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[低敏大米(AFT-R 1)的效用及盐不溶性大米过敏原分子分析]

[Usefulness of hypoallergenic rice (AFT-R 1) and analysis of the salt insoluble rice allergen molecule].

作者信息

Ikezawa Z, Tsubaki K, Osuna H, Shimada T, Moteki K, Sugiyama H, Katumata K, Anzai H, Amano S

机构信息

Department of Dermatology, Urafune Hospital, Yokohama City University School of Medicine.

出版信息

Arerugi. 1999 Jan;48(1):40-9.

Abstract

An involvement of rice allergy in development and exacerbation of recalcitrant atopic dermatitis (AD) has been suggested in some cases, and it has been also known that elimination diet of rice results in improvement of AD and reduction of the doses of steroid ointment and anti-allergic drugs used for the treatment. We prepared the hypoallergenic rice grain, AFT-R 1 (Allergen-free Technology Lab. Inc.-Rice 1), with alkali treatment from the rice material, Koshihikari, which is popular in Japan. Its usefulness was evaluated clinically and serologically. The serological study with IgE-ELISA showed that the major allergic protein were remarkably reduced to less than 1/6400 of them in the AFT-R 1. Then it was applied to the clinical trial, and evaluated as useful by the clinical effect in 14 (93%) out of 15 patients, who were diagnosed to have rice allergy by the elimination (in 15 case) and ingestion (in 12 cases) of the regular rice. The serum taken from the patient, whom the AFT-R 1 was evaluated as unuseful in the clinical trial, was shown to have IgE antibodies reactive to the remaining protein in AFT-R 1 by IgE-ELISA, and the 60 kd protein band was detected as an IgE-binding component of AFT-R 1 by IgE-immunoblotting with the same serum. This 60 kd rice protein was identified as ADP (UDP)-glucose-starch glycosyl transferase (EC: 2.4.1.21) by N-terminal amino acid analysis. These results indicated that AFT-R 1 is very useful as a substitute of rice in many AD patients with rice allergy, although IgE-binding component such as the 60 kd protein is remaining in one.

摘要

在某些病例中,已有人提出大米过敏参与了顽固性特应性皮炎(AD)的发生和加重过程,并且也已知大米排除饮食可使AD病情改善,同时减少用于治疗的类固醇软膏和抗过敏药物的剂量。我们用日本流行的水稻品种越光米为原料,通过碱处理制备了低敏性米粒AFT-R 1(无过敏原技术实验室-水稻1号)。对其有效性进行了临床和血清学评估。IgE-ELISA血清学研究表明,AFT-R 1中主要的过敏蛋白显著减少至不到原来的1/6400。然后将其应用于临床试验,15例经排除(15例)和摄入(12例)普通大米诊断为大米过敏的患者中,有14例(93%)的临床效果显示AFT-R 1是有用的。在临床试验中被评估为无效的患者血清,通过IgE-ELISA显示对 AFT-R 1中剩余蛋白有反应性的IgE抗体,并且用同一血清进行IgE免疫印迹检测到60 kd蛋白条带是AFT-R 1的IgE结合成分。通过N端氨基酸分析将这种60 kd大米蛋白鉴定为ADP(UDP)-葡萄糖-淀粉糖基转移酶(EC:2.4.1.21)。这些结果表明,AFT-R 1作为许多大米过敏AD患者大米的替代品非常有用,尽管其中仍存在如60 kd蛋白这样的IgE结合成分。

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