Milk is one of the first components introduced into human diet. It also represents one of the first
allergen sources, which induces
IgE-mediated
allergies in childhood ranging from gastrointestinal, skin, and respiratory manifestations to severe life-threatening manifestations, such as
anaphylaxis. Here we isolated a
cDNA coding for a major cow's milk
allergen, alphaS1-casein, from a bovine mammary gland cDNA library with allergic patients'
IgE Abs. Recombinant alphaS1-casein was expressed in Escherichia coli, purified, and characterized by circular dichroism as a folded
protein.
IgE epitopes of alphaS1-casein were determined with recombinant fragments and synthetic
peptides spanning the alphaS1-casein sequence using microarrayed components and sera from 66 cow's milk-sensitized patients. The allergenic activity of ralphaS1-casein and the alphaS1-casein-derived
peptides was determined using rat basophil
leukemia cells transfected with human FcepsilonRI, which had been loaded with the patients' serum
IgE. Our results demonstrate that ralphaS1-casein as well as alphaS1-casein-derived
peptides exhibit
IgE reactivity, but mainly the intact ralphaS1-casein induced strong basophil degranulation. These results suggest that primarily intact alphaS1-casein or larger
IgE-reactive portions thereof are responsible for
IgE-mediated symptoms of
food allergy. Recombinant alphaS1-casein as well as alphaS1-casein-derived
peptides may be used in clinical studies to further explore pathomechanisms of
food allergy as well as for the development of new diagnostic and therapeutic strategies for
milk allergy.