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评估人乳中牛蛋白的存在是否为母乳喂养儿童过敏症状的可能原因。

Evaluation of the presence of bovine proteins in human milk as a possible cause of allergic symptoms in breast-fed children.

作者信息

Restani P, Gaiaschi A, Plebani A, Beretta B, Velonà T, Cavagni G, Poiesi C, Ugazio A G, Galli C L

机构信息

Laboratory of Toxicology, Institute of Pharmacological Sciences, University of Milan, Milano, Italy.

出版信息

Ann Allergy Asthma Immunol. 2000 Mar;84(3):353-60. doi: 10.1016/S1081-1206(10)62786-X.

Abstract

BACKGROUND

It is generally believed that the elimination of certain foods from the diet of mothers during the lactation period produces a significant improvement in breast-fed children who develop allergic symptoms. Several studies have shown the presence of food proteins in human milk; on the other hand, no study has been able to correlate unequivocally the presence of these allergens in human milk with newborn sensitization.

OBJECTIVE

The aim of this study was to evaluate the presence of bovine proteins in breast milk.

METHODS

Milk samples were separated by sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE). To detect bovine proteins in human milk, immunoblotting was performed by using monoclonal antibodies (MA) specific for beta-lactoglobulin and bovine caseins.

RESULTS

The results of this study do not confirm the presence of bovine proteins in breast milk suggested by other authors and shows unequivocally that the conflicting results reported in the literature about the presence of betalactoglobulin in human milk are due to cross-reactivity between bovine milk proteins and human proteins.

CONCLUSIONS

Components other than bovine betalactoglobulin or caseins could be involved in the induction of allergic symptoms in exclusively breast-fed children.

摘要

背景

人们普遍认为,哺乳期母亲饮食中去除某些食物能使出现过敏症状的母乳喂养儿童状况显著改善。多项研究表明人乳中存在食物蛋白;另一方面,尚无研究能够明确将人乳中这些过敏原的存在与新生儿致敏联系起来。

目的

本研究旨在评估母乳中牛蛋白的存在情况。

方法

通过十二烷基硫酸钠聚丙烯酰胺凝胶电泳(SDS-PAGE)分离乳汁样本。为检测人乳中的牛蛋白,使用针对β-乳球蛋白和牛酪蛋白的单克隆抗体(MA)进行免疫印迹分析。

结果

本研究结果未证实其他作者所提出的母乳中存在牛蛋白这一观点,明确表明文献中关于人乳中β-乳球蛋白存在情况的相互矛盾的结果是由于牛乳蛋白与人蛋白之间的交叉反应所致。

结论

除牛β-乳球蛋白或酪蛋白之外的其他成分可能与纯母乳喂养儿童过敏症状的诱发有关。

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