protein domain, RH (Ribonuclease H) protein domain, INT (Integrase) protein domain and CHR (Chromatin organization modifier) protein domain. The expression patterns of INT, RT and RH were detected by real-time quantitative PCR. The three domains were found to have specific expression patterns at different tissues of the bamboo. Under the conditions of low/high temperature, methylation inhibitors treatments, irradiation and high salt stress, transcription levels of the three domains of the Ph-LTR2 transposon increased with different degrees. Specifically, after treatment with low/high temperature and methylation inhibitors, the transcription level was up-regulated; after low dose radiation treatment and low concentration of salt solution treatment, the transcription level was also increased, but the expression level decreased with increasing dose of radiation and concentration of salt solution. These results indicate that the expression pattern of the Ph-LTR2 transposon responds to the changes of the external environment, but the exact mechanism is not yet known. The results of this study laid a certain theoretical foundation for the development of the genetic tool based on Ph-LTR2 transposons.
		                        		
		                        		
		                        		
		                        			Genome
		                        			;
		                        		
		                        			Phylogeny
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Retroelements
		                        			
		                        		
		                        	
6.Recent changing pattern of aeroallergen sensitization in children with allergic diseases: A single center study
Su Jin LEE ; Jung Min KIM ; Hyo Bin KIM
Allergy, Asthma & Respiratory Disease 2019;7(4):186-191
		                        		
		                        			
		                        			PURPOSE: Allergic diseases have been increasing worldwide over the past few decades. Allergic sensitization is a pivotal risk factor for the development of allergic diseases. The purpose of this study was to examine changes in allergic sensitization patterns of aeroallergens over the last 10 years in children with respiratory allergic diseases. METHODS: We retrospectively reviewed the medical records of 12,848 children under the age of 18 years who received skin prick tests (n=3,852) or serum specific IgE tests (n=8,996) to evaluate sensitization from 2007 to 2016 in a single center, Seoul, Korea. RESULTS: Sensitization rate to house dust mite (Dermatophagoides farinae and Dermatophagoides pteronyssinus) reached a plateau in preschool (28.3%–32.8%) and schoolchildren (45.8%–47.2%). Sensitization rate to animal dander (cat and dog) was increasing from 8.4% to 12.5% in preschool children and from 10.3% to 18.6% in schoolchildren (trend P<0.001 each). In preschool children, tree (birch, oak, and alder; from 3.5% to 6.4%), grass (timothy; from 0.8% to 6.5%), weed (ragweed and mugwort; from 2.8% to 6.9%) pollens and mold (Alternaria; from 2.5% to 6.0%) were also in similar increasing pattern (trend P=0.001, P<0.001, P=0.003, and P<0.001, respectively). Additionally, tree (from 9.0% to 15.2%), grass (from 2.6% to 5.2%) pollens were also in increasing pattern in schoolchildren (trend P<0.001 and P=0.024, respectively). CONCLUSION: Over the past 10 years, sensitization patterns of aeroallergen have been changing in Korean children with allergic diseases. We should pay attention to the changing patterns of allergic sensitization to educate and prevent the allergic disease.
		                        		
		                        		
		                        		
		                        			Alnus
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Artemisia
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Child, Preschool
		                        			;
		                        		
		                        			Dander
		                        			;
		                        		
		                        			Fungi
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Immunoglobulin E
		                        			;
		                        		
		                        			Korea
		                        			;
		                        		
		                        			Medical Records
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Pollen
		                        			;
		                        		
		                        			Pyroglyphidae
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Risk Factors
		                        			;
		                        		
		                        			Seoul
		                        			;
		                        		
		                        			Skin
		                        			;
		                        		
		                        			Trees
		                        			
		                        		
		                        	
7.Four Year Surveillance of the Vector Hard Ticks for SFTS, Ganghwa-do, Republic of Korea
Myung Deok KIM-JEON ; Seung JEGAL ; Hojong JUN ; Haneul JUNG ; Seo Hye PARK ; Seong Kyu AHN ; Jinyoung LEE ; Young Woo GONG ; Kwangsig JOO ; Mun Ju KWON ; Jong Yul ROH ; Wook Gyo LEE ; Young Yil BAHK ; Tong Soo KIM
The Korean Journal of Parasitology 2019;57(6):691-698
		                        		
		                        			
		                        			The seasonal abundance of hard ticks that transmit severe fever with thrombocytopenia syndrome virus was monitored with a collection trap method every April to November during 2015–2018 and with a flagging method every July and August during 2015–2018 in Ganghwa-do (island) of Incheon Metropolitan City, Republic of Korea. This monitoring was performed in a copse, a short grass field, coniferous forest and broad-leaved forest. A total of 17,457 ticks (8,277 larvae, 4,137 nymphs, 3,389 females, and 1,654 males) of the ixodid ticks comprising 3 species (Haemaphysalis longicornis, H. flava, and Ixodes nipponensis) were collected with collection traps. Of the identified ticks, H. longicornis was the most frequently collected ticks (except larval ticks) (94.26%, 8,653/9,180 ticks (nymphs and adults)), followed by H. flava (5.71%, 524/9,180) and Ix. nipponensis (less than 0.04%, 3/9,180). The ticks collected with collecting traps were pooled and assayed for the presence of SFTS virus with negative results. In addition, for monitoring the prevalence of hard ticks, a total of 7,461 ticks (5,529 larvae, 1,272 nymphs, 469 females, and 191 males) of the ixodid ticks comprising 3 species (H. longicornis, H. flava, and Ix. nipponensis) were collected with flagging method. H. longicornis was the highest collected ticks (except larval ticks) (99.53%, 1,908/1,917 ticks (nymphs and adults)), followed by H. flava (1.15%, 22/1,917).
		                        		
