Document Detail


Rare, medium, or well done? The effect of heating and food matrix on food protein allergenicity.
MedLine Citation:
PMID:  19444093     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE OF REVIEW: To review recent advances in the area of food allergen processing and the effect on protein allergenicity. RECENT FINDINGS: Heating generally decreases protein allergenicity by destroying conformational epitopes. In peanut and shrimp, heat-induced Maillard reaction (glycation) may increase allergenicity. The majority of milk and egg-allergic children tolerate extensively heated (baked with wheat matrix) milk and egg. Introduction of extensively heated milk and egg proteins is associated with decreasing sizes of skin prick test wheals and increasing serum food-specific IgG4 levels. SUMMARY: Heating and other methods of food processing have different effects on food allergens, even those contained in the same complex food. Structural homology does not reliably predict the effect of processing on allergenicity, and individual food allergens have to be tested. Interactions with other proteins, fat, and carbohydrates in the food matrix are complex and poorly understood. Introduction of extensively heated milk and egg proteins into the diet of allergic children may represent an alternative approach to oral tolerance induction. Better characterization of these aspects of food allergy is critical for elucidation of food protein interactions with the gut-associated lymphoid tissue, the ability to induce IgE sensitization, the potential to trigger hypersensitivity reactions, and different clinical phenotypes of food allergy with regard to severity and persistence.
Authors:
Anna Nowak-Wegrzyn; Alessandro Fiocchi
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in allergy and clinical immunology     Volume:  9     ISSN:  1473-6322     ISO Abbreviation:  Curr Opin Allergy Clin Immunol     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-20     Completed Date:  2009-08-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100936359     Medline TA:  Curr Opin Allergy Clin Immunol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  234-7     Citation Subset:  IM    
Affiliation:
Jaffe Food Allergy Institute and Department of Pediatrics, Mount Sinai School of Medicine, New York, New York, USA. anna.nowak-wegrzyn@mssm.edu
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MeSH Terms
Descriptor/Qualifier:
Allergens / adverse effects*,  immunology
Cookery / methods*
Dietary Proteins / adverse effects*,  immunology
Epitopes / adverse effects,  chemistry,  immunology
Food Hypersensitivity / etiology*
Hot Temperature*
Humans
Immunoglobulin E / immunology
Protein Conformation
Chemical
Reg. No./Substance:
0/Allergens; 0/Dietary Proteins; 0/Epitopes; 37341-29-0/Immunoglobulin E

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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