Literature DB >> 35949935

Safety evaluation of the food enzyme chymosin from the genetically modified Kluyveromyces lactis strain CHY.

Claude Lambré, José Manuel Barat Baviera, Claudia Bolognesi, Pier Sandro Cocconcelli, Riccardo Crebelli, David Michael Gott, Konrad Grob, Evgenia Lampi, Marcel Mengelers, Alicja Mortensen, Gilles Rivière, Inger-Lise Steffensen, Christina Tlustos, Henk Van Loveren, Laurence Vernis, Holger Zorn, Jaime Aguilera, Magdalena Andryszkiewicz, Giulio Di Piazza, Natalia Kovalkovicova, Yi Liu, Rita Ferreira de Sousa, Andrew Chesson.   

Abstract

The food enzyme chymosin (EC 3.4.23.4) is produced with the genetically modified Kluyveromyces lactis strain CHY by DSM Food Specialties B.V. It is intended to be used in milk processing for cheese production and for production of fermented milk products. Dietary exposure was estimated to be up to 0.69 mg total organic solids (TOS)/kg body weight (bw) per day in European populations. The production strain contains multiple copies of known antimicrobial resistance genes and consequently, it does not fully fulfil the requirements for the qualified presumption of safety (QPS) approach to safety assessment. However, considering the absence of viable cells and DNA from the production organism in the food enzyme, this is not considered to be a risk. As no other concerns arising from the microbial source and its subsequent genetic modification or from the manufacturing process have been identified, the Panel considered that toxicological tests were not needed for the assessment of this food enzyme. Similarity of the amino acid sequence of the food enzyme to those of known allergens was searched and four matches were found. The Panel considered that, under the intended conditions of use, the risk of allergic sensitisation and elicitation reactions by dietary exposure, although unlikely, cannot be excluded, particularly for individuals sensitised to cedar pollen allergens. Based on the data provided, the Panel concluded that this food enzyme does not give rise to safety concerns under the intended conditions of use.
© 2022 Wiley‐VCH Verlag GmbH & Co. KgaA on behalf of the European Food Safety Authority.

Entities:  

Keywords:  EC 3.4.23.4; Kluyveromyces lactis; aspartic endopeptidases; chymosin; food enzyme; genetically modified microorganism; rennin

Year:  2022        PMID: 35949935      PMCID: PMC9358543          DOI: 10.2903/j.efsa.2022.7462

Source DB:  PubMed          Journal:  EFSA J        ISSN: 1831-4732


Introduction

Article 3 of the Regulation (EC) No 1332/20081 provides definition for ‘food enzyme’ and ‘food enzyme preparation’. ‘Food enzyme’ means a product obtained from plants, animals or micro‐organisms or products thereof including a product obtained by a fermentation process using micro‐organisms: (i) containing one or more enzymes capable of catalysing a specific biochemical reaction; and (ii) added to food for a technological purpose at any stage of the manufacturing, processing, preparation, treatment, packaging, transport or storage of foods. ‘Food enzyme preparation’ means a formulation consisting of one or more food enzymes in which substances such as food additives and/or other food ingredients are incorporated to facilitate their storage, sale, standardisation, dilution or dissolution. Before January 2009, food enzymes other than those used as food additives were not regulated or were regulated as processing aids under the legislation of the Member States. On 20 January 2009, Regulation (EC) No 1332/2008 on food enzymes came into force. This Regulation applies to enzymes that are added to food to perform a technological function in the manufacture, processing, preparation, treatment, packaging, transport or storage of such food, including enzymes used as processing aids. Regulation (EC) No 1331/20082 established the European Union (EU) procedures for the safety assessment and the authorisation procedure of food additives, food enzymes and food flavourings. The use of a food enzyme shall be authorised only if it is demonstrated that: it does not pose a safety concern to the health of the consumer at the level of use proposed; there is a reasonable technological need; its use does not mislead the consumer. All food enzymes currently on the European Union market and intended to remain on that market, as well as all new food enzymes, shall be subjected to a safety evaluation by the European Food Safety Authority (EFSA) and approval via an EU Community list. The Guidance on submission of a dossier on food enzymes for safety evaluation (EFSA, 2009a) lays down the administrative, technical and toxicological data required.