		                        		
		                        		
		                        			Climate Change
		                        			;
		                        		
		                        			Coniferophyta
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Fever
		                        			;
		                        		
		                        			Forests
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Incheon
		                        			;
		                        		
		                        			Ixodes
		                        			;
		                        		
		                        			Ixodidae
		                        			;
		                        		
		                        			Larva
		                        			;
		                        		
		                        			Methods
		                        			;
		                        		
		                        			Nymph
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Republic of Korea
		                        			;
		                        		
		                        			Seasons
		                        			;
		                        		
		                        			Thrombocytopenia
		                        			;
		                        		
		                        			Ticks
		                        			
		                        		
		                        	
8.Molecular and cytogenetic identification of Triticum aestivum-Leymus racemosus translocation line T6DL·7LrS.
Chinese Journal of Biotechnology 2018;34(11):1823-1830
		                        		
		                        			
		                        			Leymus racemosus had a high resistant capacity to wheat scab (Fusarum head blight). The transfer of scab resistant gene from L. racemosus to Triticum aestivum is of great significance for broadening the germplasm of wheat resistance. To obtain Triticum aestivum-Leymus racemosus translocation line with scab resistance, we irradiated the pollen of T. aestivum-L. racemosus disomic addition line DA7Lr by ⁶⁰Co-γ-rays 1 200 R (100 R/min) prior to pollinating to emasculation T. aestivum cv. Chinese Spring. One plant with one translocation chromosome was detected in the M1 by GISH. The plant with one translocation chromosome was self-pollinated, and at meiotic metaphase I its progenies with two translocation chromosomes were analyzed for chromosome pairing behavior in their pollen mother cells (PMCs). One rod bivalent was observed at meiotic metaphase I, indicating that the plant with two translocation chromosomes was one translocation homozygote. Sequential GISH-FISH analysis, using Oligo-pAs1-2 and Oligo-pSc119.2-2 as probe, translocation line was confirmed as T6DL·7LrS. The translocation line had higher resistance to wheat scab and feasibility to be used as a new source in wheat breeding resistant to scab disease.
		                        		
		                        		
		                        		
		                        			Chromosomes, Plant
		                        			;
		                        		
		                        			Disease Resistance
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			In Situ Hybridization, Fluorescence
		                        			;
		                        		
		                        			Plant Breeding
		                        			;
		                        		
		                        			Plant Diseases
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			genetics
		                        			;
		                        		
		                        			Pollen
		                        			;
		                        		
		                        			Translocation, Genetic
		                        			;
		                        		
		                        			Triticum
		                        			;
		                        		
		                        			genetics
		                        			
		                        		
		                        	
9.Relation of allergic rhinitis, allergen sensitization, and air pollutants in preschool children.
Yoo Jin KIM ; Shin Ae YOON ; Sung Il WOO
Allergy, Asthma & Respiratory Disease 2018;6(4):197-205
		                        		
		                        			
		                        			PURPOSE: We aimed to investigate the prevalence and allergen sensitization of allergic rhinitis (AR) in preschool children. We assessed the relationship of AR, allergen sensitization, and air pollutants. METHODS: Between 2012 and 2016 in Jincheon, skin prick testing and questionnaire survey were performed on 2,958 children. AR have diagnosed on the basis of current symptoms and sign of AR on the Korean International Study of Asthma and Allergies in Childhood questionnaire and 1 or more proven allergen sensitization. RESULTS: A total of 2,052 children completed survey and skin prick testing, and were included in the analysis. The prevalence of AR symptom within last 12 months and AR were 27.0% and 10.9%, respectively. During study, both prevalences were increased from 20.1% and 8.6%, respectively in 2012 to 29.1% and 12.8%, respectively in 2016. The total inhalant allergen sensitization rate was 32.6%. The most common inhalant allergen was Dermatophagoides farinae (23.1%), followed by Dermatophagoides pteronyssinus (22.5%), tree pollens (5.3%), weed pollens (5.2%), fungi (4.7%), dog hair (4.5%) cat fur (3.6%), grass pollens (1.1%), and cockroach (0.8%). Although there was no difference tree or weed pollen sensitization, pollen seasonal prevalence of current AR symptoms is highest in spring (80%) versus autumn (52.3%). Seasonal PM10 (particulate matter with a median aerodynamic diameter less than or equal to 10 µm in diameter) and SO2 (sulfur dioxide) levels were correlated with the prevalence of seasonal AR symptoms. Pollen seasonal current AR symptoms were significantly related to seasonal pollen sensitization, but not inhalant allergens including dust mites. CONCLUSION: There was a rapid increasing prevalence of AR in preschool children in the areas of urbanization and industrialization. Pollen seasonal current AR symptoms have a close relationship with PM10 and seasonal pollen sensitization.
		                        		
