| Literature DB >> 36036236 |
Maria R Strobl1, Ute Vollmann1, Julia Eckl-Dorna2, Astrid Radakovics1, Verena Ibl3, Madeleine Schnurer3, Martin Brenner3, Georgi Dermendjiev3, Wolfram Weckwerth3, Michael Neumüller4, Florian Frommlet5, Hilal Demir1, Merima Bublin1, Christian Müller2, Barbara Bohle1.
Abstract
BACKGROUND: Birch pollen-related apple allergy is the most frequent IgE-mediated food allergy in Central-Northern Europe with Mal d 1 as major allergen. Its concentration in apples varies with the cultivar and storage time. Year-round appealing, hypoallergenic cultivars still are needed to satisfy the nutritional needs of affected individuals. We characterized three promising cultivars by multidisciplinary in vitro assays including long-term storage and by clinical challenges of allergic individuals before and after the birch pollen season.Entities:
Keywords: Mal d 1; apple; basophil activation test; birch pollen-associated food allergy
Year: 2022 PMID: 36036236 PMCID: PMC9412969 DOI: 10.1002/clt2.12186
Source DB: PubMed Journal: Clin Transl Allergy ISSN: 2045-7022 Impact factor: 5.657
FIGURE 1Study protocol. Apples were harvested in September 2018. Proteins were extracted after 7 and 29 weeks of storage. Individuals with BPRAA underwent clinical testings with cultivars stored for 7 and 34 weeks, before and after the birch pollen season, respectively. Then, samples and clinical data were analysed, visual analogue score (VAS)
FIGURE 2Detection of Mal d 1 in apple cultivars. rMal d 1 (1 μg) and protein extracts prepared in November 2018 and April 2019 were separated by SDS‐PAGE and stained with Coomassie (A); after blotting onto nitrocellulose, Mal d 1 was detected with the mAb BIP1 (B) and a serum pool from allergic individuals (C); anti‐BIP2 antibody as loading control (D); kiloDalton (kDa); ‘Golden Delicious’ (GD); ‘Santana’ (S)
Pre‐ and post‐storage Mal d 1 levels (µg/g apple)
| 2018 | 2019 | |
|---|---|---|
| ‘Bay 4069’ | 0.5 ± 0.1 | 10.4 ± 0.6 |
| ‘Bay 4152’ | 0.03 ± 0.01 | 0.4 ± 0.1 |
| ‘Bay 4210’ | 0.1 ± 0.04 | 4.1 ± 0.3 |
| ‘Golden delicious’ | 1.3 ± 0.1 | 54.4 ± 5.3 |
| ‘Santana’ | 0.3 ± 0.02 | ‐ |
FIGURE 3In vitro allergenicity of apple cultivars. Basophils from 12 allergic individuals were stimulated with titrated concentrations of apple extracts from November 2018 and April 2019. EC50 values for each individual and cultivar were calculated and summarized in box plots; statistical mixed model analysis is described in the results; ‘Golden Delicious’ (GD); ‘Santana’ (S)
Demographics and allergen‐specific IgE levels of study cohort (n = 28)
| Sex (female/male), | 15/13, (54/46) | |
|---|---|---|
| Age, median (range) | 32 (19–56) years | |
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| |
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| 14.5 (6.4–24) kUA/l | 15.6 (7.2–27.2) kUA/l |
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| 4.5 (1.4–8.5) kUA/l | 5.2 (1.7–10.2) kUA/l |
FIGURE 4Clinical reactivity to apple cultivars in November 2018 and May 2019. Oral symptoms of 23 individuals to 50 g of apple cultivars scored by VAS (A), and prick‐to‐prick‐induced wheal areas normalized to histamine (B); *P < 0.05, Wilcoxon Signed Ranks test; other statistical analyses are described in the results, birch pollen (BP), ‘Golden Delicious’ (GD); ‘Santana’ (S)