title: IgE binding to almond proteins in two CAP-FEIA-negative patients with allergic symptoms to almond as compared to three CAP-FEIA-false-positive subjects.
abstract: BACKGROUND
  Allergy to almonds has been frequently reported, but data on the identification of the almond allergens, as well as on the reliability of the methods for in vitro detection of specific IgE for these allergens, are scant. This study aimed to identify the almond allergens and to evaluate the reliability of the CAP-FEIA as the standard system for detection of almond-specific IgE with clinical significance.
  
  
  METHODS
  Immunoblotting performed with an almond-protein extract was carried out on the sera of five patients who had previously been tested by the CAP-FEIA system; two of these patients had tested negative with the CAP-FEIA system but suffered life-threatening laryngeal edema after eating almonds, whereas the other three subjects, who had tested positive with CAP-FEIA, did not present any symptoms subsequent to almond ingestion.
  
  
  RESULTS
  The sera of the two symptomatic CAP-FEIA-negative patients had IgE that bound only to a 37-kDa protein in immunoblotting. On the contrary, the sera of the three asymptomatic subjects all showed IgE binding to two almond proteins of 62 and 50 kDa, corresponding to the glycosylated components of the extract.
  
  
  CONCLUSIONS
  The results here presented suggest that, at least for the examined subjects, the positivity to almond, as measured with a standard laboratory method, is due to the presence of the 62/50-kDa glycoproteins with little or no immunologic significance, and not to the binding to the 37-kDa polypeptide, which appears to be a true almond allergen.
authors.affiliation: Dipartimento di Biotechnologie Agrarie, Università di Padova, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Pasini
authors.forename: B
authors.initials: B
authors.lastname: Simonato
authors.forename: M
authors.initials: M
authors.lastname: Giannattasio
authors.forename: C
authors.initials: C
authors.lastname: Gemignani
authors.forename: A
authors.initials: A
authors.lastname: Curioni
mesh_terms: D000328:Adult; D004797:Enzyme-Linked Immunosorbent Assay; D005188:False Negative Reactions; D005189:False Positive Reactions; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D015151:Immunoblotting; D007073:Immunoglobulin E / Q000097:blood / Q000276:immunology / Q000378:metabolism*; D008297:Male; D009754:Nuts / Q000009:adverse effects* / Q000276:immunology; D010940:Plant Proteins / Q000276:immunology / Q000378:metabolism*; D019685:Rosales
chemical_list: D010940:Plant Proteins; D007073:Immunoglobulin E