The document discusses advancements in diagnostic tests for food allergens. It describes how food allergies cause immune reactions to certain foods and can result in symptoms ranging from mild to life-threatening. The most common food allergens are outlined. Major allergens are defined as those that cause reactions in 50% of patients, while minor allergens may cause cross-reactivity. Diagnosis involves immunoassays like ELISA that detect antigen-specific IgE antibodies, as well as PCR techniques to identify allergenic proteins. These diagnostic tests are useful for detecting contamination and classifying allergens.
The document discusses advancements in diagnostic tests for food allergens. It describes how food allergies cause immune reactions to certain foods and can result in symptoms ranging from mild to life-threatening. The most common food allergens are outlined. Major allergens are defined as those that cause reactions in 50% of patients, while minor allergens may cause cross-reactivity. Diagnosis involves immunoassays like ELISA that detect antigen-specific IgE antibodies, as well as PCR techniques to identify allergenic proteins. These diagnostic tests are useful for detecting contamination and classifying allergens.
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Advancements in Diagnostic Tests for Food Alllergens
The document discusses advancements in diagnostic tests for food allergens. It describes how food allergies cause immune reactions to certain foods and can result in symptoms ranging from mild to life-threatening. The most common food allergens are outlined. Major allergens are defined as those that cause reactions in 50% of patients, while minor allergens may cause cross-reactivity. Diagnosis involves immunoassays like ELISA that detect antigen-specific IgE antibodies, as well as PCR techniques to identify allergenic proteins. These diagnostic tests are useful for detecting contamination and classifying allergens.
The document discusses advancements in diagnostic tests for food allergens. It describes how food allergies cause immune reactions to certain foods and can result in symptoms ranging from mild to life-threatening. The most common food allergens are outlined. Major allergens are defined as those that cause reactions in 50% of patients, while minor allergens may cause cross-reactivity. Diagnosis involves immunoassays like ELISA that detect antigen-specific IgE antibodies, as well as PCR techniques to identify allergenic proteins. These diagnostic tests are useful for detecting contamination and classifying allergens.
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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.