{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T13:13:36Z","timestamp":1793279616744,"version":"4.5.0"},"reference-count":242,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011824","name":"European Academy of Allergy and Clinical Immunology","doi-asserted-by":"publisher","award":["40605"],"award-info":[{"award-number":["40605"]}],"id":[{"id":"10.13039\/501100011824","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Allergy"],"abstract":"ABSTRACT<\/jats:title>\n \n Among bacteria that are associated with the development and\/or exacerbation of allergic\/atopic diseases, several have been described to produce IgE\u2010binding components. However, only one bacterial protein, Bac s 1, is currently listed in the official database of the World Health Organization\/International Union of Immunological Societies (WHO\/IUIS) Allergen Nomenclature Sub\u2010Committee. The aim of this position paper was to identify potential bacterial allergens and their reported clinical relevance in the published literature and consider candidates for the Allergen Nomenclature database. PubMed and the WHO\/IUIS Allergen Nomenclature database were searched up to October 2025. Consensus was obtained during task force meetings and by a written commentary process. Sixty\u2010six IgE\u2010binding components in 20 different species of bacteria were found, most associated with clinical symptoms. Allergen candidates include staphylococcal superantigens, bacterial enzymes, and components from two\n Chlamydia<\/jats:italic>\n species, some of which are potential marker allergens for disease severity. The results point to long\u2010neglected evidence of \u201cbacterial allergy\u201d that in certain cases may be induced by unconventional mechanisms. Diseases that are currently considered non\u2010allergic might be re\u2010classified as allergic if these IgE\u2010binding components are recognized as allergens and used for diagnosis in the future.\n <\/jats:p>","DOI":"10.1111\/all.70510","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T12:16:54Z","timestamp":1789733814000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["IgE<\/scp>\n \u2010Binding Bacterial Components Not Yet Documented in the Allergen Databases and Their Allergenic Mechanisms: An\n EAACI<\/scp>\n Position Paper"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5602-3672","authenticated-orcid":false,"given":"Uta","family":"Jappe","sequence":"first","affiliation":[{"name":"Division of Clinical and Molecular Allergology, Priority Research Area Chronic Lung Diseases Research Center Borstel, Leibniz Lung Center Borstel 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Diagnostic, and Pediatric Sciences University of Pavia Pavia Italy"},{"name":"Pediatric Clinic Fondazione IRCCS Policlinico San Matteo Pavia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4886-417X","authenticated-orcid":false,"given":"Gabriele","family":"Gadermaier","sequence":"additional","affiliation":[{"name":"Department of Biosciences and Medical Biology Paris Lodron University of Salzburg Salzburg Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8243-2285","authenticated-orcid":false,"given":"Richard E.","family":"Goodman","sequence":"additional","affiliation":[{"name":"Department of Food Science and Technology FARRP University of Nebraska\u2010Lincoln Lincoln Nebraska 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Odense University Hospital, University of Southern Denmark Odense Denmark"},{"name":"Department of Dermatology and Allergy University Medical Center UZ Brussels, Vrije Universiteit Brussel (VUB) Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1263-329X","authenticated-orcid":false,"given":"Thomas A.","family":"Platts\u2010Mills","sequence":"additional","affiliation":[{"name":"Division of Allergy and Clinical Immunology, Department of Medicine University of Virginia School of Medicine Charlottesville Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6315-120X","authenticated-orcid":false,"given":"Monika","family":"Raulf","sequence":"additional","affiliation":[{"name":"Department of Allergology\/Immunology Institute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr\u2010University Bochum (IPA) Bochum 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