Identification of actinidin as the major allergen of kiwi fruit,☆☆,

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Abstract

Background: Allergic reactions to fruits and vegetables are among the most frequent food allergies in adults. Kiwi fruit (Actinidia chinensis) is commonly involved, causing local mucosal, systemic, or both types of symptoms by an IgE-mediated mechanism. In a previous study on 30 patients allergic to kiwi, we identified a major allergen of 30 kd against which all sera tested clearly reacted. Other allergens were detected at 12, 24, and 28 kd. Objective: The aim of this study was to fully characterize the major kiwi fruit allergen of 30 kd. Methods: Allergens were separated and purified by high-performance liquid chromatography with anion-exchange columns. The purity of the single proteins was checked by sodium dodecylsulfate–polyacrylamide gel electrophoresis, and their allergenicity was checked by immunoblotting with a pool of sera from patients allergic to kiwi. The allergens were characterized by isoelectrofocusing and amino acid sequencing, and periodic acid–Schiff stain was used to detect glycoproteins. Results: Proteins of 30, 28, 24, and 17 kd were purified by high-performance liquid chromatography. IgE binding indicated the 30 kd protein, which showed an isoelectric point of 3.5, as the major allergen of kiwi. Determination of its partial amino acid sequence and comparison with the Swiss Protein Bank showed that this was actinidin, the main protein component of kiwi. The 24 and 28 kd proteins had the same N-terminal sequence, which did not correspond to any known protein. The 17 kd protein had a blocked N-terminal sequence. Conclusions: These results demonstrate that the major allergen of kiwi fruit, Act c 1, is actinidin, a proteolytic enzyme belonging to the class of thiol-proteases. Two other allergens of 24 and 28 kd appear identical on amino acid sequencing.

Section snippets

Kiwi-sensitive patients

A pool of sera from 30 patients with allergic symptoms to kiwi who were positive for kiwi-specific IgE antibodies was used to check the in vitro IgE-binding capacity of the fractions of kiwi purified from the crude extract. The patients' clinical characteristics, the results of oral provocation tests with kiwi, and the levels of kiwi-specific IgE for each patient have been reported fully elsewhere.5 The sera of seven of these 30 patients were used to check the IgE immunoblotting of kiwi in

HPLC and SDS-PAGE/immunoblotting

Pilot experiments were conducted with the Resource Q (1 ml) anion-exchange column connected to the HPLC system to establish the optimal buffer system and salt gradient (linear from 0 to 0.5 mol/L of NaCl). This procedure, conducted on a concentrated kiwi extract of 11 mg/ml (the unconcentrated extract had too low a protein concentration), led to the separation of four peaks (Fig. 1, A), which, analyzed in SDS-PAGE, showed good purification.

FIG.1. Anion-exchange chromatogram of crude kiwi

Discussion

This study provides evidence that actinidin is the major allergen of the fruit Actinidia chinensis, commonly called kiwi. Theoretically, this should not be surprising because actinidin accounts for about 50% of the soluble proteins of the fruit. However, we did not imagine this when, in a previous study, we identified the major allergen of kiwi as a 30 kd band because actinidin was reported in 1978 as an enzymatic protein of 23.5 kd.14 The apparent MW of nearly 30 kd obtained from the sodium

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From athe third Department of General Medicine, Ospedale Maggiore IRCCS, Milan; bBizzozzero Division, Niguarda Ca' Granda Hospital, Milan; and cthe National Research Council, Torino.

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Reprint requests: Elide A. Pastorello, MD, Ospedale Maggiore di Milano, IRCCS, Pad. Granelli, Via F. Sforza 35, 20122 Milan, Italy.

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