Görtler I, Urbanek R, Forster J
Universitäts-Kinderklinik, Freiburg, Germany.
Eur J Pediatr. 1995 Apr;154(4):289-94. doi: 10.1007/BF01957364.
The antigenicity and allergenicity of so-called hypo-allergenic infant formulae is mainly determined by the degree of hydrolysis and ultrafiltration. Five different formulae were investigated by means of immunoblotting and RAST in order to characterize the antigens and allergens regarding their molecular weights, molecular origin and their ability to bind human IgG and IgE antibodies: A non hydrolysed infant formula (I-F), a mixture of the major cow's milk proteins (PM), a whey-based infant formula (W-H), a whey-based and ultra-filtrated infant formula (U-H), a casein/whey-based infant formula (CW-H). By immunoblotting we demonstrated that all tested formulae still contain antigens with molecular weights from 3 to 67 kD. But when compared with I-F and PM the antigen content of the hydrolysed formulae was considerably lower. The lowest antigen content could be demonstrated in U-H, which contains casein fragments (3-6 kD) and beta-lactoglobulin and its fragments (6-18 kD). W-H and CW-H contain bovine serum albumin, beta-lactoglobulin, casein and their fragments (3-67 kD). All hydrolysed formulae tested showed a reduced IgE-binding capacity. Three out of 12 cow's milk allergic children possessed IgE binding to U-H or W-H, and 5 of them IgE against CW-H. Conclusion. The enzymatic hydrolysis plus ultra-filtration seems to be the most efficient method to reduce the antigen content of so-called hypo-allergenic infant formulae.
所谓低敏婴儿配方奶粉的抗原性和致敏性主要取决于水解程度和超滤过程。通过免疫印迹法和放射变应原吸附试验(RAST)对五种不同的配方奶粉进行了研究,以表征抗原和过敏原的分子量、分子来源以及它们与人IgG和IgE抗体结合的能力:一种未水解的婴儿配方奶粉(I-F)、一种主要牛奶蛋白混合物(PM)、一种乳清基婴儿配方奶粉(W-H)、一种乳清基超滤婴儿配方奶粉(U-H)、一种酪蛋白/乳清基婴儿配方奶粉(CW-H)。通过免疫印迹法,我们证明所有测试的配方奶粉仍含有分子量为3至67kD的抗原。但与I-F和PM相比,水解配方奶粉的抗原含量要低得多。U-H的抗原含量最低,它含有酪蛋白片段(3-6kD)、β-乳球蛋白及其片段(6-18kD)。W-H和CW-H含有牛血清白蛋白、β-乳球蛋白、酪蛋白及其片段(3-67kD)。所有测试的水解配方奶粉均显示出降低的IgE结合能力。12名牛奶过敏儿童中有3名的IgE与U-H或W-H结合,其中5名对CW-H有IgE反应。结论。酶水解加超滤似乎是降低所谓低敏婴儿配方奶粉抗原含量的最有效方法。