Division of Environmental Medicine, Norwegian Institute of Public Health, Oslo, Norway.
Scand J Immunol. 2012 Oct;76(4):387-97. doi: 10.1111/j.1365-3083.2012.02756.x.
Several legumes may induce allergy, and there is extensive serological cross-reactivity among legumes. This cross-reactivity has traditionally been regarded to have limited clinical relevance. However, the introduction of novel legumes to Western countries may have changed this pattern, and in some studies cross-allergy to lupin has been reported in more than 60% of peanut-allergic patients. We wanted to explore cross-reactions among legumes using two newly established mouse models of food allergy. Mice were immunized perorally with fenugreek or lupin with cholera toxin as adjuvant. The mice were challenged with high doses of fenugreek, lupin, peanut or soy, and signs of anaphylactic reactions were observed. Cross-allergic mechanisms were investigated using serum mouse mast cell protease-1 (MMCP-1), antibody responses, immunoblotting and ex vivo production of cytokines by spleen cells. Signs of cross-allergy were observed for all the tested legumes in both models. The cross-allergic symptoms were milder and affected fewer mice than the primary allergic responses. The cross-allergy was reflected to a certain extent in the antibody and T-cell responses, but not in serum MMCP-1 levels. Cross-allergy to peanut, soy, fenugreek and lupin was observed in lupin-sensitized and fenugreek-sensitized mice. Differences in serological responses between primary allergy and cross-allergy might be due to mediation through different immune mechanisms or reflect different epitope affinity to IgE. These differences need to be further investigated.
几种豆类可能会引起过敏,而且豆类之间存在广泛的血清交叉反应。这种交叉反应传统上被认为与临床相关性有限。然而,新型豆类被引入西方国家可能改变了这种模式,在一些研究中,超过 60%的花生过敏患者报告对羽扇豆存在交叉过敏。我们希望使用两种新建立的食物过敏小鼠模型来探索豆类之间的交叉反应。通过口服给予小鼠胡芦巴或羽扇豆,并用霍乱毒素作为佐剂进行免疫。用高剂量的胡芦巴、羽扇豆、花生或大豆对小鼠进行挑战,并观察过敏反应的迹象。使用血清小鼠肥大细胞蛋白酶-1(MMCP-1)、抗体反应、免疫印迹和脾细胞体外产生细胞因子来研究交叉过敏机制。在两种模型中,所有测试的豆类都出现了交叉过敏迹象。与原发性过敏反应相比,交叉过敏症状较轻,影响的小鼠较少。交叉过敏在一定程度上反映在抗体和 T 细胞反应中,但在血清 MMCP-1 水平上没有反映。在羽扇豆致敏和胡芦巴致敏的小鼠中观察到对花生、大豆、胡芦巴和羽扇豆的交叉过敏。原发性过敏和交叉过敏之间的血清反应差异可能是由于通过不同的免疫机制介导的,或者反映了不同的表位对 IgE 的亲和力。需要进一步研究这些差异。