Type:
Whole Allergen
Whole Allergen
Whole Allergen
American beech Pollen
Inhalation
Fagaceae
Fagus grandifolia
Fagus grandifolia
Carolina beech, gray beech, red beech, ridge beech, white beech
American beech (Fagus grandifolia), a native tree from North America, is a member of the Fagaceae family. It is a slow-growing, shade-tolerant, deciduous tree with a pollination period ranging between April to May in North America and Europe. This tree is prevalent in regions like Europe, Asia, and Africa. The wood of this tree is utilized for making floors, furniture, carton boxes, and handles. Beech pollen allergy often manifests respiratory symptoms like allergic rhinitis and asthma. Fag s 1 has been identified and listed by WHO/IUIS as a potential allergen from European beech (Fagus sylvatica), a species from the same genus. Studies have exhibited IgE cross-reactivity of beech pollen with birch, oak, and plane tree pollen.
American Beech (Fagus grandifolia) is a medium-sized tree, ranging up to 25 meters in height. It is a shade-tolerant, slow-growing tree with a life span of around 200 years. The tree possesses a broad crown with widely spreading roots. The bark of the tree is thin, smooth, and bluish-grey. The leaves are elliptical, finely serrated, 6 to 14 centimeters long in size, dark bluish-green on the upper surface, and lightly toned underneath. Male flowers are arranged in a spherical structure on hanging stalks, while female flowers are positioned at leaf axils in proximity to the shoot tip point. The pyramidal nuts are arranged in pairs in a spiky husk (outer shell). Beech flowering season starts from the middle of April until May in North America and Europe. The oil of the nuts is utilized for cooking and lighting purposes. Birds and mammals also consume the nuts from this tree. The beech tree wood is used for making flooring, furniture, handles, and carton boxes (1). Beech wood is predominantly utilized in railroad ties, timber, pulpwood, veneer, and charcoal production (2). Creosote made from beech wood is also used for medicinal purposes like disinfectant, laxative, and cough treatment (3).
American beech can tolerate a wide variety of climatic conditions (2). Beech thrives with an average yearly temperature ranging between 4°- 21°C for growth. It usually prefers regions with annual precipitation between 760 and 1270 mm. However, its spread can also be observed in areas below 760 mm of rainfall, such as Michigan (580 mm) and Canada (640 mm). Beech can be found at varied altitudes depending on the local soil and climatic conditions (4). It is also capable of sustaining in areas with low sunlight (1). Deep, moist, rich, well-drained, loamy textured soil with high humus content (2) and a pH of 4.1 to 6.0 (4) is preferable for the growth of beech trees.
American beech (F. grandifolia) belongs to the family Fagaceae and genus Fagus. This genus is composed of 10 species of beech, of which American Beech is the one that originated from North America. As per a study, European beech (F. sylvatica), which is native to Europe, is reported as another species belonging to this genus (1).
Taxonomic tree of American Beech (5) | |
---|---|
Domain | Eukaryota |
Kingdom | Plantae |
Phylum | Spermatophyta |
Subphylum | Angiospermae |
Class | Dicotyledonae |
Order | Fagales |
Family | Fagaceae |
Genus | Fagus |
Species | Fagus grandifolia |
Beech tree produces ellipsoidal shaped pollen grains of size 29 to 44 µm (major axis) and 29 to 39 µm (minor axis). Their surface is usually rough, grainy with verrulose-scabrate (wart-like) processes. The pollen grains are tricolporate (with three pores), however, two- pored or four-pored grain may occasionally be found. The grains have elliptical pores of a maximum length of 10 µm, split by a furrow and enclosed within a thick ring-like structure (1). No beech pollen allergens have been identified to date (6).
Inhaled allergen is considered one of the primary factors responsible for manifesting allergic respiratory diseases (7). Exposure to tree pollens such as beech may result in allergic rhinitis and sometimes asthma in sensitized individuals (8). Beech sensitivity has been reported mostly in countries like the US, Canada, Korea, and Turkey (7, 9-11).
An allergen sensitivity study was conducted in Istanbul on 2822 children (aged 2-18 years) diagnosed with allergic rhinitis. 1.6% (46/2822) of children reported positive allergy skin tests to beech allergen (10).