		                        		
		                        		
		                        			Air Pollutants*
		                        			;
		                        		
		                        			Allergens
		                        			;
		                        		
		                        			Animals
		                        			;
		                        		
		                        			Asthma
		                        			;
		                        		
		                        			Cats
		                        			;
		                        		
		                        			Child
		                        			;
		                        		
		                        			Child, Preschool*
		                        			;
		                        		
		                        			Cockroaches
		                        			;
		                        		
		                        			Dermatophagoides farinae
		                        			;
		                        		
		                        			Dermatophagoides pteronyssinus
		                        			;
		                        		
		                        			Dogs
		                        			;
		                        		
		                        			Dust
		                        			;
		                        		
		                        			Fungi
		                        			;
		                        		
		                        			Hair
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypersensitivity
		                        			;
		                        		
		                        			Mites
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Pollen
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Rhinitis, Allergic*
		                        			;
		                        		
		                        			Seasons
		                        			;
		                        		
		                        			Skin
		                        			;
		                        		
		                        			Trees
		                        			;
		                        		
		                        			Urbanization
		                        			
		                        		
		                        	
10.Oral Allergy Syndrome in Birch Pollen-Sensitized Patients from a Korean University Hospital.
Jung Hyun KIM ; Sae Hoon KIM ; Heung Woo PARK ; Sang Heon CHO ; Yoon Seok CHANG
Journal of Korean Medical Science 2018;33(33):e218-
		                        		
		                        			
		                        			BACKGROUND: Oral allergy syndrome (OAS) is a type of allergic reaction that mainly occurs on oral contact with raw fruit, vegetables, or nuts. The most common type of OAS is birch pollen-related food allergy. Although OAS is a common food allergy in adults, only few epidemiologic studies have been reported in Korea. Here we investigate the prevalence and triggers of birch pollen-related food allergy. METHODS: We conducted a retrospective chart review of 1,427 patients who underwent a skin prick test for inhalant allergens at the Asthma and Allergy Clinic in Seoul National University Bundang Hospital from January 2011 to December 2016. RESULTS: Of 1,427 patients, 125 (8.7%) were sensitized to birch pollen. Among them, 20.0% developed OAS, which was the most common food allergy (96.2%). The prevalence of OAS was higher in females, and was 18.2% in birch pollen-sensitized allergic rhinoconjunctivitis patients. Further, 72.0% OAS patients had rhinoconjunctivitis, 20.0% had asthma, and 12.0% had chronic urticaria. Apple (68.0%), peach (56.0%), nuts (36.0%), kiwi (20.0%), persimmon (20.0%), plum (16.0%), and cherry (16.0%) were frequent triggers; however, Chinese yam, kudzu vine, bellflower root, codonopsis, and ginseng were also revealed as triggers. Patients (60.0%) showed OAS with ≥ 3 foods at the same time. Only 3 patients showed mono-sensitivity to birch pollen, while others were multi-sensitized to trees, grasses, weed, or house dust mite allergens. CONCLUSION: OAS was the most common food allergy in birch pollen-sensitized patients. This study revealed the unique triggers of OAS in Korea in addition to well-known triggers.
		                        		
		                        		
		                        		
		                        			Adult
		                        			;
		                        		
		                        			Allergens
		                        			;
		                        		
		                        			Asthma
		                        			;
		                        		
		                        			Betula*
		                        			;
		                        		
		                        			Codonopsis
		                        			;
		                        		
		                        			Dioscorea
		                        			;
		                        		
		                        			Diospyros
		                        			;
		                        		
		                        			Epidemiologic Studies
		                        			;
		                        		
		                        			Female
		                        			;
		                        		
		                        			Food Hypersensitivity
		                        			;
		                        		
		                        			Fruit
		                        			;
		                        		
		                        			Humans
		                        			;
		                        		
		                        			Hypersensitivity*
		                        			;
		                        		
		                        			Korea
		                        			;
		                        		
		                        			Nuts
		                        			;
		                        		
		                        			Panax
		                        			;
		                        		
		                        			Poaceae
		                        			;
		                        		
		                        			Pollen
		                        			;
		                        		
		                        			Prevalence
		                        			;
		                        		
		                        			Prunus domestica
		                        			;
		                        		
		                        			Prunus persica
		                        			;
		                        		
		                        			Pueraria
		                        			;
		                        		
		                        			Pyroglyphidae
		                        			;
		                        		
		                        			Retrospective Studies
		                        			;
		                        		
		                        			Seoul
		                        			;
		                        		
		                        			Skin
		                        			;
		                        		
		                        			Trees
		                        			;
		                        		
		                        			Urticaria
		                        			;
		                        		
		                        			Vegetables
		                        			
		                        		
		                        	
            
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