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5.
Br J Dermatol ; 170(3): 651-6, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24640940

ABSTRACT

BACKGROUND: The relevance of contact allergy to plant-related food has recently emerged. Oral allergy syndrome is one of the most characteristic symptoms of fruit allergy, although it also causes systemic reactions. Plant-food allergy is increasing at the same time as pollen allergy, and fruit-induced allergic contact urticaria could be rising as well. OBJECTIVES: The present study was carried out in order to investigate whether one particular primary melon-peel allergen is responsible for contact urticaria. METHODS: Fourteen patients presenting with contact urticaria after touching melon peel were evaluated. A melon-peel extract was prepared and analysed by immunoblotting using the patients' sera. Molecular characterization of IgE-binding bands was performed using mass spectrometry. Melon-peel lipid transfer protein (LTP) was purified. Inhibition studies and contact challenge with the protein were performed to confirm IgE reactivity to the purified allergen. RESULTS: An IgE-binding band of ~8-9 kDa was observed in an immunoblotting assay with all the patients' sera and was identified as an LTP. The melon-peel LTP was purified in two chromatography steps. Inhibition studies confirmed LTP as a major allergen in patients with melon-peel contact urticaria. Contact challenge with melon-peel LTP was performed in five patients, all of whom had positive results, exhibiting itchy erythema and hives in the area of contact. CONCLUSIONS: This study confirmed our previous findings that melon-peel LTP is a major allergen and is responsible for contact allergy. This knowledge may be used to improve both diagnosis and treatment of patients allergic to melon.


Subject(s)
Antigens, Plant/adverse effects , Carrier Proteins/adverse effects , Cucurbitaceae/adverse effects , Dermatitis, Allergic Contact/etiology , Food Hypersensitivity/etiology , Plant Proteins/adverse effects , Urticaria/etiology , Adolescent , Adult , Allergens/adverse effects , Child , Female , Humans , Immunoglobulin E/metabolism , Male , Middle Aged , Protein Binding , Skin Tests , Young Adult
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