Uberti Francesca, Peñas Elena, Manzoni Yuri, di Lorenzo Chiara, Ballabio Cinzia, Fiocchi Alessandro, Terracciano Luigi, Restani Patrizia
Dipartimento di Scienze Farmacologiche e Biomolecolari, Università degli Studi di Milano, Milan, Italy.
Pediatr Allergy Immunol. 2015 Mar;26(2):139-44. doi: 10.1111/pai.12345.
The prevalence of allergy to kiwifruit is increasing in Europe since the last two decades. Different proteins have been identified as kiwifruit allergens; even though with geographic differences, Act d 1, a cysteine protease protein of 30 kDa, and Act d 2, a thaumatin-like protein of 24 kDa, are normally considered the most important. The aim of this study was (i) to identify at molecular level the sensitization pattern in a group of well-characterized patients allergic to kiwifruit and (ii) to assess the role of technological treatments on kiwifruit allergenic potential.
The differences in the pattern of antigenicity between fresh and processed kiwifruit were evaluated by both immunoelectrophoretic techniques and clinical tests.
In the group of patients included in this study, three proteins were identified as major allergens in fresh kiwifruit, as the specific sensitization was present in ≥50% of the subjects. These proteins corresponded to actinidin (Act d 1), pectin methyl aldolase (Act d 6), and thaumatin-like protein (Act d 2). Kiwellin (Act d 5) and proteins of Bet v 1 family (Act d 8/act d 11) were also recognized as minor allergens. Immunoreactivity was totally eliminated by industrial treatments used for the production of kiwifruit strained derivative.
In this group of allergic children, the technological treatments used in the production of kiwifruit strained product reduced drastically the allergenic potential of kiwifruit.
在过去二十年中,欧洲对猕猴桃过敏的患病率呈上升趋势。已鉴定出不同的蛋白质作为猕猴桃过敏原;尽管存在地域差异,但通常认为30 kDa的半胱氨酸蛋白酶蛋白Act d 1和24 kDa的类thaumatin蛋白Act d 2是最重要的。本研究的目的是:(i)在分子水平上确定一组特征明确的对猕猴桃过敏患者的致敏模式,以及(ii)评估加工处理对猕猴桃致敏潜力的作用。
通过免疫电泳技术和临床试验评估新鲜和加工后猕猴桃的抗原性模式差异。
在本研究纳入的患者组中,三种蛋白质被鉴定为新鲜猕猴桃中的主要过敏原,因为≥50%的受试者存在特异性致敏。这些蛋白质分别对应于肌动蛋白(Act d 1)、果胶甲基醛缩酶(Act d 6)和类thaumatin蛋白(Act d 2)。奇异果甜蛋白(Act d 5)和Bet v 1家族的蛋白质(Act d 8/Act d 11)也被认为是次要过敏原。用于生产猕猴桃浓缩衍生物的工业处理完全消除了免疫反应性。
在这组过敏儿童中,用于生产猕猴桃浓缩产品的加工处理极大地降低了猕猴桃的致敏潜力。