Background and Terms of Reference as provided by the requestor

Background as provided by the European Commission

Only food enzymes included in the European Union (EU) list may be placed on the market as such and used in foods, in accordance with the specifications and conditions of use provided for in Article 7 (2) of Regulation (EC) No 1332/2008 on food enzymes. Five applications have been introduced by the companies “Novozymes A/S", “DSM Food Specialties B.V.", “Advanced Enzyme Technologies Ltd” and the “Association of Manufacturing and Formulators of Enzyme Products (AMFEP)” for the authorisation of the food enzymes Pullulanase from a genetically modified strain of Bacillus subtilis (strain NZYM‐AK), Glucoamylase from a genetically modified strain of Aspergillus niger (strain NZYM‐BW), Chymosin from a genetically modified strain of Kluyveromyces lactis (strain CHY), Pectin lyase from a genetically modified strain of Aspergillus niger (FLOSC) and Triacylglycerol lipase from pregastric tissues of cattle, goat and sheep respectively. Following the requirements of Article 12.1 of Regulation (EC) No 234/20113 implementing Regulation (EC) No 1331/2008, the Commission has verified that the three applications fall within the scope of the food enzyme Regulation and contain all the elements required under Chapter II of that Regulation.

Terms of Reference

The European Commission requests the European Food Safety Authority to carry out the safety assessment on the food enzymes Pullulanase from a genetically modified strain of Bacillus subtilis (strain NZYM‐AK), Glucoamylase from a genetically modified strain of Aspergillus niger (strain NZYM‐BW), Chymosin from a genetically modified strain of Kluyveromyces lactis (strain CHY), Pectin lyase from a genetically modified strain of Aspergillus niger (FLOSC) and Triacylglycerol lipase from pregastric tissues of cattle, goat and sheep in accordance with Article 17.3 of Regulation (EC) No 1332/2008 on food enzymes.

Interpretation of the Terms of Reference

The present scientific opinion addresses the European Commission's request to carry out the safety assessment of food enzyme chymosin from a genetically modified K. lactis (strain CHY) from DSM Food Specialties B.V.

Data and methodologies

Data

The applicant has submitted a dossier in support of the application for authorisation of the food enzyme chymosin from a genetically modified K. lactis (strain CHY). Additional information was requested from the applicant during the assessment process on 7 December 2020 and subsequently provided (see ‘Documentation provided to EFSA’).

Methodologies

The assessment was conducted in line with the principles described in the EFSA Guidance on transparency in the scientific aspects of risk assessment (EFSA, 2009b) and following the relevant guidance documents of the EFSA Scientific Committee. The Guidance on the submission of a dossier on food enzymes for safety evaluation (EFSA, 2009a) as well as the Statement on characterisation of microorganisms used for the production of food enzymes (EFSA CEP Panel, 2019) have been followed for the evaluation of the application with the exception of the exposure assessment, which was carried out in accordance with the updated Scientific Guidance for the submission of dossiers on food enzymes (EFSA CEP Panel, 2021a).

Assessment

Chymosins catalyse the hydrolysis of a single peptide bond between amino acid residues 105 and 106, phenylalanine and methionine (Ser‐Phe105/Met106‐Ala) in κ‐casein. This results in precipitation of milk protein and curd formation. The food enzyme is intended to be used in milk processing for cheese production and for the production of fermented milk products.

Source of the food enzyme

The chymosin is produced with the genetically modified K. lactis strain CHY ■■■■■, which is deposited in the Westerdijk Fungal Biodiversity Institute culture collection (CBS, The Netherlands) under number ■■■■■ 4 The production strain was identified as K. lactis ■■■■■ 5 The species K. lactis is included in the list of organisms for which the Qualified Presumption of Safety (QPS) may be applied (EFSA BIOHAZ Panel, 2022).

Characteristics of the parental and recipient microorganisms

■■■■■ 6 ■■■■■ ■■■■■

Characteristics of introduced sequences

■■■■■ ■■■■■ 7 ■■■■■ ■■■■■ ■■■■■ ■■■■■

Description of the genetic modification process

The purpose of the genetic modification was to enable the production strain to synthesise prochymosin from B. taurus. ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■ ■■■■■

Safety aspects of the genetic modification

The technical dossier contains all necessary information on the recipient microorganism, the donor organism and the genetic modification process. ■■■■■ The production strain contains multiple copies of the antimicrobial resistance genes ■■■■■ Their presence in the production strain was considered a hazard, which is further discussed in this opinion.

