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IgE binding to pepsin-digested food extracts.

Jaap H Akkerdaas1, Marjolein Wensing, Riccardo Asero

  • 1Sanquin Research, Department of Immunopathology and Laboratory for Experimental and Clinical Immunology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

International Archives of Allergy and Immunology
|October 6, 2005
PubMed
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Pepsin-digested food extracts can identify patients with IgE antibodies to stable, potentially severe allergens. This method improves the clinical value of food allergy serology, especially when specific allergens are unknown.

Area of Science:

  • Food allergy diagnostics
  • Immunology
  • Allergen stability

Background:

  • Allergen pepsin resistance, such as for lipid transfer protein and 2S albumin, is linked to severe food allergy symptoms.
  • Component-resolved diagnosis using purified allergens is proposed for risk assessment but purified allergens are often unavailable.
  • This study addresses the need for diagnostic tools when purified allergens are lacking.

Purpose of the Study:

  • To evaluate pepsin-digested whole-food extracts for distinguishing IgE responses to stable versus labile allergens.
  • To assess the utility of this method in identifying sensitization to potentially severe allergens.
  • To enhance the clinical prognostic value of food allergy serology.

Main Methods:

  • Sera from 143 patients with hazelnut/apple allergy symptoms were analyzed.

Related Experiment Videos

  • Radioallergosorbent test and immunoblot analysis were performed using control and pepsin-digested hazelnut/apple extracts.
  • IgE binding to pepsin-resistant and pepsin-susceptible allergens was assessed.
  • Main Results:

    • Pepsin digestion effectively differentiated sensitization to pepsin-resistant from pepsin-susceptible allergens.
    • IgE reactivity to digested extracts correlated with sensitization to stable lipid transfer protein allergens.
    • A small number of false-positive results (2/143) were observed due to soluble pepsin.

    Conclusions:

    • Pepsin-digested food extracts are a practical tool for identifying IgE antibodies against dangerous stable allergens.
    • This approach is particularly valuable for foods lacking identified stable allergens.
    • The method enhances the clinical prognostic value of food allergy serology.