Pulse proteins: Processing, characterization, functional properties and applications in food and feed

Fenugreek has a long history of medical uses in Ayurvedic and Chinese medicine, and has been used for numerous indications, including labor induction, aiding digestion, and as a general tonic to improve metabolism and health. Preliminary animal and human trials suggest possible hypoglycemic and antihyperlipidemic properties of oral fenugreek seed powder. (Altern Med Rev 2003;8(1):20-27)

http://inconnate.com/Download/Fenugreek/document3.pdf

Therapeutic applications of fenugreek.

There is a lack of high-quality evidence based on the gold standard of oral food challenges to determine food allergy prevalence. Nevertheless, studies using surrogate measures of food allergy, such as health service utilization and clinical history, together with allergen-specific immunoglobulin E (sIgE), provide compelling data that the prevalence of food allergy is increasing in both Western and developing countries. In Western countries, challenge-diagnosed food allergy has been reported to be as high as 10%, with the greatest prevalence noted among younger children. There is also growing evidence of increasing prevalence in developing countries, with rates of challenge-diagnosed food allergy in China and Africa reported to be similar to that in Western countries. An interesting observation is that children of East Asian or African descent born in a Western environment are at higher risk of food allergy compared to Caucasian children; this intriguing finding emphasizes the importance of genome-environment interactions and forecasts future increases in food allergy in Asia and Africa as economic growth continues in these regions. While cow's milk and egg allergy are two of the most common food allergies in most countries, diverse patterns of food allergy can be observed in individual geographic regions determined by each country's feeding patterns. More robust studies investigating food allergy prevalence, particularly in Asia and the developing world, are necessary to understand the extent of the food allergy problem and identify preventive strategies to cope with the potential increase in these regions.

/pdf/the-epidemiology-of-food-allergy-in-the-global-context-4orgycq4qa.pdf

The Epidemiology of Food Allergy in the Global Context.

Asia is a populous and diverse region and potentially an important source of information on food allergy. This review aims to summarize the current literature on food allergy from this region, comparing it with western populations. A PubMed search using strategies "Food allergy AND Asia", "Food anaphylaxis AND Asia", and "Food allergy AND each Asian country" was made. Overall, 53 articles, published between 2005 and 2012, mainly written in English were reviewed. The overall prevalence of food allergy in Asia is somewhat comparable to the West. However, the types of food allergy differ in order of relevance. Shellfish is the most common food allergen from Asia, in part due to the abundance of seafood in this region. It is unique as symptoms vary widely from oral symptoms to anaphylaxis for the same individual. Data suggest that house dust mite tropomysin may be a primary sensitizer. In contrast, peanut prevalence in Asia is extremely low compared to the West for reasons not yet understood. Among young children and infants, egg and cow's milk allergy are the two most common food allergies, with prevalence data comparable to western populations. Differences also exist within Asia. Wheat allergy, though uncommon in most Asian countries, is the most common cause of anaphylaxis in Japan and Korea, and is increasing in Thailand. Current food allergy data from Asia highlights important differences between East and West, and within the Asian region. Further work is needed to provide insight on the environmental risk factors accounting for these differences.

/pdf/food-allergy-in-asia-how-does-it-compare-2o9w9x64o2.pdf

Food allergy in Asia: how does it compare?

Functional properties of fenugreek (Trigonella foenum graecum) protein concentrate

Background Allergic reactions after consumption of spices are well known. In Asia, fenugreek seeds are consumed as spices and also as medicines. Literature survey carried out does not reveal reports of allergic reactions to fenugreek. In our survey carried out on patients with food allergy, we found two cases of severe allergy to fenugreek. Methods We report here two cases of immediate allergy following ingestion, inhalation, and external application of fenugreek seed powder. In the first case, inhalation of the fenugreek seed powder resulted in rhinorrhea, wheezing, and fainting. The second case was of a patient with chronic asthma who developed numbness of head, facial angioedema, and wheezing after application of fenugreek paste to her scalp as a treatment for dandruff. Skin scratch test was performed with fenugreek and other members of the Leguminosae family as fenugreek also belongs to Leguminosae. Objective evidence of the reaction was obtained by conducting double-blind placebo-controlled challenges (DBPCFC). For detecting IgE binding by immunoblotting method, the proteins of the fenugreek extract were resolved using sodium dodecyl sulphate polyacrylamide gel electrophoresis. Results Skin scratch tests for the patients revealed strong sensitivity to fenugreek and chickpeas. None of the controls showed such response with fenugreek extract. During DBPCFC, both patients showed >20% drop in peak flow rate after consumption of fenugreek and chickpea. Immunoblots demonstrated binding of specific IgE from the patients' sera with the protein from extracts between 20 to 70 kD bands. Conclusion This case report has enlarged the list of food allergens with the addition of fenugreek.

