Bartolomé B, Méndez J D, Armentia A, Vallverdú A, Palacios R
R&D Department, IFIDESA-ARISTEGUI, Bilbao, Spain.
Allergol Immunopathol (Madr). 1997 May-Jun;25(3):135-44.
The increase in the consumption of tropical nuts in the Northern Hemisphere during the last years, has evolved in a simultaneous enhancement of allergic IgE mediated (Hypersensitivity type 1) reported cases produced by this kind of food. The Brazil nut is the seed of the Bertholletia excelsa tree (Family Lecythidaceae) and, as in other seeds, proteins represent one of its major components making up 15-17% of its fresh weight and 50% of defatted flour. Of these, storage proteins are the most important ones, and the 12 S globulin legumin-like protein and the 2 S albumin have been described as the most representative. The 2 S protein, due to its high sulfur-rich amino acid content (3% cysteine and 18% methionine), is being studied, cloned and expressed in some important agronomic seeds (soybean, bean, oilseed rape) in order to enrich the nutritional quality of them. The case of a patient with serious clinical allergic symptoms (vomiting, diarrhoea and loss of consciousness) caused by oral contact with the Brazil nut, is presented. The patient gave a positive Skin Prick Test response to Brazil nut, kiwi and hazelnut extracts, and negative to regionally specific aeroallergens and other food extracts. The patient serum showed a high level of specific IgE by RAST to Brazil nut (> 17.5 PRU/ml, Class 4), and significative levels to hazelnut, and mustard. In vitro immunological studies (SDS-Immunoblotting and IEF-Immunoblotting) revealed IgE-binding proteins present in the extract. It was shown that not only the heavy (Mr 9) and light (Mr 4) subunits of the known allergenic 2 S albumin but also the alpha-subunits (Mr approximately 33.5 and 32) and at least one of the beta-subunits (Mr approximately 21) of the 12 S Brazil nut globulin, hitherto never involved in allergic problems, showed a strong IgE-binding capacity.
在过去几年中,北半球热带坚果的消费量有所增加,与此同时,这类食物引起的过敏性IgE介导(1型超敏反应)报告病例也在增多。巴西坚果是巴西栗树(玉蕊科)的种子,和其他种子一样,蛋白质是其主要成分之一,占鲜重的15 - 17%,占脱脂面粉的50%。其中,贮藏蛋白最为重要,12S球蛋白类豆球蛋白和2S清蛋白被描述为最具代表性的蛋白。由于2S蛋白富含高硫氨基酸(3%的半胱氨酸和18%的蛋氨酸),目前正在一些重要的农艺种子(大豆、豆类、油菜)中进行研究、克隆和表达,以提高它们的营养品质。本文介绍了一名因口服巴西坚果而出现严重临床过敏症状(呕吐、腹泻和意识丧失)的患者病例。该患者对巴西坚果、猕猴桃和榛子提取物的皮肤点刺试验呈阳性,对区域特异性气传变应原和其他食物提取物呈阴性。患者血清通过RAST检测显示对巴西坚果的特异性IgE水平较高(> 17.5 PRU/ml,4级),对榛子和芥末也有显著水平。体外免疫学研究(SDS免疫印迹和IEF免疫印迹)揭示了提取物中存在IgE结合蛋白。结果表明,不仅已知的致敏2S清蛋白的重链(Mr 9)和轻链(Mr 4)亚基,而且12S巴西坚果球蛋白的α亚基(Mr约33.5和32)以及至少一个β亚基(Mr约21),迄今从未涉及过敏问题,也显示出很强的IgE结合能力。