Production of the food enzyme

The food enzyme is manufactured according to the Food Hygiene Regulation (EC) No 852/20048, with food safety procedures based on hazard analysis and critical control points, and in accordance with current good manufacturing practice.9 The production strain is grown as a pure culture using a typical industrial medium in a submerged, fed‐batch fermentation system with conventional process controls in place. After completion of the fermentation, the solid biomass is removed from the fermentation broth by filtration, leaving a supernatant containing the food enzyme. The filtrate containing the enzyme is then further purified and concentrated, including an ultrafiltration step in which enzyme protein is retained, while most of the low molecular mass material passes the filtration membrane and is discarded.10 The applicant provided information on the identity of the substances used to control the fermentation and in the subsequent downstream processing of the food enzyme.11 The Panel considered that sufficient information has been provided on the manufacturing process and the quality assurance system implemented by the applicant to exclude issues of concern.

Characteristics of the food enzyme

Properties of the food enzyme

The mature chymosin is a single polypeptide chain of 323 amino acids.12 Chymosin is produced as prochymosin, and the pro‐peptide is cleaved off as pH is reduced during downstream processing. The molecular mass of the mature protein, derived from the amino acid sequence, was calculated to be 36 kDa. The food enzyme was analysed by sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS–PAGE) analysis. A consistent protein pattern was observed across all batches. The gels showed a single major protein band migrating between 36.5 and 55.4 kDa, consistent with the expected mass of the enzyme.13 No other enzyme activities were reported.14 The in‐house determination of chymosin activity is based on the clotting of reconstituted skimmed milk (reaction conditions: pH 6.5, 37°C).15 The enzymatic activity is determined spectrophotometrically at 600 nm by measuring the time from the addition of the enzyme to an increase in optical density of 0.833. The chymosin activity is quantified relative to an enzyme standard and expressed in International Milk Clotting Unit/g (IMCU/g).16 The food enzyme has a temperature optimum around 37–45°C (pH 6.5) and a pH optimum around pH 5.8 (37°C). Thermostability was tested after a pre‐incubation of the food enzyme for 10 min at different temperatures (pH 6.5). Enzyme activity decreased above 55°C, showing no residual activity above 65°C.

Chemical parameters

Data on the chemical parameters of the food enzyme were provided for three batches used for commercialisation (Table 1).17 The mean total organic solids (TOS) was 9.9%. The mean enzyme activity/TOS ratio was 13.4 IMCU/mg TOS.
Table 1

Compositional data of the food enzyme

ParameterUnitBatch
123
Chymosin activityIMCU/g batch (a) 1,3001,3901,270
Protein%2.53.12.9
Ash%10.21.51.3
Water%80.988.388.0
Total Organic Solids (TOS) (b) %8.910.210.7
Chymosin activity/mg TOSIMCU/mg TOS14.613.611.9

IMCU: International Milk Clotting Unit (see Section 3.3.1).

TOS calculated as 100% – % water – % ash.

Compositional data of the food enzyme IMCU: International Milk Clotting Unit (see Section 3.3.1). TOS calculated as 100% – % water – % ash.

Purity

The lead content in the three commercial batches was below 1 mg/kg18 , 19 which complies with the specification for lead (≤ 5 mg/kg) as laid down in the general specifications for enzymes used in food processing (FAO/WHO, 2006). The food enzyme complies with the microbiological criteria as laid down in the general specifications for enzymes used in food processing (FAO/WHO, 2006). No antimicrobial activity was detected in any of the tested batches (FAO/WHO, 2006).20

Viable cells and DNA of the production strain

The absence of viable cells of the production strain in the food enzyme was demonstrated ■■■■■ 21 The absence of recombinant DNA in the food enzyme was demonstrated ■■■■■ 22

Toxicological data

Although all other requirements for the QPS have been met, the production strain carries copies of several antimicrobial resistance genes and therefore cannot be considered as suitable for the QPS approach. However, no risk is expected from the presence of these antimicrobial resistance genes, as the food enzyme has been shown not to contain viable cells and DNA of the production strain (Section 3.3.4). As no other concerns arising from the microbial source and its subsequent genetic modification or from the manufacturing process have been identified, the Panel considered that toxicological tests were not needed for the assessment of this food enzyme.

