Peanuts are the seeds of an annual legume, which grows close to the ground and produces its fruit below the soil surface. This is in contrast to tree nuts like Walnuts and Almonds. Peanut is a member of the Fabaceae or legume family, whereas tree nuts are not.
Multiple Peanut varieties are grown, with more than 40% of the American Peanut crop consumed as Peanut butter (1). Runners have become the dominant Peanut type grown in the U.S. due to the spectacular increase in yield that they allow; they are a very important source of Peanut butter. Virginias have the largest kernels and account for most of the Peanuts roasted and sold in their shells. Spanish peanuts have smaller kernels covered with a reddish-brown skin. Valencias are small, very sweet Peanuts usually roasted and sold in the shell, or boiled, but seldom used in processed foods.
The major Peanut allergens are homologous to the seed storage proteins of the conglutin, vicilin, and glycinin families (2).
Peanut proteins were originally classified as albumins (water-soluble) or globulins (saline-soluble); the globulins were in turn subdivided into arachin and conarachin fractions (the major storage proteins). Components of the albumin fraction of Peanuts are agglutinins, lectin-reactive glycoproteins, protease inhibitors, alpha-amylase inhibitors and phospholipases (3).
The major storage proteins of legumes are globulins, subdivided into legumins and vicillins. Two major Peanut allergens, Ara h 1 and Ara h 2, are heat-stable vicillin proteins (1, 4).
Peanut contains up to 32 different proteins, of which at least 18 have been identified as being capable of binding specific IgE antibodies (5-6). Varieties of Peanuts from different parts of the world contain similar proteins, including Ara h 1 and Ara h 2, and the IgE-binding properties have also been reported to be similar to a great extent (7).
Allergens characterised to date include:
Ara h 1 comprises 12% to 16% of the total protein in Peanut In population studies, sensitisation to Ara h 1 was found in 95% of Peanut-allergic patients from North America (4, 17-19), but in fewer Peanut-allergic patients of 3 European populations, varying from 35% to 70% (1, 12, 20-21). These differences were not reported for Ara h 2, even though Peanuts from different varieties and from different parts of the world contain similar proteins and the IgE binding properties are similar (7). Unidentified Peanut proteins with molecular weights somewhat lower than 15 kDa may be important allergens as well (22). Ara h 3 is recognised by serum IgE from 45% - 50% of patients with Peanut sensitivity (23). Ara h 5 shows up to 80% amino acid sequence identity with the panallergen profilin, but is present only in low amounts in Peanut extracts. 13% to 16% of Peanut-allergic individuals are sensitised to Peanut profiling (24). Nonetheless, a number of peanut allergens are involved in the sensitisation process as demonstrated in an European study of Peanut-allergic individuals, where sensitisation to Ara h 2 was found in 85%, to Ara h 4 in 53%, to Ara h 5 in 13%, to Ara h 6 in 38%, and to Ara h 7 in 43% of the selected sera (12).
Sensitization to Peanut occurs with a high degree of heterogeneity to a number of Peanut allergens. Mono-sensitization to a single Peanut allergen is relatively rare (25). Although sensitisation to Ara h 1 and Ara h 2 occurs in the great majority of Peanut-allergic individuals, the wide range of allergens present in whole Peanut protein extract appears to be most appropriate to consider when testing for Peanut allergy (19).
For example, in a British study, evaluating sera of 40 Peanut-allergic individuals, of 18 allergens identified, 8 were bound by >50% of patients. The study concluded that promiscuity of IgE binding appears more important than the recognition of individual proteins (26).
Furthermore, some Peanut-allergic subjects fail to bind to either Ara h 1 or 2 suggesting that whole Peanut, rather than Ara h 1 or 2, or the use of individual Peanut allergens would be more appropriate for measuring specific-IgE responses. This also illustrates that the relative contribution of all Peanut allergens needs to be investigated (19).
Helpful in this regard are the Peanut allergens that have been expressed as recombinant allergens.
Recombinant allergens, which are genetically engineered isoforms resembling allergen molecules from known allergen extracts, have immunoglobulin E (IgE) antibody binding comparable to that of natural allergens and generally show excellent reactivity in in vitro and in vivo diagnostic tests (27). To date, many different recombinant allergens of pollens, molds, mites, bee venom, latex and foods have been cloned, sequenced, and expressed.
Recombinant allergens have a wide variety of uses, from the diagnosis and management of allergic patients to the development of immunotherapy to the standardisation of allergenic test products as tools in molecular allergology (28-29). Recombinant allergens are particularly useful for further investigations in allergies manifesting wide cross-reactivity.
Compiled by Dr Harris Steinman, harris@zingsolutions.com.
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