“…Residual IgE reactivity is most likely due to other tomato allergens, such as Lyc e 2 (b-fructofuranosidase), Lyc e 3 (nonspecific lipid transfer protein [LTP]), polygalacturonase, pectinesterase, chitinase, superoxide dismutase, pathogenesis-related protein 10, and thus far unknown allergens. [5][6][7][8][9][10] In patients with tomato allergy and multiple sensitizations to other food sources and pollen, IgE directed to Lyc e 1 showed a strong cross-reactivity with profilin from birch pollen, Bet v 2, and a weaker but significant cross-reactivity with profilins from celery, carrot, cherry, and pineapple. 3 IgE directed against tomato profilin can be responsible for cross-reactivity between unrelated plant sources, but IgE epitope differences within the profilin family exist.…”