Department of Systems Biology, Harvard Medical School , Boston, Massachusetts 02114, United States.
ACS Nano. 2017 Oct 24;11(10):10062-10069. doi: 10.1021/acsnano.7b04318. Epub 2017 Aug 25.
Adverse food reactions, including food allergies, food sensitivities, and autoimmune reaction (e.g., celiac disease) affect 5-15% of the population and remain a considerable public health problem requiring stringent food avoidance and epinephrine availability for emergency events. Avoiding problematic foods is practically difficult, given current reliance on prepared foods and out-of-home meals. In response, we developed a portable, point-of-use detection technology, termed integrated exogenous antigen testing (iEAT). The system consists of a disposable antigen extraction device coupled with an electronic keychain reader for rapid sensing and communication. We optimized the prototype iEAT system to detect five major food antigens in peanuts, hazelnuts, wheat, milk, and eggs. Antigen extraction and detection with iEAT requires <10 min and achieves high-detection sensitivities (e.g., 0.1 mg/kg for gluten, lower than regulatory limits of 20 mg/kg). When testing under restaurant conditions, we were able to detect hidden food antigens such as gluten within "gluten-free" food items. The small size and rapid, simple testing of the iEAT system should help not only consumers but also other key stakeholders such as clinicians, food industries, and regulators to enhance food safety.
食物不良反应,包括食物过敏、食物敏感和自身免疫反应(例如,乳糜泻),影响了 5-15%的人口,仍然是一个相当大的公共卫生问题,需要严格避免食用这些食物,并为紧急情况提供肾上腺素。考虑到目前对预制食品和外出就餐的依赖,避免这些问题食品在实践中是很困难的。针对这一问题,我们开发了一种便携式、即时使用的检测技术,称为集成外源性抗原检测(iEAT)。该系统由一个一次性的抗原提取设备和一个电子钥匙链读取器组成,用于快速感应和通讯。我们对原型 iEAT 系统进行了优化,以检测花生、榛子、小麦、牛奶和鸡蛋中的五种主要食物抗原。iEAT 的抗原提取和检测时间不到 10 分钟,并且具有很高的检测灵敏度(例如,检测麸质的灵敏度为 0.1 毫克/千克,低于 20 毫克/千克的监管限制)。在餐厅条件下进行测试时,我们能够检测到“无麸质”食品中隐藏的食物抗原,如 gluten。iEAT 系统的小巧尺寸和快速、简单的测试不仅应该有助于消费者,也应该有助于临床医生、食品行业和监管机构等其他利益相关者,以增强食品安全。