29
Food Allergy Soheila J. Maleki Food Allergy Research USDA-ARS-Southern Regional Research Center

Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

  • Upload
    others

  • View
    0

  • Download
    0

Embed Size (px)

Citation preview

Page 1: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Food Allergy

Soheila J. Maleki

Food Allergy Research USDA-ARS-Southern Regional Research Center

Page 2: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Better diagnosisNew cases/increased rate of sensitization Increased consumption Low dose exposure at an early ageExposure through unnatural routsAny exposure at an early ageVaccinations/better HygieneProcessing methods/globalization of

markets

The prevalence of food allergy has increased and in some cases doubled

since 1997:

Page 3: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Food Allergy

Approximately 11 million American suffer from food allergies. The most common being

fish/shellfish, peanut and tree nut allergies. Eating foods that contain even

traces of these ingredients can lead to health problems ranging from itchiness and

skin rashes to anaphylactic shock.

Page 4: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Major Food Allergens

Eight major foods or food groups--milk, eggs, fish, Crustacean shellfish, tree nuts, peanuts, wheat, and soybeans--

account for 90 percent of food allergies (& sesame in Europe)

Page 5: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Recent studies estimate that over 11 million Americans have a food allergy.

Over 6 million are allergic to fish and shellfish alone.

Over 3-4 million are allergic to peanuts and tree nuts and the number of children with peanut allergy has doubled in the past five years.

Each year, over 125 Americans die due to the accidental ingestion of allergenic foods.

30,000 receive life-saving treatment in emergency rooms.

Prevalence:

Page 6: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Baked goods

Milk formulaBaking mixtures

Pastry

Battered foods

Other nut buttersBiscuits

Satay

sauces/dishes

Candy

SoupsCereal-based products

Sweets

Canned Chili & Stews

Vegetable fats/oilsChinese (egg rolls),

Ice cream

Indian

, IndonesianThai, African, etc dishes Margarine Cookies

Why accidental ingestion?Foods that may contain peanut

Even among the well informed, 55% of allergic patients have 1-2

accidental ingestions over a 5 year

period.

Page 7: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Improve allergen detection and diagnostic tools

To develop novel therapeutic tools for the treatment of Peanut Allergies. (vaccine, anti-IgE & T-cell immunotherapy, probiotics, functional foods)

Genetically engineer hypoallergenic plants

Reduce allergenicity through novel processing methods

Find peanut varieties with reduced levels of allergens or allergenic properties

Overall Research goals and Objectives:

Page 8: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

APC

APCB

T

IgE

T

T

TCytokines

Histamines

M

anti-IgE

Page 9: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Collect blood from peanut allergic patient

Page 10: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

The Allergens Identified in Peanut

Ara h 1

vicillin

~12%

63 KDa

>95%

Ara h 2

conglutin

~0.5% 18, 20 KDa

>95%

Ara h 3/4

glycinin

~25%

60 KDa

~50%

Ara h 5

profilin

<1% 14 KDa

<20%

Ara h 6, 7 conglutin

<1% 12-15 KDa ~50%

homolog Ara

h 8 glycinin

<1% 16 KDa

?

homologAra

h 9

oleosin

<1% 18 KDa

?

Name

protein % in seed

MW

%Individuals

allergic

Page 11: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Purification of the major allergens identified in peanut

986450

36

30

16

986450363016

Ara

h 2 Ara

h 1 Ara

h 3 Ara

h 6

Page 12: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Purpose for Identification and Purification of Allergens

•Allergen structure function analysis•Allergen cloning•Development of diagnostic tests•Development of detection tests•Tissue culture/ T-cell, B-cell•Histamine release/Mast cell, Basophil•Animal model testing•Anti-Allergen Antibody Production•Cross-reactivity analysisetc

Page 13: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Maleki et al., (2000) J. Immunology, 164: 5844-49

Ara h 1 forms highly Stable trimers through hydrophobic interactions

Page 14: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Ara h 1 forms highly Stable trimers that are resistant to digestion by digestive enzymes:

Maleki et al., (2000) J. Immunology, 164: 5844-49

Page 15: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Anti-Allergen, Antibody Production

Page 16: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Introduction

Different peanuts varieties may have

different levels of total protein

different amounts, structure or sequence of individual protein and or allergen

less of one protein or allergen and more of others

Ideally we want to find or breed a peanut with high protein and low allergen content

Page 17: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Future Possibilities

