PMID- 8195677 OWN - NLM STAT- MEDLINE DCOM- 19940629 LR - 20061115 IS - 0022-2143 (Print) IS - 0022-2143 (Linking) VI - 123 IP - 5 DP - 1994 May TI - Latex allergy: frequent occurrence of IgE antibodies to a cluster of 11 latex proteins in patients with spina bifida and histories of anaphylaxis. PG - 712-20 AB - Proteins and allergens in natural rubber latex were characterized by a two-dimensional immunoblot method with serum samples from 17 patients with latex allergy of whom 10 had spina bifida and 7 were health care workers. We demonstrated in rubber tree sap approximately 240 polypeptides of which 57 bound immunoglobulin E (IgE) in patient serum samples. Forty-six of the 57 allergens were identified by patients with spina bifida, 19 of 57 allergens by health care workers, and 8 of 57 allergens by both patient groups. IgE antibodies from all 5 patients with spina bifida with histories of anaphylaxis bound three allergens with molecular weights of 27 kd and isoelectric points ranging from pH 4.6 to pH 4.8. Four of these 5 patients also identified a complex of eight other allergens with molecular weights ranging from 13 kd to 27 kd and isoelectric points from pH 4.4 to pH 5.6. This cluster of 11 allergens was identified by none of the 7 health care workers and by only 1 of 5 patients with spina bifida without demonstrable anaphylaxis. These preliminary findings indicate that patients with spina bifida in whom latex hypersensitivity has developed exhibit a strong anti-latex IgE immune response, which seems to differ markedly from the immune response of health care workers with latex allergy. The characteristic anti-latex IgE profile in patients with spina bifida and with a history of an anaphylactic reaction may be valuable in the evaluation of pathogenetic processes in latex allergy. FAU - Alenius, H AU - Alenius H AD - Department of Medicine, Medical College of Wisconsin, Zablocki Veterans Affairs Medical Center, Milwaukee 53295-1000. FAU - Kurup, V AU - Kurup V FAU - Kelly, K AU - Kelly K FAU - Palosuo, T AU - Palosuo T FAU - Turjanmaa, K AU - Turjanmaa K FAU - Fink, J AU - Fink J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PL - United States TA - J Lab Clin Med JT - The Journal of laboratory and clinical medicine JID - 0375375 RN - 0 (Antibodies) RN - 0 (Antigens) RN - 0 (Latex) RN - 0 (Plant Proteins) RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adolescent MH - Adult MH - Anaphylaxis/*complications MH - Antibodies/*analysis MH - Antigens/chemistry/immunology MH - Child MH - Child, Preschool MH - Drug Hypersensitivity/*immunology MH - Electrophoresis, Gel, Two-Dimensional MH - Female MH - Humans MH - Immunoblotting MH - Immunoglobulin E/*analysis MH - *Latex MH - Male MH - Medical Records MH - Molecular Weight MH - Plant Proteins/*immunology MH - Spinal Dysraphism/*complications/*immunology EDAT- 1994/05/01 00:00 MHDA- 1994/05/01 00:01 CRDT- 1994/05/01 00:00 PHST- 1994/05/01 00:00 [pubmed] PHST- 1994/05/01 00:01 [medline] PHST- 1994/05/01 00:00 [entrez] PST - ppublish SO - J Lab Clin Med. 1994 May;123(5):712-20.