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烘烤奶-蛋过敏儿童预防性过敏原标签饼干的反应性和耐受性阈值。

Threshold of Reactivity and Tolerance to Precautionary Allergen-Labelled Biscuits of Baked Milk- and Egg-Allergic Children.

机构信息

Translational Research in Pediatric Specialities Area, Allergy Unit, Bambino Gesù Children's Hospital, IRCCS, 0165 Rome, Italy.

Multimodal Laboratory Medicine Research Area, Unit of Human Microbiome, Bambino Gesù Children's Hospital, IRCCS, 00165 Rome, Italy.

出版信息

Nutrients. 2021 Dec 18;13(12):4540. doi: 10.3390/nu13124540.


DOI:10.3390/nu13124540
PMID:34960092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8709061/
Abstract

Extremely sensitive food-allergic patients may react to very small amounts of allergenic foods. Precautionary allergen labelling (PAL) warns from possible allergenic contaminations. We evaluated by oral food challenge the reactivity to a brand of PAL-labelled milk- and egg-free biscuits of children with severe milk and egg allergy. We explored the ability of proteomic methods to identify minute amounts of milk/egg allergens in such biscuits. Traces of milk and/or egg allergens in biscuits were measured by two different liquid-chromatography-mass spectrometry methods. The binding of patient's serum with egg/milk proteins was assessed using immunoblotting. None of the patients reacted to biscuits. Egg and milk proteins were undetectable with a limit of detection of 0.6 µg/g for milk and egg (method A), and of 0.1 and 0.3 µg /g for milk and egg, respectively (method B). The immunoblots did not show milk/egg proteins in the studied biscuits. Milk/egg content of the biscuits is far lower than 4 µg of milk or egg protein per gram of product, the minimal doses considered theoretically capable of causing reactions. With high sensitivity, proteomic assessments predict the harmlessness of very small amount of allergens in foods, and can be used to help avoiding unnecessary PAL.

摘要

极敏感的食物过敏患者可能对极少量的变应原食物产生反应。警示过敏原标签(PAL)警告可能存在的变应原污染。我们通过口服食物挑战评估了严重牛奶和鸡蛋过敏儿童对一种 PAL 标记的无牛奶和鸡蛋饼干的反应性。我们探索了蛋白质组学方法在鉴定此类饼干中微量牛奶/鸡蛋过敏原的能力。使用两种不同的液相色谱-质谱方法测量饼干中牛奶/鸡蛋过敏原的痕迹。使用免疫印迹法评估患者血清与鸡蛋/牛奶蛋白的结合。没有患者对饼干产生反应。使用牛奶和鸡蛋的检测限分别为 0.6 µg/g(方法 A)和 0.1 和 0.3 µg/g(方法 B),未检测到鸡蛋和牛奶蛋白。免疫印迹法未显示研究饼干中有牛奶/鸡蛋蛋白。饼干中的牛奶/鸡蛋含量远低于每克产品 4 µg 的牛奶或鸡蛋蛋白,这是理论上认为能够引起反应的最小剂量。蛋白质组学评估具有很高的灵敏度,可以预测食物中极少量过敏原的无害性,并可用于帮助避免不必要的 PAL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e70/8709061/67e73d99826f/nutrients-13-04540-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e70/8709061/d15fca5dc3f5/nutrients-13-04540-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e70/8709061/67e73d99826f/nutrients-13-04540-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e70/8709061/d15fca5dc3f5/nutrients-13-04540-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e70/8709061/67e73d99826f/nutrients-13-04540-g002.jpg

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Threshold of Reactivity and Tolerance to Precautionary Allergen-Labelled Biscuits of Baked Milk- and Egg-Allergic Children.

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引用本文的文献

[1]
The baked side: Cow's milk and egg protein threshold dose distributions in children reacting to baked milk and baked egg.

World Allergy Organ J. 2024-12-16

[2]
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Skin Res Technol. 2023-11

[3]
Reactivity to allergenic food contaminants: A study on products on the market.

Clin Transl Allergy. 2023-9

[4]
Four clinical phenotypes of cow's milk protein allergy based on dairy product specific IgE antibody types in North China.

Front Immunol. 2022

[5]
Cow's milk and egg protein threshold dose distributions in children tolerant to beef, baked milk, and baked egg.

Allergy. 2022-10

[6]
In Vivo and In Vitro Assessment and Proteomic Analysis of the Effectiveness of Physical Treatments in Reducing Allergenicity of Hazelnut Proteins.

Nutrients. 2022-2-19

本文引用的文献

[1]
Consensus on DEfinition of Food Allergy SEverity (DEFASE) an integrated mixed methods systematic review.

World Allergy Organ J. 2021-3-11

[2]
Consensus on DEfinition of Food Allergy SEverity (DEFASE): Protocol for a systematic review.

World Allergy Organ J. 2020-12-19

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Food Chem Toxicol. 2020-12

[4]
Validation of a MS Based Proteomics Method for Milk and Egg Quantification in Cookies at the Lowest VITAL Levels: An Alternative to the Use of Precautionary Labeling.

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Clin Exp Allergy. 2021-1

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Food Chem Toxicol. 2020-11

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Standard testing fails to identify patients who tolerate baked milk.

J Allergy Clin Immunol. 2020-12

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Food Chem Toxicol. 2020-5

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Pediatr Allergy Immunol. 2020-5

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