PMID- 9250598 OWN - NLM STAT- MEDLINE DCOM- 19970905 LR - 20180216 IS - 1018-2438 (Print) IS - 1018-2438 (Linking) VI - 113 IP - 4 DP - 1997 Aug TI - Eosinophil-derived proteins in postprandial (food-dependent) exercise-induced anaphylaxis. PG - 505-11 AB - BACKGROUND: Postprandial exercise-induced anaphylaxis (PPEIAn) is a form of EIAn in which the ingestion of food before the exercise is associated with the onset of symptoms. Skin reactivity and the presence of specific serum IgE to several food allergens suggest the occurrence of food-dependent allergic mechanisms. METHODS: In order to study the involvement of eosinophils in the pathogenesis of PPEIAn we measured the changes in serum eosinophil cationic protein (ECP) and eosinophil protein X/eosinophil-derived neurotoxin (EPX/EDN) levels in 6 patients with PPEIAn, subjected to three separate challenges with either suspected foods only, exercise after a meal without or with suspected food ingestion. RESULTS: We found serum levels of both eosinophil-derived proteins increased only in challenges including both exercise and suspected food ingestion. Symptoms of anaphylaxis occurred in 3 of these patients. CONCLUSIONS: The increased release of eosinophil basic proteins in PPEIAn patients, caused by physical exercise following ingestion of suspected foods, is not obligatory for the definition of the syndrome. FAU - Romano, A AU - Romano A AD - Department of Internal Medicine and Geriatrics, Universita Cattolica del Sacro Cuore, Rome, Italy. FAU - Fanales-Belasio, E AU - Fanales-Belasio E FAU - Di Fonso, M AU - Di Fonso M FAU - Giuffreda, F AU - Giuffreda F FAU - Palmieri, V AU - Palmieri V FAU - Zeppilli, P AU - Zeppilli P FAU - Ansotegui, I J AU - Ansotegui IJ FAU - Venuti, A AU - Venuti A FAU - Paganelli, R AU - Paganelli R FAU - Aiuti, F AU - Aiuti F LA - eng PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Switzerland TA - Int Arch Allergy Immunol JT - International archives of allergy and immunology JID - 9211652 RN - 0 (Blood Proteins) RN - 0 (Eosinophil Granule Proteins) RN - 37341-29-0 (Immunoglobulin E) RN - EC 3.1.- (Eosinophil-Derived Neurotoxin) RN - EC 3.1.- (Ribonucleases) SB - IM MH - Adolescent MH - Adult MH - Anaphylaxis/blood/*immunology MH - Blood Proteins/*analysis/immunology MH - Eating/immunology MH - Eosinophil Granule Proteins MH - Eosinophil-Derived Neurotoxin MH - Eosinophils/*immunology MH - Exercise MH - Female MH - Food Hypersensitivity/*complications/immunology MH - Humans MH - Immunoglobulin E/analysis MH - Male MH - Postprandial Period/immunology MH - *Ribonucleases MH - Skin Tests EDAT- 1997/08/01 00:00 MHDA- 1997/08/01 00:01 CRDT- 1997/08/01 00:00 PHST- 1997/08/01 00:00 [pubmed] PHST- 1997/08/01 00:01 [medline] PHST- 1997/08/01 00:00 [entrez] AID - 10.1159/000237629 [doi] PST - ppublish SO - Int Arch Allergy Immunol. 1997 Aug;113(4):505-11. doi: 10.1159/000237629.