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芹菜和西葫芦中的过敏原。

Allergens in celery and zucchini.

作者信息

Vieths Stefan, Lüttkopf D, Reindl J, Anliker M D, Wüthrich B, Ballmer-Weber B K

机构信息

Department of Allergology, Paul-Ehrlich-Institut, Paul-Ehrlich-Strasse 51-59, D-63225 Langen, Germany.

出版信息

Allergy. 2002;57 Suppl 72:100-5. doi: 10.1034/j.1398-9995.57.s72.20.x.

Abstract

The aim of this study was to confirm allergy to celery tuber and to zucchini, for the first time, by DBPCFC, and to identify the allergens recognized by IgE from DBPCFC-positive patients. Therefore, raw vegetables were hidden in a broccoli drink, and a DBPCFC-procedure was developed that consisted of a spit and swallow protocol, making sure that the procedure was safe for the patients and that reactions strictly localized to the oral cavity as well as systemic reactions could be reproduced by DBPCFC. The allergens in celery and zucchini extract were identified by immunoblot inhibition using allergen extracts, recombinant allergens and purified N-glycans as inhibitors. Celery allergy was confirmed in 69% (22/32) of subjects with a positive case history. Four subjects with a history of allergic reactions to zucchini had a positive DBPCFC to this vegetable. During DBPCFC, systemic reactions were provoked in 50% (11/22) of the patients to celery, and in 3/4 of the zucchini-allergic patients. The Bet v 1-related major celery allergen was detected by IgE of 59% (13/22) of the patients. Cross-reactive carbohydrate epitopes (CCD) bound IgE of 55% (12/22) of the celery-allergic patients and in 2/4 of the subjects with zucchini allergy. Profilin was a food allergen in celery in 23% (5/22) and in zucchini in 2/4 of the cases. A zucchini-specific allergen was detected by IgE from one patient. We conclude that ubiquitous cross-reactive structures are important in allergy to both, celery and zucchini, and that a specific association to birch pollen allergy exists in allergy to celery (mediated by Api g 1), but not in zucchini allergy.

摘要

本研究的目的是首次通过双盲安慰剂对照食物激发试验(DBPCFC)确认对芹菜块茎和西葫芦的过敏反应,并鉴定DBPCFC阳性患者中被IgE识别的过敏原。因此,将生蔬菜隐藏在西兰花饮料中,并制定了一种DBPCFC程序,该程序包括吐服方案,确保该程序对患者安全,并且DBPCFC能够重现严格局限于口腔的反应以及全身反应。使用过敏原提取物、重组过敏原和纯化的N-聚糖作为抑制剂,通过免疫印迹抑制法鉴定芹菜和西葫芦提取物中的过敏原。69%(22/32)有阳性病史的受试者被确诊为芹菜过敏。4名有西葫芦过敏反应病史的受试者对这种蔬菜的DBPCFC呈阳性。在DBPCFC期间,50%(11/22)的患者对芹菜引发了全身反应,3/4的西葫芦过敏患者也出现了全身反应。59%(13/22)的患者的IgE检测到与Bet v 1相关的主要芹菜过敏原。55%(12/22)的芹菜过敏患者和2/4的西葫芦过敏受试者的IgE结合了交叉反应性碳水化合物表位(CCD)。在23%(5/22)的病例中,肌动蛋白结合蛋白是芹菜中的食物过敏原,在2/4的病例中是西葫芦中的食物过敏原。一名患者的IgE检测到一种西葫芦特异性过敏原。我们得出结论,普遍存在的交叉反应结构在芹菜和西葫芦过敏中都很重要,并且芹菜过敏(由Api g 1介导)与桦树花粉过敏存在特定关联,但西葫芦过敏中不存在这种关联。

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