A peanut with significantly reduced allergens or allergenicity may:

reduce sensitization capability of peanutsincrease threshold doseresult in a less severe reaction upon accidental ingestionbe useful in immunotherapeutic desensitization be more acceptable than a hypoallergenic GMO peanut

Page 18: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Background

Approximately 300 irradiated NC4 peanuts were screened for the levels of Ara h 1, 2 & 3

Peanuts were found that exhibited lower levels of the allergens Ara h 1, Ara h 2, or Ara h 3

Peanuts were also found that lacked either an isoform of the allergens Ara h 2 or Ara h 3

Page 19: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Ara h 1

Ara h 1

Ara h 2Ara h 3

Ara h 1

Peanut Cultivars with either a significant reduction in, or missing, isoforms of Ara h 1, Ara h 2 or Ara h 3

have been found:

Ara h 3

Ara h 2Ara h 2

SDS-PAGE

Page 20: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Anti- Ara h 1, Ara h 2, and Ara h 3 Western blots with Mutants of Interest

Ara h 1 Ara h 2 Ara h 3

Ara

h 2

13 232

8 “R

usty

”21

7

rAra

h 3

9 11 15 (N

C14

6)14

618

723

625

427

028

0

Ara

h 1

3 24 159

168

184

280

Reduced

level

of Ara

h 3Missing a

n

Ara h 3

Isofor

m

Miss

ing an

Ara h

2 isof

orm low

level

of Ara

h 1High

level

of Ara

h 1

Page 21: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Next Step

A peanut variety that lacked one of the Ara h 3 isoforms was cross-bred with the one missing an Ara h 2 isoform.

Page 22: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

NC Ac 01460 “Rusty”

Missing an Ara h 3 isoform Missing an Ara h 2 isoform

Page 23: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Objective

Screen over 100 of the F2 generation or progeny of crossbred peanuts to ascertain if we created a peanut missing both the Ara h 2 and Ara h 3 isoforms.

Page 24: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Ara h 2 isoforms

Ara h 3 isoforms

Ara h 2 isoforms

Ara h 3 isoforms

Western blot analysis with both anti-Ara h 2 and anti-Ara h 3 antibodies

Page 25: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

MM

1A05

1A06

1A08

1A10

1B3

1B4

1B6

2A04

2A05

2A06

27

MM

1B4

1B6

2A04

2A05

2A06

52 59 68 73 84 89

Western blot analysis using serum IgE from peanut allergic individuals

Differential IgE binding to Ara h 2 and Ara h 6 is seen in the mutant peanuts for the different individuals. This indicates amino acid sequence differences exist among the same allergens in the varieties.

Pool of patient sera

Ara h 2 specific serumAra h 2

Ara h 2

Ara h 6

Ara h 6

Page 26: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Conclusions

Over 500 peanut varieties from the peanut germplasm collection and approximately 400 irradiated mutants and progeny have been screened by our laboratory so far.

Many differences were found among the screened peanuts such as:

Allergen levelsAllergen isoform numbersIgG and IgE bindingPresence of new IgE binding bands

Page 27: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

ConclusionsThrough traditional breeding it is possible to knockout some of the allergenic proteins in plants, which may ultimately:

reduce the severity of the allergic responsereduce sensitization capabilitybe useful in immunotherapeutic desensitizationbe useful in understanding valuable genetic information such as the genetic inheritance patterns of the allergens. (i.e. Co-inheritance of the missing isoforms followed the classical Mendelian inheritance pattern of 1:15)

The peanut industry and market are less likely to suffer from boycotts or price fluctuations seen while attempting to market genetically modified organisms (GMO)

Page 28: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Acknowledgements:Dr. Tom Isleib, NCSUTysheena PerkinsDavid SchmittH. Cheng

Funding:USDA-ARS, Georgia Peanut Commission &The Peanut Foundation

Page 29: Food Allergy...Chinese (egg rolls), Ice cream. Indian, Indonesian. Thai, African, etc dishes . Margarine . Cookies. Why accidental ingestion? Foods that may contain peanut. Even among

Future StudiesPerform initial skin prick tests with the current mutants lacking a single isoform or both Ara h 2 and Ara h 3 isoforms and mutants with reduced overall IgE binding capacity

Plant and grow the seeds identified to lack both an Ara h 2 and an Ara h 3 isoform

Crossbreed the peanuts that lacked both isoforms with peanuts that showed reduced levels of Ara h 1

Cross breed the current progeny that are missing both isoforms with peanuts found to be missing other allergenic proteins or currently marketed peanuts

Begin screening mutants and other varieties with anti-Ara h 6 antibody