Allergenicity

The allergenicity assessment considers only the food enzyme and not any carrier or other excipient which may be used in the final formulation. The potential allergenicity of the chymosin produced with the genetically modified K. lactis strain CHY was assessed by comparing its amino acid sequence with those of known allergens according to the ‘Scientific Opinion on the assessment of allergenicity of GM plants and microorganisms and derived food and feed of the Scientific Panel on Genetically Modified Organisms’ (EFSA GMO Panel, 2010). Using higher than 35% identity in a sliding window of 80 amino acids as the criterion, four matches were found.23 The matching allergens were pepsin A from wild boar (Sus scrofa), aspartic protease‐like protein Bla g2 from German cockroach (Blattella germanica), aspergillopepsin Asp f10 from the filamentous fungus Aspergillus fumigatus and protease CPA63 from Japanese cedar (Cryptomeria japonica). Pepsin is a known respiratory allergen causing occupational asthma and rhinitis in cheese workers (Añíbarro Bausela and Fontela, 1996; Cartier et al., 1984; Marques et al., 2006). Aspergillopepsin, which is also commonly used in food industry, is involved in aspergillosis (Lee and Kolattukudy, 1995; Reichard et al., 1995). Japanese cedar protease has been described as a pollen allergen (Ibrahim et al., 2010), and Bla g2 protease from the German cockroach has also been described as a respiratory allergen (Arruda et al., 1995; Gustchina et al., 2005). None of these proteins were reported to be oral allergens. Individuals sensitised to respiratory allergens usually can ingest the allergens without developing allergic reactions (Brisman, 2002; Poulsen, 2004; Armentia et al., 2009). Cedar pollen contain the respiratory allergen CPA63 (Ibrahim et al., 2010) and respiratory allergy to Cedar pollen is associated with the oral allergy syndrome (Midoro‐Horiuti et al., 2003; Kiguchi et al., 2021). In this syndrome, allergic reactions are mainly in the mouth and seldomly lead to severe systemic anaphylaxis. However, oral allergy cannot be excluded after consumption. No information is available on oral and respiratory sensitisation or elicitation reactions of this chymosin. According to the information provided, ■■■■■ that may cause allergies or intolerances (Regulation (EU) No 1169/201124), are used as raw materials. In addition, ■■■■■ known allergens, are also present in the media fed to the microorganisms.25 However, during the fermentation process, these products will be degraded and utilised by the microorganisms for cell growth, cell maintenance and production of enzyme protein. In addition, the yeast biomass and fermentation solids are removed. Taking into account the fermentation process and downstream processing, the Panel considered that potentially allergenic residues of these foods employed as protein sources are not expected to be present. The Panel considered that, under the intended conditions of use, the risk of allergic sensitisation and elicitation reactions upon dietary exposure to this food enzyme, although unlikely, cannot be excluded, particularly for individuals sensitised to cedar pollen allergens.

Dietary exposure

Intended use of the food enzyme

The food enzyme is intended to be used in two food processes at the recommended use levels summarised in Table 2.
Table 2

Intended uses and recommended use levels of the food enzyme as provided by the applicant

Food manufacturing process (a) Raw material (RM)Recommended dosage of the food enzyme (mg TOS/kg RM) (b)
Milk processing for cheese productionMilk2.1–3.5
Milk processing to production of fermented milk productMilk0.07–0.21

TOS: total organic solids.

The name has been harmonised according to the ‘EC working document describing the food processes in which food enzymes are intended to be used’ – not yet published at the time of adoption of this opinion.

Numbers in bold were used for calculation.

Technical dossier/1st submission/p. 65.

