PMID- 12956750 OWN - NLM STAT- MEDLINE DCOM- 20031215 LR - 20190901 IS - 0954-7894 (Print) IS - 0954-7894 (Linking) VI - 33 IP - 9 DP - 2003 Sep TI - Immunological analysis of allergenic cross-reactivity between peanut and tree nuts. PG - 1273-80 AB - BACKGROUND: Peanut and tree nut allergy is characterized by a high frequency of life-threatening anaphylactic reactions and typically lifelong persistence. Peanut allergy is more common than tree nut allergy, but many subjects develop hypersensitivity to both peanuts and tree nuts. Whether this is due to the presence of cross-reactive allergens remains unknown. OBJECTIVE: The aim of this study was to investigate the presence of allergenic cross-reactivity between peanut and tree nuts. METHODS: Western blotting and ELISA were performed using sera from subjects with or without peanut and tree nut allergy to assess immunoglobulin E (IgE) reactivity to peanut and tree nut extracts. Inhibition ELISA studies were conducted to assess the presence of allergenic cross-reactivity between peanut and tree nuts. RESULTS: Western blot and ELISA results showed IgE reactivity to peanut, almond, Brazil nut, hazelnut and cashew nut for peanut- and tree nut-allergic subject sera. Raw and roasted peanut and tree nut extracts showed similar IgE reactivities. Inhibition ELISA showed that pre-incubation of sera with almond, Brazil nut or hazelnut extracts resulted in a decrease in IgE binding to peanut extract, indicating allergenic cross-reactivity. Pre-incubation of sera with cashew nut extract did not cause any inhibition. CONCLUSION: These results show that multiple peanut and tree nut sensitivities observed in allergic subjects may be due to cross-reactive B cell epitopes present in different peanut and tree nut allergens. The plant taxonomic classification of peanut and tree nuts does not appear to predict allergenic cross-reactivity. FAU - de Leon, M P AU - de Leon MP AD - Department of Allergy, The Alfred Hospital, Australia. FAU - Glaspole, I N AU - Glaspole IN FAU - Drew, A C AU - Drew AC FAU - Rolland, J M AU - Rolland JM FAU - O'Hehir, R E AU - O'Hehir RE FAU - Suphioglu, C AU - Suphioglu C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Exp Allergy JT - Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology JID - 8906443 RN - 0 (Allergens) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Allergens/*immunology MH - Anacardium/immunology MH - Arachis/*immunology MH - Bertholletia/immunology MH - Blotting, Western/methods MH - Corylus/immunology MH - Cross Reactions MH - Enzyme-Linked Immunosorbent Assay/methods MH - Female MH - Follow-Up Studies MH - Humans MH - Immunoglobulin E/immunology MH - Male MH - Middle Aged MH - Nut Hypersensitivity/*immunology MH - Nuts/*immunology MH - Peanut Hypersensitivity/*immunology MH - Plant Structures/immunology MH - Prunus/immunology EDAT- 2003/09/06 05:00 MHDA- 2003/12/16 05:00 CRDT- 2003/09/06 05:00 PHST- 2003/09/06 05:00 [pubmed] PHST- 2003/12/16 05:00 [medline] PHST- 2003/09/06 05:00 [entrez] AID - 1761 [pii] AID - 10.1046/j.1365-2222.2003.01761.x [doi] PST - ppublish SO - Clin Exp Allergy. 2003 Sep;33(9):1273-80. doi: 10.1046/j.1365-2222.2003.01761.x.