Abstract
Background
Fish is a well-recognised cause of food allergy and anaphylaxis. The evolutionary and taxonomic diversity of the various consumed fish species poses a challenge in the identification and characterisation of the major fish allergens critical for reliable diagnostics. Globally, fish is a rising cause of food allergy complicated by a large under-investigated variety of species as well as increasing global tourism and trade. This is the first comprehensive study on allergen profiles of heat-processed fish from Vietnam.
Objective
The aim of this study was to identify the major heat-stable allergens from frequently exported Asia-Pacific freshwater and marine fish, and characterise the major allergen parvalbumin (PV) from one of the most consumed and exported fish species from Asia, the Indian mackerel (Rastrelliger kanagurta).
Methods
Heated protein extracts from 33 fish species were separated by gel-electrophoresis. PV isoforms were identified by immunoblotting utilising three different PV-specific monoclonal and polyclonal antibodies and further characterised by mass spectrometry. IgE reactivity was investigated using sera from 21 patients with confirmed fish allergy.
Results
Heat stable IgE-reactive PVs, with up to five isoforms per species, were identified in all 33 analysed fish species. In the Indian mackerel, seven PV isoforms were identified by 2D-gel electrophoresis combined with mass spectrometric analyses. The amino acid sequence deduced from cDNA of the most expressed isoform showed a high identity (>90%) to PVs from two other mackerel species.
Conclusions & Clinical Relevance
Different PVs were identified as the major heat-stable allergens in all 33 analysed freshwater and marine fish species from Vietnam, many of which are exported worldwide and 21 species that have never been investigated before. The Indian mackerel PV represents a novel fish allergen, now officially registered as Ras k 1. Improved diagnostics for fish allergy against Asia-Pacific species should be developed with focus on PV.
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