Allergy to Fenugreek (Trigonella foenum graecum)

Background The food allergy pattern of a country is influenced by the foods most commonly consumed. In India, the majority of the population consumes a vegetarian diet made up of pulse (legumes), cereals, and vegetables. In contrast to many western countries, chickpea preparations are consumed in large quantities in India. This study reports for the first time chickpea hypersensitivity reactions diagnosed with in vivo and in vitro tests. Methods One thousand four hundred patients visiting allergy clinics were randomly selected for the study. Those patients reporting an allergic reaction on every occasion after eating chickpea were considered history-positive. Modified prick tests were performed with chickpea and other members of the legume family on all these patients. The claims of the history-positive patients were verified with double-blind, placebo-controlled food challenges (DBPCFCs). Proteins in chickpea extracts were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and transferred on nitrocellulose paper. Serum specimens from history-positive patients were analyzed by immunoblot and ELISA. To verify the IgE specificity, an immunoblot inhibition assay was also performed. Results Of the 1,400 patients screened, 142 patients were history-positive to some food and 59 of these implicated chickpeas. Forty-one patients were skin test-positive and 31 were DBPCFC-positive for chickpea. The predominant symptoms after chickpea ingestion were respiratory. The ELISA results did not correlate well with the DBPCFC results; however, the skin test results correlated with DBPCFC in 75% of patients. Immunoblot analysis showed that 70, 64, 35, and 26 kD proteins were major allergens. Conclusions Chickpea is an important source of allergen that can cause IgE-mediated hypersensitivity reactions ranging from rhinitis to anaphylaxis.

Chickpea: a major food allergen in the Indian subcontinent and its clinical and immunochemical correlation

Background Exposure and sensitization to indoor allergens of house dust mites and insects is well established. However, there are no reports on the allergenicity of Psocoptera spp. (book louse). These insects are known to inhabit various terrestrial habitats such as tree bark (bark lice), old papers, books, stored food products, etc and gain entry into human dwellings through these modes. They have the potential to sensitize individuals with an occupational exposure to them. Objective Our objective is to use clinical and immunologic techniques to evaluate the extent of sensitization to Psocoptera in patients with nasobronchial allergy. We also have the objective to determine the extent of Psocoptera infestation in houses in Mumbai (Bombay). Methods An entomologic analysis of dust samples in houses in Mumbai was carried out and Psocoptera found in these samples was mass-cultured. Two hundred patients were checked for allergy to the Psocoptera extracts using skin test. Total IgE and specific IgE to Psocoptera in sera from Psocopotera-sensitive patients' sera were estimated by enzyme immunoassay. IgE-binding proteins of Psocoptera were determined by immunoblotting experiments. Results Among the 75 house dust samples from Mumbai analyzed for the presence of Psocoptera, 25% were found to be infested by Psocoptera. Strong skin sensitivity to Psocoptera was found in 20% of patients. Total IgE levels >150 IU/mL were found in these patients and high levels of specific IgE to Psocoptera were detected by ELISA. Immunoblot analysis revealed 67, 59, 43, and 27 kD proteins as major allergens of Psocoptera. Conclusions Psocoptera is an important allergen in Mumbai as it causes IgE mediated responses in 20% of the allergic population studied.

Pramod V. Niphadkar

Papers

Allergy to Fenugreek (Trigonella foenum graecum)

Chickpea: a major food allergen in the Indian subcontinent and its clinical and immunochemical correlation

Psocoptera spp. (book louse): a new major household allergen in Mumbai.