Widening sensitization spectrum through carbohydrate panepitopes--a hypothesis.

Cross-reactive carbohydrate determinants (CCD) differ from classical peptide epitopes because their cross-reactivity is not restricted to a protein family or domain. They can be considered as panepitopes. Antigen presenting cells (APC) express membrane receptors for IgE. APC-bound IgE are able to widen the patient's sensitization spectrum through cross-binding of allergens belonging to the same protein family or domain. In the case of carbohydrate panepitopes the same mechanism could induce a much larger array of new sensitizations than peptide epitopes can do.