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Thermostable allergens in canned fish: Evaluating risks for fish allergy

Title: Thermostable allergens in canned fish: Evaluating risks for fish allergy
Authors: Taki, Aya C.; Ruethers, Thimo; Nugraha, Roni; Karnaneedi, Shaymaviswanathan; Williamson, Nicholas; Nie, Shuai; Leeming, Michael G.; Mehr, Sam S.; Campbell, Dianne E.; Lopata, Andreas L.
Publisher Information: Wiley-Blackwell
Publication Year: 2023
Collection: James Cook University, Australia: ResearchOnline@JCU
Description: Background: Major fish allergens, including parvalbumin (PV), are heat stable and can withstand extensive cooking processes. Thus, the management of fish allergy generally relies on complete avoidance. Fish-allergic patients may be advised to consume canned fish, as some fish-allergic individuals have reported tolerance to canned fish. However, the safety of consuming canned fish has not been evaluated with comprehensive immunological and molecular analysis of canned fish products. Methods: We characterized the in vitro immunoreactivity of serum obtained from fish-allergic subjects to canned fish. Seventeen canned fish products (salmon n = 8; tuna n = 7; sardine n = 2) were assessed for the content and integrity of PV using allergen-specific antibodies. Subsequently, the sIgE binding of five selected products was evaluated for individual fish-allergic patients (n = 53). Finally, sIgE-binding proteins were identified by mass spectrometry. Results: The canned fish showed a markedly reduced PV content and binding to PV-specific antibodies compared with conventionally cooked fish. However, PV and other heat-stable fish allergens, including tropomyosin and collagen, still maintained their sIgE-binding capacity. Of 53 patients, 66% showed sIgE binding to canned fish proteins. The canned sardine contained proteins bound to sIgE from 51% of patients, followed by canned salmon (43%–45%) and tuna (8%–17%). PV was the major allergen in canned salmon and sardine. Tropomyosin and/or collagen also showed sIgE binding. Conclusion: We showed that canned fish products may not be safe for all fish-allergic patients. Canned fish products should only be considered into the diet of individuals with fish allergy, after detailed evaluation which may include in vitro diagnostics to various heat-stable fish allergens and food challenge conducted in suitable environments.
Document Type: article in journal/newspaper
File Description: application/pdf
Language: unknown
Relation: https://doi.org/10.1111/all.15864; https://researchonline.jcu.edu.au/80356/; https://researchonline.jcu.edu.au/80356/1/80365.pdf
Availability: https://researchonline.jcu.edu.au/80356/1/80365.pdf
Rights: open
Accession Number: edsbas.A46AB195
Database: BASE