PMID- 19568005 OWN - NLM STAT- MEDLINE DCOM- 20100114 LR - 20211203 IS - 1473-6322 (Electronic) IS - 1473-6322 (Linking) VI - 9 IP - 4 DP - 2009 Aug TI - The role of immunoglobulin E-binding epitopes in the characterization of food allergy. PG - 357-63 LID - 10.1097/ACI.0b013e32832d05ba [doi] AB - PURPOSE OF REVIEW: Allergen-specific immunoglobulin E (IgE) antibodies play a central role in food allergic reactions. IgE epitope mapping of food allergens may provide information regarding patient's clinical history and contribute to food allergy diagnosis/prognosis. The goal of this article is to review recent developments in the methods for IgE epitope mapping and the role of IgE-binding epitopes in the characterization of food allergy. RECENT FINDINGS: Recent studies have suggested a potential role for sequential IgE-binding epitopes as biomarkers for characterizing various phenotypes of food allergy. Studies of allergens in milk, peanut, egg and wheat have shown a correlation between IgE sequential epitope diversity and patients' allergy severity or persistence. Several informative epitopes in milk allergens have been identified as candidate biomarkers to predict the development of tolerance to milk. However, limitations with current methods of IgE-binding epitope identification need to be addressed before they can be applied in the diagnosis/prognosis of food allergy. SUMMARY: IgE epitope mapping has the potential to become an additional tool for the diagnosis/prognosis of food allergy and lead to a better understanding of the pathogenesis and tolerance induction of food allergy. FAU - Lin, Jing AU - Lin J AD - Department of Pediatric Allergy and Immunology, Jaffe Food Allergy Research Institute, Mount Sinai School of Medicine, New York, New York 10029-6574, USA. FAU - Sampson, Hugh A AU - Sampson HA LA - eng PT - Journal Article PT - Review PL - United States TA - Curr Opin Allergy Clin Immunol JT - Current opinion in allergy and clinical immunology JID - 100936359 RN - 0 (Allergens) RN - 0 (Biomarkers) RN - 0 (Epitopes, B-Lymphocyte) RN - 0 (Peptide Fragments) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/chemistry/immunology/*metabolism MH - Antibody Diversity/immunology MH - Biomarkers/metabolism MH - Diagnostic Errors MH - Disease Progression MH - Epitope Mapping/*methods/statistics & numerical data MH - Epitopes, B-Lymphocyte/chemistry/*immunology/metabolism MH - Food/adverse effects MH - Food Hypersensitivity/diagnosis/*immunology/physiopathology MH - Humans MH - Immunoglobulin E/metabolism MH - Immunosuppression Therapy/trends MH - Peptide Fragments/chemistry/*immunology/metabolism MH - Predictive Value of Tests MH - Prognosis RF - 45 EDAT- 2009/07/02 09:00 MHDA- 2010/01/15 06:00 CRDT- 2009/07/02 09:00 PHST- 2009/07/02 09:00 [entrez] PHST- 2009/07/02 09:00 [pubmed] PHST- 2010/01/15 06:00 [medline] AID - 00130832-200908000-00014 [pii] AID - 10.1097/ACI.0b013e32832d05ba [doi] PST - ppublish SO - Curr Opin Allergy Clin Immunol. 2009 Aug;9(4):357-63. doi: 10.1097/ACI.0b013e32832d05ba.