title: Identification of IgE-binding epitopes on gliadins for patients with food allergy to wheat.
abstract: BACKGROUND
  Food allergy to wheat induces different symptoms as atopic eczema/dermatitis syndrome (AEDS), urticaria and more severe reactions as wheat-dependent exercise-induced anaphylaxis (WDEIA). Different gliadin classes are involved in this allergy but IgE-binding epitopes are known only on omega5-gliadins and for WDEIA cases.
  
  
  OBJECTIVE
  The aim of the study was to identify IgE-binding epitopes on several gliadin classes and for several patients with different symptoms and ages.
  
  
  METHODS
  Eleven sera were analysed by pepscan with overlapping synthetic peptides.
  
  
  RESULTS
  Sera from five patients with anaphylaxis, urticaria or WDEIA, displayed strong IgE-binding to sequential epitopes of the repetitive domains of alphabeta, gamma, omega2 or omega5-gliadins with two immunodominant epitopes on omega5-gliadin and a consensus motif of the type QQX1PX2QQ (X1 being L, F, S or I and X2 Q, E or G). One patient allergic to deamidated wheat proteins also had IgE to a repetitive peptide of gamma and omega2-gliadins of the type QPQQPFP. Sera from four patients with AEDS detected no linear epitopes on gliadins, despite the fact that they contained specific IgE to alpha, beta, gamma or omega-gliadins. One child with AEDS recognized cysteine-containing sequences in the nonrepetitive domains of alphabeta and gamma-gliadins.
  
  
  CONCLUSIONS
  B epitopes in wheat allergy were different from B epitopes of coeliac disease. Differences exist in IgE-binding epitopes between patients with food allergy to wheat. IgE from those suffering from WDEIA, anaphylaxis and urticaria detected sequential epitopes in the repetitive domain of gliadins whereas IgE from AEDS patients probably recognized conformational epitopes.
authors.affiliation: INRA, Research Unit on Plant Proteins and their Interactions (URPVI), Rue de la Géraudière, BP 71627 44316 Nantes, France.
authors.forename: F
authors.initials: F
authors.lastname: Battais
authors.forename: T
authors.initials: T
authors.lastname: Mothes
authors.forename: D A
authors.initials: DA
authors.lastname: Moneret-Vautrin
authors.forename: F
authors.initials: F
authors.lastname: Pineau
authors.forename: G
authors.initials: G
authors.lastname: Kanny
authors.forename: Y
authors.initials: Y
authors.lastname: Popineau
authors.forename: M
authors.initials: M
authors.lastname: Bodinier
authors.forename: S
authors.initials: S
authors.lastname: Denery-Papini
mesh_terms: D000328:Adult; D000485:Allergens / Q000009:adverse effects*; D000595:Amino Acid Sequence; D000707:Anaphylaxis / Q000209:etiology / Q000276:immunology; D002675:Child, Preschool; D003876:Dermatitis, Atopic / Q000209:etiology / Q000276:immunology; D015444:Exercise; D005903:Gliadin / Q000235:genetics / Q000276:immunology*; D006801:Humans; D016056:Immunodominant Epitopes / Q000235:genetics / Q000276:immunology*; D007073:Immunoglobulin E / Q000276:immunology*; D008969:Molecular Sequence Data; D016415:Sequence Alignment; D014908:Triticum / Q000009:adverse effects* / Q000235:genetics; D021182:Wheat Hypersensitivity / Q000209:etiology* / Q000276:immunology
chemical_list: D000485:Allergens; D016056:Immunodominant Epitopes; D007073:Immunoglobulin E; D005903:Gliadin