Advancements in Diagnostic Tests For Food Alllergens

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ADVANCEMENTS IN

DIAGNOSTIC TESTS FOR


FOOD ALLLERGENS
Prepared by:
Vijay Shankar Pandey
INTRODUCTION
Food allergy is an immune system reaction that occurs
soon after eating a certain food. Even a tiny amount of
the allergy-causing food can trigger signs and
symptoms such as digestive problems, hives or swollen
airways. In some people, a food allergy can cause
severe symptoms or even a life-threatening reaction
known as anaphylaxis. Food-induced allergic reactions
are responsible for a variety of symptoms involving the
skin, gastrointestinal tract, and respiratory tract and
might be caused by IgE-mediated and non–IgE-
mediated (cellular) mechanisms.

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Contd..
• The foods most commonly involved in food allergy are cow's milk (CM), hen's egg (HE),
peanuts, tree nuts, seeds, soy, wheat, fish, and crustaceans.
• Clinical reactions to foodstuffs mostly involve the skin (eg, urticaria, flush, eczema),
followed by gastrointestinal symptoms (eg, vomiting, diarrhea) and respiratory symptoms
(eg, stridor, wheezing),
• and they range from mild symptoms to anaphylaxis. Especially in peanut and tree nut
allergy, severe reactions have been observed.

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ALLERGEN CLASSIFICATION
a. Major allergens: Major allergens are generally defined as proteins for which 50% or more of the allergic
patients studied have specific IgE.
Examples of major allergens are
 Ara h 1 from peanuts
 ovalbumin, ovomucoid, and ovotransferrin from eggs
 and Pen a 1 from shrimp.
b. Minor allergens: Minor allergens may be the result of experimental artifact or may contain similarities in
structure to major allergens that allow for IgE binding, but do not have the conformation necessary to elicit
histamine release.
For example, research has shown that
 peanut-allergic patients possess IgE that can bind to proteins from many other legumes, resulting in
positive skin test and RAST results.
 However, the clinical manifestations of such cross-reactivity are rare, as the patients are only documented
to be allergic to peanut and perhaps one other leguminous food.

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DIAGNOSIS
OF FOOD
ALLERGENS
IMMUNOASSAY
• Immunoassays are used in the food industry to test the raw materials as well as the final
composition of food.
• They are also used to test for any contamination that may have occurred, as well as to
test for allergens.
• Immunoassays for immunoglobulin E (IgE) specific to an allergen of interest are
widely used in the diagnosis of allergic disease.
• Immunoassays are based upon interactions between antigens and antigen-specific
antibodies.

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ELISA & PCR
Enzyme-linked Immunosorbent Assay
• The enzyme-linked immunosorbent assay (ELISA) is an immunological assay commonly used to
measure antibodies, antigens, proteins and glycoproteins in biological samples.
• Some examples include: diagnosis of HIV infection, diagnosis of food allergens, pregnancy tests, and
measurement of cytokines or soluble receptors in cell supernatant or serum.
Polymerase chain reaction
• The PCR, a tool based on nucleic acids, has been developed for the indirect analysis of allergenic
ingredients in food.
• It involves targeting a segment of the gene coding for the allergenic protein of interest and amplifying
only this DNA fragment to make the protein detectable.
• This tool is highly specific and sensitive, having a LOD of less than 10 mg/kg for almond, hazelnut,
soy, milk or peanut.

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THANK YOU

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