PMID- 29992645 OWN - NLM STAT- MEDLINE DCOM- 20191114 LR - 20231213 IS - 1365-2222 (Electronic) IS - 0954-7894 (Linking) VI - 48 IP - 12 DP - 2018 Dec TI - Gly m 5/Gly m 8 fusion component as a potential novel candidate molecule for diagnosing soya bean allergy in Japanese children. PG - 1726-1734 LID - 10.1111/cea.13231 [doi] AB - BACKGROUND: Soya bean is a major food allergen in children. Component-resolved diagnostics has improved the accuracy of diagnosing immunoglobulin E (IgE)-mediated food allergies. OBJECTIVE: We aimed to develop a novel component for the diagnosis of soya bean allergy using recombinant technology. METHODS: Japanese paediatric patients with suspected soya bean allergy (n = 91) were included, and symptomatic (n = 40) and asymptomatic (n = 51) cases were divided through oral food challenge testing. Specific IgE (sIgE) antibodies to each recombinant allergen component were analysed by enzyme-linked immunosorbent assay, and the diagnostic performances of the components were assessed by area under the receiver operating characteristic curves (AUC). RESULTS: Among the recombinant components, sIgE antibody levels to Gly m 8 showed the highest AUC (0.706). A combination of Gly m 8 and alpha' subunit of Gly m 5, improved the diagnostic performance of the single components. Moreover, the N-terminal extension region of alpha' subunit of Gly m 5, which has low cross-reactivity among the vicilins, showed higher diagnostic performance (AUC 0.695) than the full-length alpha' subunit of Gly m 5 (AUC 0.613). Based on these findings, we developed a fusion protein of Gly m 8 plus the extension region of alpha' subunit of Gly m 5; this fusion protein was very efficient for diagnosing soya bean allergy (AUC 0.801). CONCLUSION: A fusion protein of Gly m 8 and the extension region of alpha' subunit of Gly m 5 could potentially diagnose soya bean allergy in paediatric patients. Fusion proteins may be useful for producing novel allergen components with improved diagnostic value. CI - (c) 2018 John Wiley & Sons Ltd. FAU - Maruyama, Nobuyuki AU - Maruyama N AUID- ORCID: 0000-0002-1369-9629 AD - Laboratory of Food Quality Design and Development, Graduate School of Agriculture, Kyoto University, Kyoto, Japan. FAU - Sato, Sakura AU - Sato S AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. FAU - Cabanos, Cerrone AU - Cabanos C AD - Laboratory of Food Quality Design and Development, Graduate School of Agriculture, Kyoto University, Kyoto, Japan. FAU - Tanaka, Akira AU - Tanaka A AD - Thermo Fisher Diagnostics, Tokyo, Japan. FAU - Ito, Komei AU - Ito K AD - Department of Allergy, Aichi Children's Health and Medical Center, Obu, Japan. FAU - Ebisawa, Motohiro AU - Ebisawa M AD - Clinical Research Center for Allergy and Rheumatology, Sagamihara National Hospital, Kanagawa, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180813 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 - 0 (Antigens, Plant) RN - 0 (Globulins) RN - 0 (Recombinant Proteins) RN - 0 (Seed Storage Proteins) RN - 0 (Soybean Proteins) RN - 0 (beta-conglycinin protein, Glycine max) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Allergens/*immunology MH - Antigens, Plant/*immunology MH - Child MH - Cross Reactions/immunology MH - Female MH - Food Hypersensitivity/*diagnosis/epidemiology/*immunology MH - Globulins/*immunology MH - Humans MH - Immunoassay MH - Immunoglobulin E/blood/immunology MH - Japan/epidemiology MH - Male MH - Public Health Surveillance MH - Recombinant Proteins/immunology MH - Reproducibility of Results MH - Seed Storage Proteins/*immunology MH - Sensitivity and Specificity MH - Soybean Proteins/*immunology MH - Glycine max/*adverse effects/genetics/immunology OTO - NOTNLM OT - component-resolved diagnostics OT - epitope OT - molecular allergology OT - soya bean EDAT- 2018/07/12 06:00 MHDA- 2019/11/15 06:00 CRDT- 2018/07/12 06:00 PHST- 2017/10/06 00:00 [received] PHST- 2018/05/14 00:00 [accepted] PHST- 2018/07/12 06:00 [pubmed] PHST- 2019/11/15 06:00 [medline] PHST- 2018/07/12 06:00 [entrez] AID - 10.1111/cea.13231 [doi] PST - ppublish SO - Clin Exp Allergy. 2018 Dec;48(12):1726-1734. doi: 10.1111/cea.13231. Epub 2018 Aug 13.