Hydrolysed egg displays strong decrease in allergenicity and is well tolerated by egg-allergic patients

被引:20
作者
Ballmer-Weber, B. K. [1 ]
Brockow, K. [2 ]
Fiocchi, A. [3 ]
Theler, B. [1 ]
Vogel, L. [4 ]
Ring, J. [2 ,5 ]
Szepfalusi, Z. [6 ]
Mazzina, O. [3 ]
Schaller, R. [7 ]
Fritsche, R. [7 ]
Vissers, Y. M. [7 ]
Nutten, S. [7 ]
机构
[1] Univ Zurich Hosp, Dept Dermatol, Allergy Unit, CH-8091 Zurich, Switzerland
[2] Tech Univ Munich, Dept Dermatol & Allergy Biederstein, D-80290 Munich, Germany
[3] Pediat Hosp Bambino Gesu, Vatican City, Vatican
[4] Paul Ehrlich Inst, Langen, Germany
[5] Hochgebirgsklin Davos Wolfgang, Christine Kuhne Ctr Allergy Res & Educ, Davos, Switzerland
[6] Med Univ Vienna, Dept Pediat, Vienna, Austria
[7] Nestle Res Ctr, CH-1000 Lausanne, Switzerland
关键词
allergenicity; egg; food allergy; hydrolysed proteins; hypoallergenic; BETA-LACTOGLOBULIN; INDUCTION;
D O I
10.1111/all.12852
中图分类号
R392 [医学免疫学];
学科分类号
100102 ;
摘要
Food allergies are believed to be on the rise, and currently, management relies on the avoidance of the food. Hen's egg allergy is after cow's milk allergy the most common food allergy; eggs are used in many food products and thus difficult to avoid. A technological process using a combination of enzymatic hydrolysis and heat treatment was designed to produce modified hen's egg with reduced allergenic potential. Biochemical (SDS-PAGE, Size exclusion chromatography and LC-MS/MS) and immunological (ELISA, immunoblot, RBL-assays, animal model) analysis showed a clear decrease in intact proteins as well as a strong decrease of allergenicity. In a clinical study, 22 of the 24 patients with a confirmed egg allergy who underwent a double-blind food challenge with the hydrolysed egg remained completely free of symptoms. Hydrolysed egg products may be beneficial as low-allergenic foods for egg-allergic patients to extent their diet.
引用
收藏
页码:728 / 732
页数:5
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