Intended uses and recommended use levels of the food enzyme as provided by the applicant TOS: total organic solids. The name has been harmonised according to the ‘EC working document describing the food processes in which food enzymes are intended to be used’ – not yet published at the time of adoption of this opinion. Numbers in bold were used for calculation. Technical dossier/1st submission/p. 65. In cheese production, the food enzyme is added to the milk together with the starter culture.26 The addition of chymosin causes the milk to coagulate and to form curd. By separating the liquid whey from the solid curd, 80–90% of the added enzyme is found in the whey fraction and 10–20% is retained in the cheese (Documentation provided to EFSA N. 4), in which residual enzyme activity is expected. Whey produced during cheese making may be used in a variety of foods including infant and follow‐on formula or food for special medical purposes.27 The food enzyme–TOS remains in cheese and whey. In the production of fermented milk products, such as yoghurt, the food enzyme is added to milk after pasteurisation.28 Chymosin performs the same function as in cheese, making the viscosity of the fermented dairy products to increase.29 The food enzyme–TOS remains in the fermented milk products, in which residual enzyme activity is expected.

Dietary exposure estimation

Chronic exposure to the food enzyme–TOS was calculated by combining the maximum recommended use level with individual consumption data (EFSA CEP Panel, 2021a). The estimation involved selection of relevant food categories and application of technical conversion factors (EFSA CEF Panel, 2021b). Exposure from all FoodEx categories was subsequently summed up, averaged over the total survey period (days) and normalised for body weight. This was done for all individuals across all surveys, resulting in distributions of individual average exposure. Based on these distributions, the mean and 95th percentile exposures were calculated per survey for the total population and per age class. Surveys with only one day per subject were excluded and high‐level exposure/intake was calculated for only those population groups in which the sample size was sufficiently large to allow calculation of the 95th percentile (EFSA, 2011). Table 3 provides an overview of the derived exposure estimates across all surveys. Detailed mean and 95th percentile exposure to the food enzyme–TOS per age class, country and survey, as well as contribution from each FoodEx category to the total dietary exposure are reported in Appendix A – Tables 1 and 2. For the present assessment, food consumption data were available from 41 dietary surveys (covering infants, toddlers, children, adolescents, adults and the elderly), carried out in 22 European countries (Appendix B). The highest dietary exposure to the food enzyme–TOS was estimated to be about 0.687 mg TOS/kg bw per day in infants.
Table 3

Summary of estimated dietary exposure to food enzyme–TOS in six population groups

Population groupEstimated exposure (mg TOS/kg body weight per day)
InfantsToddlersChildrenAdolescentsAdultsThe elderly
Age range 3–11 months12–35 months3–9 years10–17 years18–64 years≥ 65 years
Min–max mean (number of surveys)0.016–0.309 (11)0.017–0.139 (15)0.008–0.019 (19)0.004–0.026 (21)0.002–0.022 (22)0.002–0.007 (22)
Min–max 95th (number of surveys)0.078–0.687 (9)0.056–0.315 (13)0.017–0.064 (19)0.010–0.026 (20)0.006–0.068 (22)0.005–0.017 (21)

TOS: total organic solids.

Summary of estimated dietary exposure to food enzyme–TOS in six population groups TOS: total organic solids.

Uncertainty analysis

In accordance with the guidance provided in the EFSA opinion related to uncertainties in dietary exposure assessment (EFSA, 2006), the following sources of uncertainties have been considered and are summarised in Table 4.
Table 4

Qualitative evaluation of the influence of uncertainties on the dietary exposure estimate

Sources of uncertaintiesDirection of impact
Model input data
Consumption data: different methodologies/representativeness/underreporting/misreporting/no portion size standard+/−
Use of data from food consumption surveys of a few days to estimate long‐term (chronic) exposure for high percentiles (95th percentile)+
Possible national differences in categorisation and classification of food+/−
Model assumptions and factors
FoodEx categories included in the exposure assessment were assumed to always contain the food enzyme–TOS+
Exposure to food enzyme–TOS was always calculated based on the recommended maximum use level+
Assuming that whey protein concentrate is used in all milk‐based infant formulae and follow‐on formulae+
Selection of broad FoodEx categories for the exposure assessment+
Use of recipe fractions in disaggregation FoodEx categories+/−
Use of technical factors in the exposure model+/−

TOS: total organic solids.

+: uncertainty with potential to cause overestimation of exposure.

–: uncertainty with potential to cause underestimation of exposure.

Qualitative evaluation of the influence of uncertainties on the dietary exposure estimate TOS: total organic solids. +: uncertainty with potential to cause overestimation of exposure. –: uncertainty with potential to cause underestimation of exposure. The conservative approach applied to the exposure estimate to food enzyme–TOS, in particular assumptions made on the occurrence and use levels of this specific food enzyme, is likely to have led to overestimation of the exposure.

