Ayuso R, Lehrer S B, Lopez M, Reese G, Ibañez M D, Esteban M M, Ownby D R, Schwartz H
Section of Allergy and Clinical Immunology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Allergy. 2000 Apr;55(4):348-54. doi: 10.1034/j.1398-9995.2000.00285.x.
Although beef is a main source of protein in Western diets, very little has been published on allergic reactions to beef or the main allergens implicated in these reactions. The aim was to evaluate the IgE antibody response to beef in suspected meat-allergic subjects and assess cross-reactivity of beef with other vertebrate meats.
Fifty-seven sera from suspected meat-allergic subjects were tested by grid blot for specific IgE antibodies to vertebrate meats (beef, lamb, pork, venison, and chicken), and the patterns of recognition of meat proteins were assessed by immunoblot studies.
A 160-kDa band, identified as bovine IgG, was detected in raw beef in 83% (10/12) of beef-allergic subjects but in only 24% of the beef-tolerant subjects. IgE reactivity to a band of similar mol. mass was detected also in lamb and venison, but rarely in pork or chicken. Complete inhibition of the IgE reactivity to the bovine IgG was obtained with lamb, venison, and milk. IgE reactivity to this band also completely disappeared when beef or lamb extracts were separated under reducing conditions, indicating conformational epitopes.
Bovine IgG appears to be a major cross-reacting meat allergen that could predict beef allergy. Further studies with oral IgG challenges should be performed to document the conclusion that in vitro reactivity correlates with clinical hypersensitivity. The role of bovine IgG in other bovine products such as milk, dander, or hair must also be studied, and the hypothesis that it is a cross-reacting allergen with other mammalian products validated.
尽管牛肉是西方饮食中蛋白质的主要来源,但关于牛肉过敏反应或引发这些反应的主要过敏原的研究报道极少。本研究旨在评估疑似肉类过敏患者对牛肉的IgE抗体反应,并评估牛肉与其他脊椎动物肉类的交叉反应性。
采用点阵印迹法检测57份疑似肉类过敏患者血清中针对脊椎动物肉类(牛肉、羊肉、猪肉、鹿肉和鸡肉)的特异性IgE抗体,并通过免疫印迹研究评估肉类蛋白的识别模式。
在牛肉过敏患者中,83%(12例中的10例)的生牛肉中检测到一条160 kDa的条带,鉴定为牛IgG,而在牛肉耐受患者中仅24%检测到该条带。在羊肉和鹿肉中也检测到对类似分子量条带的IgE反应性,但在猪肉或鸡肉中很少见。用羊肉、鹿肉和牛奶可完全抑制对牛IgG的IgE反应性。当牛肉或羊肉提取物在还原条件下分离时,对该条带的IgE反应性也完全消失,表明存在构象表位。
牛IgG似乎是一种主要的交叉反应性肉类过敏原,可预测牛肉过敏。应进一步进行口服IgG激发试验研究,以证实体外反应性与临床超敏反应相关的结论。还必须研究牛IgG在其他牛产品(如牛奶、皮屑或毛发)中的作用,并验证其作为与其他哺乳动物产品交叉反应性过敏原的假说。