Sensitization to the major allergen of Brazil nut is correlated with the clinical expression of allergy

E. A. Pastorello, L. Farioli, V. Pravettoni, M. Ispano, A. Conti, R. Ansaloni, F. Rotondo, C. Incorvaia, A. Bengtsson, F. Rivolta, C. Trambaioli, M. Previdi, C. Ortolani

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Only a few studies have investigated the clinical role of food allergens, especially the relationship between sensitization to a given allergen and occurrence of adverse reactions when eating the relevant food item. Objective: This study evaluated the clinical role of the allergens of Brazil nut by comparing the patterns of IgE binding in sera from 11 patients with anaphylaxis after eating Brazil nuts with those from 10 subjects with no symptoms to this food item. Both groups had specific IgE to Brazil nut. Methods: Allergens in the in-house extract of Brazil nut were identified by SDS-PAGE/immunoblotting, the major allergen was purified by HPLC, and its N- terminal sequence was determined by a protein sequencer. Results: SDS- PAGE/immunoblotting detected a number of allergenic components with molecular weights ranging from 4 to 58 kd. All sera from symptomatic patients recognized a 9-kd allergen corresponding (as established by amino acid sequencing) to a 2S albumin already described as a major allergen of Brazil nut, whereas the other allergens each bound IgE from less than 50% of sera. No sera from asymptomatic subjects showed IgE binding to the 9-kd allergen, but they did recognize components from 25 to 58 kd, which are minor allergens. Conclusions: These findings indicate that the allergen underlying clinical reactions to Brazil nut is a 2S albumin of 9 kd and that in vitro reactivity to this allergen identifies subjects who react in vivo to ingestion of this food.

Original languageEnglish
Pages (from-to)1021-1027
Number of pages7
JournalJournal of Allergy and Clinical Immunology
Volume102
Issue number6 I
DOIs
Publication statusPublished - 1998

Keywords

  • Brazil nut
  • Food allergy
  • Immunoblotting
  • Major allergen

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology

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