Margin of exposure

Since toxicological tests are considered unnecessary by the Panel, a margin of exposure was not calculated.

Conclusions

Based on the data provided, the Panel concluded that the food enzyme chymosin produced with the genetically modified K. lactis strain CHY does not give rise to safety concerns under the intended conditions of use. The production strain of the food enzyme contains multiple copies of known antimicrobial resistance genes. However, based on the absence of viable cells and DNA from the production organism in the food enzyme, this was not considered to be a risk.

Documentation as provided to EFSA

Dossier “Application for authorisation of chymosin from a genetically modified strain of Kluyveromyces lactis in accordance with Regulation (EC) No 1331/2008”. January 2015. Submitted by DSM Food Specialties B.V. Additional information. September 2021. Submitted by DSM Food Specialties B.V. Summary report on technical data and dietary exposure. August 2016. Delivered by Hylobates Consulting (Rome, Italy) and BiCT (Lodi, Italy). “Transfer of food enzymes into whey and cheese during dairy processing”. January 2019. Provided by the Association of Manufacturers and Formulators of Enzyme Products. body weight Chemical Abstracts Service EFSA Panel on Food Contact Materials, Enzymes and Processing Aids European Inventory of Existing Commercial Chemical Substances Food and Agricultural Organization of the United Nations genetically modified organism International Union of Biochemistry and Molecular Biology Joint FAO/WHO Expert Committee on Food Additives kiloDalton limit of detection Organisation for Economic Cooperation and Development polymerase chain reaction qualified presumption of safety sodium dodecyl sulfate–polyacrylamide gel electrophoresis total organic solids whole genome sequencing World Health Organization

Appendix A – Dietary exposure estimates to the food enzyme–TOS in details

Information provided in this appendix is shown in an excel file (downloadable https://efsa.onlinelibrary.wiley.com/doi/full/10.2903/j.efsa.2022.7462#support-information-section). The file contains two sheets, corresponding to two tables. Table 1: Average and 95th percentile exposure to the food enzyme–TOS per age class, country and survey. Table 2: Contribution of food categories to the dietary exposure to the food enzyme–TOS per age class, country and survey.

Appendix B – Population groups considered for the exposure assessment

The terms ‘children’ and ‘the elderly’ correspond, respectively, to ‘other children’ and the merge of ‘elderly’ and ‘very elderly’ in the Guidance of EFSA on the ‘Use of the EFSA Comprehensive European Food Consumption Database in Exposure Assessment’ (EFSA, 2011). Dietary exposure estimates to the food enzyme–TOS in details Click here for additional data file.
IUBMB nomenclatureChymosin
Systematic nameNA
SynonymsRennin
IUBMB NoEC 3.4.23.4
CAS No9001‐98‐3
EINECS No232–645‐0
PopulationAge rangeCountries with food consumption surveys covering more than one day
InfantsFrom 12 weeks on up to and including 11 months of ageBulgaria, Cyprus, Denmark, Estonia, Finland, France, Germany, Italy, Latvia, Portugal, Slovenia
ToddlersFrom 12 months up to and including 35 months of ageBelgium, Bulgaria, Cyprus, Denmark, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Netherlands, Portugal, Slovenia, Spain
ChildrenFrom 36 months up to and including 9 years of ageAustria, Belgium, Bulgaria, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Italy, Latvia, Netherlands, Portugal, Spain, Sweden
AdolescentsFrom 10 years up to and including 17 years of ageAustria, Belgium, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Italy, Latvia, Netherlands, Portugal, Romania, Slovenia, Spain, Sweden
AdultsFrom 18 years up to and including 64 years of ageAustria, Belgium, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Netherlands, Portugal, Romania, Slovenia, Spain, Sweden
The elderly (a) From 65 years of age and olderAustria, Belgium, Cyprus, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Latvia, Netherlands, Portugal, Romania, Slovenia, Spain, Sweden

The terms ‘children’ and ‘the elderly’ correspond, respectively, to ‘other children’ and the merge of ‘elderly’ and ‘very elderly’ in the Guidance of EFSA on the ‘Use of the EFSA Comprehensive European Food Consumption Database in Exposure Assessment’ (EFSA, 2011).