A study was performed on 371 allergic patients in New York City to analyze the correlation between the hypersensitivity pattern and tree pollen in the atmosphere. Hypersensitivity to beech pollen was reported in 29.6% of these patients. As per the radioallergosorbent test (RAST) results, oak, beech, and birch were reported to have a significant association. Thus, indicating similar cross-reactive epitopes between birch, oak, and beech pollens from the same order Fagles (11).
The Fagus genus contains ten different species of beech. Of them, the American beech (Fagus grandifolia) originates from North America. It is also found in the southern parts of the Ontario region to Nova Scotia, the Mississippi's western region to Texas, and the southern side to the Gulf coast (1). Beech and oak are some of the most common deciduous trees (shedding its leaves yearly) found widely in Europe, Africa, North America, and Asia (12).
As per a US-based study, beech (Fagus species) pollen was reported to contribute 0.92% of the annual tree pollen production in Washington in the year 2002 (9). In a Turkey study, beech (Fagus) pollen accounted for 2.08% of the annual total of weekly pollen count from arboreal plants (13).
The main route of exposure for airborne beech pollen is through inhalation (airway) (8).
After exposure of the patient’s skin to beech dust, contact dermatitis was observed in one case study (14).
Exposure to tree pollens such as beech may induce reactions like allergic rhinitis and asthma among allergic individuals. The symptoms of allergic rhinitis included sneezing, watery rhinorrhea, nasal congestion, and itchy tongue palate. These allergic rhinitis-mediated complications can further result in sleep deprivation, learning disability, diminished quality of life, and cognitive impairment in allergic patients (8).
A study was conducted in the US to know the prevalence of allergen sensitivity towards various aeroallergens in patients with allergic rhinitis. In this study, a skin prick test (SPT) was performed with 48 airborne allergens in 100 patients with allergic rhinitis. All (n = 100) patients showed positive SPT to single or multiple aeroallergens. Among these, a piece of graphical information represented positive SPT reactivity to beech tree and leaf antigen in around 16% - 17% of the patients (8).
A comparative aeroallergen study was conducted on 421 patients with asthma or allergic rhinitis in Busan, Korea. The results showed a 12.9% sensitization rate to beech pollen in children of age group ≤ 12 years and 12.7% in adults of age group 31-64 years (7).
In another study conducted on woodworkers from a furniture factory, the results revealed bronchial hyperresponsiveness and sore throat in the workers due to exposure to oak and beech wood dust (15).
Occupational contact allergy from beech wood has been reported in a non-atopic carpenter aged 49-years after exposure to beech wood dust. The patient presented acute oedematous dermatitis symptoms on his exposed skin parts like eyelids, neck, and upper chest area. The patients also tested positive for multiple patch tests for beech dust (14).
Avoidance
One of the main measures to be taken is to cut down the pollen amount in the respiratory system. During pollen season, allergic patients are suggested to stay indoors or wear a facemask outdoors to keep away the pollen allergens. In worsening conditions, patients may be advised to move to live in a non-pollen area (16).
No American beech allergens have been identified to date. One allergen Fag s 1, from European beech (Fagus sylvatica) species belonging to the same genus Fagus, has been identified and listed by the IUIS database (6). A study reported Fag s 1 showing 69% of sequence identity with Bet v 1, a major birch allergen (17).
Allergen | Biochemical Name | Molecular Weight (kDa) | Allergenicity |
---|---|---|---|
Fag s 1 | Pathogenesis-related protein, PR-10, Bet v 1 family member | 17 | 100% (16/16) beech allergic patients responded positive for IgE ELISA to the recombinant Fag s 1.0101) (6). |
Beech pollen allergen is reported to have structural similarity with Bet v 1 allergen and its homologs. Due to this similarity, IgE-reactivity to Bet v 1 is utilized for detecting sensitization to beech pollen among allergic patients. Thus, Bet v 1 is considered as the marker allergen and principal source for diagnosing sensitization to pollen from species of the beech family (18).
A high degree of cross-reactivity between species of the family Fagaceae has been demonstrated (19). Studies have shown IgE cross-reactivity between beech pollen with tree pollens from the same order Fagales such as birch (12) and oak (19).
Additionally, the study revealed a significant positive correlation between beech and plane tree pollen (p<0.01) (19). According to another study, beech and oak pollen allergy might be manifested by cross-sensitization to grass pollen allergens (12).
Author: Turacoz Healthcare Solutions
Reviewer: Dr. Fabio Iachetti
Last reviewed: December 2020