D'Auria Enza, Agostoni Carlo, Giovannini Marcello, Riva Enrica, Zetterström Rolf, Fortin Riccardo, Greppi Gian Franco, Bonizzi Luigi, Roncada Paola
Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
Acta Paediatr. 2005 Dec;94(12):1708-13. doi: 10.1111/j.1651-2227.2005.tb01842.x.
As milk represents the main source of nutrition for infants, the question of an effective human milk substitute becomes mandatory when a formula-fed baby is allergic to cows' milk proteins. In this case, formulas containing extensively hydrolysed milk proteins should be preferred, but even such a formula may cause allergic reactions in highly sensitive patients. If there is evidence of cows' milk allergy with IgE-associated symptoms, after 6 mo of age, a soy bean formula may be recommended only when tolerance to soy protein has been established by clinical challenge. In infants with allergic reactions to cows' milk proteins, even after extensive hydrolyzation, proteomic techniques coupled to immunological methods may make it possible to select other milk products that do not contain the same allergens as ordinary cow's milk. In this paper, evidence will be presented that proteomic evaluation of proteins from different mammalian species may be a suitable method of testing whether proteins from the milk of different mammalian species may be used as a substitute for untreated bovine milk.
Proteomic evaluation of milk from different mammalian species may not only be of help when recommending suitable feeding in cases of cows' milk allergy but also gives new insight into the background to allergic reactions caused by milk proteins.
由于母乳是婴儿的主要营养来源,当配方奶喂养的婴儿对牛奶蛋白过敏时,有效的母乳替代品问题就变得至关重要。在这种情况下,应优先选择含有深度水解乳蛋白的配方奶,但即使是这样的配方奶也可能在高敏患者中引起过敏反应。如果有证据表明牛奶过敏伴有IgE相关症状,在6个月龄后,仅当通过临床激发试验确定对大豆蛋白耐受时,才可能推荐使用大豆配方奶。在对牛奶蛋白过敏的婴儿中,即使经过深度水解,蛋白质组学技术与免疫学方法相结合,也可能有助于选择不含与普通牛奶相同过敏原的其他奶制品。在本文中,将提供证据表明,对来自不同哺乳动物物种的蛋白质进行蛋白质组学评估,可能是一种测试不同哺乳动物乳汁中的蛋白质是否可替代未处理牛乳的合适方法。
对不同哺乳动物乳汁进行蛋白质组学评估,不仅有助于在牛奶过敏病例中推荐合适的喂养方式,还能为牛奶蛋白引起的过敏反应背景提供新的见解。