  19 in total

Review 1.  Baker's asthma.

Authors:  Jonas Brisman
Journal:  Occup Environ Med       Date:  2002-07       Impact factor: 4.402

2.  Occupational rhinitis due to pepsin.

Authors:  L I Marquès; S Lara; T Abós; B Bartolomé
Journal:  J Investig Allergol Clin Immunol       Date:  2006       Impact factor: 4.333

3.  Molecular cloning of a major cockroach (Blattella germanica) allergen, Bla g 2. Sequence homology to the aspartic proteases.

Authors:  L K Arruda; L D Vailes; B J Mann; J Shannon; J W Fox; T S Vedvick; M L Hayden; M D Chapman
Journal:  J Biol Chem       Date:  1995-08-18       Impact factor: 5.157

4.  Why can patients with baker's asthma tolerate wheat flour ingestion? Is wheat pollen allergy relevant?

Authors:  A Armentia; A Díaz-Perales; J Castrodeza; A Dueñas-Laita; A Palacin; S Fernández
Journal:  Allergol Immunopathol (Madr)       Date:  2009-09-23       Impact factor: 1.667

5.  Molecular cloning of the cDNA and gene for an elastinolytic aspartic proteinase from Aspergillus fumigatus and evidence of its secretion by the fungus during invasion of the host lung.

Authors:  J D Lee; P E Kolattukudy
Journal:  Infect Immun       Date:  1995-10       Impact factor: 3.441

6.  Plasmids in the genus Bifidobacterium.

Authors:  B Sgorbati; V Scardovi; D J Leblanc
Journal:  J Gen Microbiol       Date:  1982-09

7.  Kluyveromyces as a host for heterologous gene expression: expression and secretion of prochymosin.

Authors:  J A van den Berg; K J van der Laken; A J van Ooyen; T C Renniers; K Rietveld; A Schaap; A J Brake; R J Bishop; K Schultz; D Moyer
Journal:  Biotechnology (N Y)       Date:  1990-02

8.  Characterisation of microorganisms used for the production of food enzymes.

Authors:  Vittorio Silano; José Manuel Barat Baviera; Claudia Bolognesi; Beat Johannes Brüschweiler; Pier Sandro Cocconcelli; Riccardo Crebelli; David Michael Gott; Konrad Grob; Evgenia Lampi; Alicja Mortensen; Gilles Rivière; Inger-Lise Steffensen; Christina Tlustos; Henk Van Loveren; Laurence Vernis; Holger Zorn; Boet Glandorf; Lieve Herman; Jaime Aguilera; Andrew Chesson
Journal:  EFSA J       Date:  2019-06-11

9.  Pollen-food allergy syndrome and component sensitization in adolescents: A Japanese population-based study.

Authors:  Tomoyuki Kiguchi; Kiwako Yamamoto-Hanada; Mayako Saito-Abe; Miori Sato; Makoto Irahara; Hiroya Ogita; Yoshitsune Miyagi; Yusuke Inuzuka; Kenji Toyokuni; Koji Nishimura; Fumi Ishikawa; Yumiko Miyaji; Shigenori Kabashima; Tatsuki Fukuie; Masami Narita; Yukihiro Ohya
Journal:  PLoS One       Date:  2021-04-14       Impact factor: 3.240

10.  Update of the list of QPS-recommended biological agents intentionally added to food or feed as notified to EFSA 15: suitability of taxonomic units notified to EFSA until September 2021.

Authors:  Kostas Koutsoumanis; Ana Allende; Avelino Alvarez-Ordóñez; Declan Bolton; Sara Bover-Cid; Marianne Chemaly; Robert Davies; Alessandra De Cesare; Friederike Hilbert; Roland Lindqvist; Maarten Nauta; Luisa Peixe; Giuseppe Ru; Marion Simmons; Panagiotis Skandamis; Elisabetta Suffredini; Pier Sandro Cocconcelli; Pablo Salvador Fernández Escámez; Miguel Prieto-Maradona; Amparo Querol; Lolke Sijtsma; Juan Evaristo Suarez; Ingvar Sundh; Just Vlak; Fulvio Barizzone; Michaela Hempen; Lieve Herman
Journal:  EFSA J       Date:  2022-01-27
View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.